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					 | Dr Robert Jay Lifton | THE NAZI DOCTORS: Medical
						Killing and
						the
 Psychology
						of Genocide ©
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				73 |   
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					 | Euthanasia: Direct Medical
						Killing |   
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					 | senior doctors were involved in killing, they soon gave way
						to younger men, and some of the young doctors were quickly elevated to senior
						status. Killing doctors came to be chosen apparently for their combination of
						inexperience and political enthusiasm.59 
 At Brandenburg, for instance, Dr. Eberl was twenty-nine years old when
						he learned to operate the gassing mechanism. The man later assigned to assist
						him, Dr. Aquilin Ullrich, was only twenty-six. Ullrich testified that his
						duties hardly required medical knowledge. He and Eberl did no more than make a
						superficial inspection of the naked patients in the anteroom of the
						gas chamber, which at the time he found inexplicable; subsequently
						he came to realize that the presence. of the physician at that moment was
						used to calm the mentally ill and camouflage the killing process.60
 
 Another doctor, who first worked as an
						assistant at a killing center, was informed by his immediate superior that
						a physician, according to the law, had the last say, and he therefore had
						to re-examine the arrivals. Later he was informed by Dr. Nitsche, one of
						the senior experts, that these pro forma
						examinations before the death chamber served mainly to calm
						the conscience of the doctor who has to carry out the killing.
						61 The Nazis were clearly aware of the
						psychological importance of the medical as if situation to the
						doctors involved.
 
 For the most part, the examination
						consisted of the doctor simply checking on the fact that patient and chart
						coincided  the right person was being killed  and using the
						occasion to help decide which false diagnosis would be appropriate (consistent
						with the patients record and appearance) for the death certificates soon
						to be issued. Reversing a decision about a patients death at that point
						was extremely rare, probably limited only to a few discovered to have been war
						casualties of some kind.62* The fundamental
						significance of that pseudo examination was medical legitimation of murder.
 
 Many of these patients were apparently deceived. A man who worked at
						the Hadamar killing center told how a patient he had known for many years, said
						to him on the way to the gas chamber, We will have a real bath now and
						get other clothes.63 When patients were
						not deceived and did resist, they were quickly subdued by physical force,
						though even this could resemble ordinary treatment of psychiatric patients.
						What happened next makes clear the doctors responsibility for the entire
						killing sequence:
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					 | After doors were closed, the air was sucked out
						  of the gas chamber . through a ventilator by the same doctor who carried out
						  the earlier examination. Then for about ten minutes, carbon
						  monoxide was let in [by that doctor] and its effect observed through a small
						  window. As soon as he thought that those shut in had died, he had the gas
						  chamber  |   
					 | __________ * In Württemberg, only
						twenty-nine patients, mostly war veterans, were saved.
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			 | THE NAZI DOCTORS: Medical Killing and the
 Psychology of
				Genocide
 Robert J. Lifton
 ISBN 0-465-09094
 ©
				1986
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