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Michael Berenbaum

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Nazi Medicine

Posted: 08/13/09 12:59 PM ET

It is the nuclear bomb of epithets, a shorthand way of tarnishing any opponent. In recent weeks, Rush Limbaugh and others repeatedly compared President Obama to Adolf Hitler and his health care policies to Nazi tactics. More than one activist showed up at a town hall meeting brandishing a swastika sign and Obama's name.

"They were for abortion and euthanasia of the undesirables," Limbaugh said of the Nazis on his radio program. "As we all know, and they were for cradle-to-grave nationalized healthcare."

Reviewing what the Nazis actually did -- and why -- shows that such inapt comparisons reveal more about the attackers than the president's or Congress's current proposals.

A word of history: At the Nuremberg doctors trials of the late 1940s, the judicial process focused mainly on Nazi medical experiments. But scholars now regard standard Nazi medical practice -- the so-called euthanasia program -- as more serious, more all encompassing and more criminal. Long before World War II, Nazi physicians began with a mass sterilization aimed at propagating a master race. Doctors sterilized mentally retarded and congenitally ill Germans, designated by Nazism as "useless eaters," consuming scarce resources of the German nation still mired in depression. Worse, much worse, was to follow.

Within the war's first six weeks, Hitler signed an order (backdated to September 1, 1939 to give it the appearance of a war-time measure) giving two doctors "responsibility for expanding the authority of physicians... to the end that patients considered incurable according to the best available human judgment of their state of health, can be granted a mercy killing."

The Nazis invented a new term: "life unworthy of living."

Mass murder of the handicapped began slowly. At first, authorization was informal, secret and narrow in scope--limited to the most serious cases. From the Berlin Chancellory Tiergarten 4 (code named T-4), officials ordered a statistical survey of all psychiatric institutions, hospitals, and homes for chronic patients. Within months the T-4 program enlisted virtually the entire German psychiatric community.

Three medical experts reviewed forms submitted during the survey without examining individual patients or reading detailed records. Theirs was the power to decide life or death. Patients ordered killed were transported to six killing centers: Hartheim, Sonnenstein, Grafeneck, Bernburg, Hadamar, and Brandenburg. The SS donned white coats for the transports to give themselves the appearance of medical personnel.

The first killings were by starvation -- passive, simple, natural. Then injections were used. Children were simply put to sleep, never again to awake. Sedatives soon became overdoses. Gassing became the preferred method of killing. False showers were constructed. Ph.D. chemists were employed. The process was administered by doctors, who killed 15 to 20 people at a time. Afterward, black smoke billowed from the chimneys as the bodies were burned.

A few doctors protested. Carl Bonhoeffer, a leading psychiatrist, helped his son Dietrich contact church groups urging them not to turn patients over to the SS. A few physicians refused to fill out the forms. One psychiatrist, Professor Gottfried Ewald of Gottingen, openly opposed the killing.

Growing public pressure, including a sermon on August 3, 1941, by Bishop Clemens August von Galen of Muenster, openly challenged the euthanasia program. "We must oppose the taking of innocent human life even if it were to cost us our lives," he argued.

On September 1, 1941, almost two years after it began, Germany appeared to discontinue the operation. In truth, it was merely driven underground. "Mercy killings" secretly continued until the end of the war. Some 200,000 Germans - what the Nazis termed Aryans, not Jews -- were victims.

While T-4 continued in secret, mass murder was just beginning. Physicians trained in the medical killing centers graduated to bigger tasks. Irmfried Eberl, M.D., who began his career in the T-4 program, became the commandant of Treblinka. His colleagues went on to Belzec, Sobibor, Treblinka, and Auschwitz, where killing took on massive dimensions.

At the Nuremberg Doctors trial of medical personnel, the judges realized the need to enunciate ethical principles for physicians that would prevent them from ever engaging in such practices. The first principle articulated the universal right of individuals to make their own medical decisions, free from coercion. "The voluntary consent of the human subject is absolutely essential," it reads.

President Obama's health plan honors that very principle by entitling the patients to be reimbursed for consultations with their physicians to discuss end-of-life issues. That measure is the essence of humane and moral medical policy--the antithesis of Nazi medicine and Nazi practice.

(We should also consult with clergy to ensure that decisions are compatible with both science and faith.)

That is not to say there is no place for a Nazi analogy in this debate. The Nazis rose to power by mastering the art of propaganda, repeating lies so frequently and so widely that eventually people took them as truth. Hence the importance of seeking out the truth, and exposing those who would engage in such deceit.

Freud taught us about projection: Those who would compare Obama to Hitler or his policies to Nazism ought to look in the mirror.

Michael Berenbaum is Professor of Jewish Studies and Director of the Sigi Ziering Institute: Exploring the Ethical and Religious Implications of the Holocaust at the American Jewish University in Los Angeles. He was the project director of the creation of the U.S. Holocaust Museum and is the former director of its Research Institute.

 
 
 
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08:07 AM on 08/14/2009
Thank you for the article. I think it would be useful to the health care debate to point out to the right the "nationalized" health care system of Israel. The right claims to support Israel, but I wonder if they would be so quick to label Israel's health care system as "national socialism"?
09:40 AM on 08/14/2009
bravo kathyt73
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HUFFPOST SUPER USER
mercury613
In the blue TV screen light
02:18 PM on 08/14/2009
"...but I wonder if they would be so quick to label Israel's health care system as "national socialism"?"

Oh, I'm sure they'll do just that when it conveniently supports their dogma du jour.
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PresidentRobertBooth
07:21 AM on 08/14/2009
Rush Limbaugh is a proud 'Murican dammit


And America would never have anything to do with the Nazis.....

....apart from Operation Paperclip and using their knowledge and expertise to put man on the moon.....




....but apart from that nothing, man!
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02:39 AM on 08/14/2009
Very interesting article. Thank you for posting it!

Here is my comment in response to your statement about gassing as becoming a preferred method of killing:

As far as I remember, gassing as a preferred method of killing was very much influenced by the rise of hygiene as a science in Europe at the beginning of the 20th century. Public sanitation policies became more aggressive, especially in regards to the extermination of rats which were gassed. This coincided with anti-Semitic film propaganda at that time that dehumanized Jews and presented them as rats living in unsanitary places. That's how gassing of Jews became a "natural" method of "cleaning" Europe.
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DrP
09:35 PM on 08/13/2009
Dear right wing:

To those of you who like to compare progressives to Nazi's, I would like to ask, "Do you know..."

On October 26, 1936, Himmler formed within the Security Police the Reich Central Office for Combating Abortion and Homosexuality.
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jsgaetano
Legum servi sumus ut liberi esse possimus
06:59 PM on 08/13/2009
Your first failure is bringing facts and reality into the debate. Conservatives have no use for either.

The best response to anything conservatives say is laughter and ridicule. It's the only way to combat the vast volume of stupid they produce on a daily basis.
02:28 PM on 08/14/2009
I disagree. It may be possible to convince some people who are just ignorant.
But some don't/won't listen. My question:
do these people actually believe what they say or are they all knowingly lying to each other?
I think it is very important to know that.
04:11 PM on 08/13/2009
I find this article interesting in that no one has mentioned Obama's Science Czar, Mr. Holdren. Mr. Holdren is interesting in this debate because he is an avid proponent of eugenics and his mentor was none of than Harrison Brown. Mr. Brown, a scholar in the Nazi eugenics studies of the 30's, called for a "super race" just as Hitler did in Mein Kampf. Anyone remotely familiar with eugenics history knows the historical ramifications of such ideology. America has it's own history with it as well. The very fact that this man holds office in the American president's administration is disconcerting, and should be "flagged" as a warning. He takes the abortion debate to a whole new level. I believe that the projection on the part of "unAmerican malcontents" has some merit. The name-calling and projection of fascism has gone both ways with the protesters called out as being akin to the brown-shirts of the Nazi regime. I seem to recall Code Pink spray painting pink swastikas on recruiting stations and putting it on signs. Please do not discount the double-standard. And, please do some more research.
04:39 PM on 08/13/2009
*Mr. Holdren is interesting in this debate because he is an avid proponent of eugenics and his mentor was none of than Harrison Brown. Mr. Brown, a scholar in the Nazi eugenics studies of the 30's, called for a "super race" just as Hitler did in Mein Kampf.*

Sources, please...if you've got them.
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05:51 PM on 08/13/2009
I personally did several searches to see if the info IStudy posted could be substantiated. I wanted to see for myself what was said, who said it, how it is viewed by a "wider" audience.

What I discovered......fringe, IMO. Don't waste your time waiting for sense to appear from nonsense.

This is a very thoughtful blog by Michael Berenbaum, a renown expert on the Holocaust and Hitler.
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mercury613
In the blue TV screen light
05:40 PM on 08/13/2009
All one needs to do is Google "John Holdren" to come up with page after page of right-wing lid-flipping, none of which comes from legit news sources.

Holdren co-authored a book with 2 other scientist -- three decades ago -- that *discussed* population policies that had been analyzed or tried in some countries. He has already made it clear that he does not advocate government being involved in coercive population control, and his co-authors have said that they are “shocked” at what they called “serious misrepresentation” of their and Holdren’s views.

In the future, please remember that the Internet has made it ridiculously easy to debunk misleading statements such as the ones you've made here.
03:37 PM on 08/13/2009
Thank you for an important article. In addition to its current political application, your elucidation of the developments in the Nazi programs will be helpful to me in my dealings with Scientologists - for whom all psychiatrists are inherently evil. Thanks for telling of the bravery of those psychiatrists who stood for the rights of the disabled, in what must have been a very frightening time.
03:33 PM on 08/13/2009
To all you Dems: This Nazi name calling is atrocious so let's not forget that many on the Left began using this term to label Bush and others on the Right several years ago.

To Repubs: Two wrongs do not make a right
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Gidster
Not so much Liberal as I am anti evil.
04:09 PM on 08/13/2009
Not Bush himself but his policies and tactics.

They were very close to Fascist in nature and scope, far closer than Obama's policies are to Socialism.....
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courtb
06:04 PM on 08/13/2009
Maybe, maybe not. But there is a huge difference between the fascist political movement and the Nazi party.
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Pyrum
09:07 PM on 08/13/2009
What's with the assumption one would use the Nazi analogy with either Bush OR Obama, but not both? I think it applies to both.
JNarragansett
Check your premises
03:30 PM on 08/13/2009
Good article, good use of facts, good condemnation of the way in which the term Nazi is thrown around...all thrown away when you call your opponents Nazis in the end.
04:14 PM on 08/13/2009
The author stated that "The Nazis rose to power by mastering the art of propaganda, repeating lies so frequently and so widely that eventually people took them as truth".
This is a tactic that is used everyday by a particula5r right-wing radio personality, but the author didn't name anyone.
JNarragansett
Check your premises
04:52 PM on 08/13/2009
Yes, we can pick and choose various aspects of the Nazi regime, but it would be foolish to think that one party in this country has a monopoly on propaganda as it is the tool of all governments and groups that attempt to motivate individuals into action. Throwing around the term Nazi as an insult betrays a lack of historical perspective, and insults the victims of that truly terrible regime. There are many things that made the Nazis one of the single worst governments in history including the systematic eradication of groups of people based upon religious or social status. The complete destruction of individual liberty, and the fact that it plunged the world into a war of epic proportions. This is what gives us such a negative reaction to the term Nazi, not simply that they used propaganda. Scandalous rumors were spread about John Adams by supporters of Thomas Jefferson, propaganda about German atrocities got us into WWI. Propaganda was a major tool of the Soviets, and the Chinese in controlling their populace. North Korea engages in the most ridiculous propaganda as do many Middle Eastern countries so that they can blame internal problems on external forces and maintain their rule. (Just to name a few instances) If we want to label every government or group that uses propaganda as a Nazi, then the term will lose all meaning because it will apply to everyone. We can properly denounce propaganda without referring to people as Nazis.
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FoonTheElder
Always choosing between the lesser of two evils
02:47 PM on 08/13/2009
There's a major difference between Nazi atrocities and Nazi medicine. Germany has had universal health care for 120 years, unlike the U.S.

What is the U.S. doing to the medical doctors that were complicit in torture over the past 8 years?
02:34 PM on 08/13/2009
This is a very good article, and I commend the author, Michael Berenbaum. After World War II, the rat lines of ODESSA (Organisation der ehemaligen SS-Angehörigen) spread across the globe, alas even to the U.S. Sweden, a country having universal health care, had an official policy of compulsory sterilization between 1935 and 1975 that sterilized about 63,000 people to combal supposed racial and social inferiority. All of people's fears and concerns about universal health care coverage in the U.S. should be channeled to make sure such atrocities never manifest themselves in the U.S. The Fourth Reich is NOT coming. Max Heilig, a.k.a. Martin Bormann, is no more. Even if the organization he set up survives somehow, it can not prevail when the truth is told. Rush Limbaugh ought to become an expatriate, and move to Argentina or Paraguay where he can relax and comiserate with people of a like mind in the backwoods. I do not mean to disparage all people of those sovereign nations, and I have empathy for all the misery they'vd had to put up with because of political instability there. Rush, just fade away, please.
04:18 PM on 08/13/2009
Dick Durbin (D) Ill. first called US troops by the epithet, Nazi. He rec'd no flack
for this statement. Pelosi and Hoyer labeled the town hall attendes the same.
Still no flack. In the MSM the Dems can do or say anything.
04:41 PM on 08/13/2009
Where did you get this stuff?
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macweenie
08:13 PM on 08/13/2009
No citations, no credibility. Prove your assertion.
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02:22 PM on 08/13/2009
Thanks a lot for this article. It is extremely scary that the historical detail that you provide is not sufficiently well entrenched in people active in public service or journalism and media in the US.

Since I am german, I strongly sympathize with the White House reaction to the Hitler-comparisons, which was along the lines of what the Zentralrat der Juden would say in such cases in germany: the crimes of the Nazi regime are unique in the history of mankind and have been deemed crimes against humanity for good reasons. To draw comparisons to any kind of contemporary events or actions is a recipe for being on shaky grounds. It is never appropriate. Whoever tries it should question his own motives and decide against it.

This argument applies per default. It never fails. In this case, of course, the comparisons are so outlandish and so obviously the result of projection - as you point out - that the incident really should lead to a sincere outcry.

Much like the NHC has objected in the healthcare debate, and like many international observers should object to the US healthcare debate, because it's not gentlemenlike to tell lies about other countries to advance an agenda at home. That people try to get away with those lies is an insult to the intelligence of their voters and it is an insult to anybody living in those countries. This bullshitting must stop.
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Emerald1943
02:20 PM on 08/13/2009
I can remember a time that people who shout obscenities like this would have been ignored and marginalized, and rightfully so. This kind of discourse (I use the term loosely) does not have a legitimate place in our national conversation!

That the lies and distortions come from the well-funded insurance lobbies is certainly not in question. What amazes me is the number of people who are buying into the propaganda. The dumbing down of America indeed! Many (if not the majority) of the "deathers" have been alive long enough to remember the horrors of the holocaust. They know better. The bottom line is their hatred of everything Obama.

In this day of the 24/7 news cycle, it is not surprising that the MSM plays these clips of protesters over and over to gin up ratings. But they are doing us a disservice by doing so. If these hate-filled people had no news coverage, I suspect their campaign to equate the President to Hitler would go nowhere.
I refuse to believe the majority of the American people cannot see through this.
02:17 PM on 08/13/2009
That Rush Limbaugh has so many listeners shows many Americans are in a very sorry mental condition. They are among the most manipulated people in the world.
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Gidster
Not so much Liberal as I am anti evil.
04:14 PM on 08/13/2009
FOX helps spread the dumb.....They hire low fact commentators like O'Reilley, Dobbs, Beck and Hannity, then tread the conservative party line so closely they even include the typos in their talking points....
04:21 PM on 08/13/2009
Do ever listen to anyone of a different political persuasion?
I do listen to others even when they bore, like Hartmann etc.
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Gidster
Not so much Liberal as I am anti evil.
05:27 PM on 08/13/2009
Me? Yes. I listen to, and read many political ideologies. I try and correct the spin in wither party...
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acmeaviator
H@ll is other people.
01:53 PM on 08/13/2009
Eugenics as policy was NOT originated by the Nazi's - it originated in the United States. In fact it was "Blood of a Nation" by Stanford president David Starr Jordan that really got the movement going. The basic tenets of Eugenics has been promulgated by Sir Francis Galton (a cousin of Darwin) in the middle of the 19th century - but it was the money of Carnegie (at Cold Spring Harbor) and Rockefeller that brought it to the forefront of public thought by the turn of the 20th century. Much of this work was actually cited by defendants at Nuremberg in their defense!
Anyway - I think this is a great example of how easily we chose to lose sight of some important, but ugly, aspects of what it means to be an American. Even looking beyond Eugenics, "Manifest Destiny" was responsible for 15 million (Rummel) to 100 million (Stannard) deaths. I think that at this point in history we are all in glass houses. We need to be focusing on how to prevent such things in the future and not finger pointing over atrocities of the past.
05:54 PM on 08/13/2009
Well said, acmeaviator. Too bad such factual information and history will get lost in the sludge of the rest of the posts.
09:03 PM on 08/13/2009
great (factual) comment.