Prostitution of German Medicine Under National Socialism
The totalitarian structure of the Nazi State demanded fundamental subordination of all principles of medicine to National Socialist population policy and racial concepts. The most emphatic and repelling expression of those new aims and goals came from the Nazi Director of Public Health in the Ministry of the Interior, Dr. Arthur Guett, who took office in 1933. In a book published in 1935 entitled “The Structure of Public Health in the Third Reich,” Guett announced that “the ill-conceived ‘love of thy neighbor’ has to disappear, especially in relation to inferior or asocial creatures. It is the supreme duty of a national state to grant life and livelihood only to the healthy and hereditarily sound portion of the people in order to secure the maintenance of a hereditarily sound and racially pure folk for all eternity. The life of an individual has meaning only in the light of that ultimate aim, that is, in the light of his meaning to his family and to his national state.”
The entire public health policy of the Third Reich was put in line with this pronouncement of principles. The Minister of the Interior, Frick, reorganized the Health Department in his ministry in such a way that police, public health, welfare administration and social services were all coordinated in pursuit of these goals. The beginnings of this reorganization started already in the summer of 1933 and were substantially completed by 1936. All these activities were concentrated under Dr. Guett, who was thus enabled to coordinate the practical application of his policy with his theoretical principles. Even psychiatric social service agencies, which did thorough and well-organized work prior to 1933, were reduced to mere screening stations for hereditary and racial selection.
All government-employed physicians had to take a special new course lasting 18 months and had to be Party members. The German Red Cross was likewise drawn into the orbit of the Nazi Party and the SS, in view of Dr. Grawitz’ appointment as president of the Red Cross. In 1945, after Grawitz’ suicide, the defendant Gebhardt succeeded him.
The Third Reich also completely reorganized the professional medical societies. The German Medical Association and the Hartmann Bund were abolished. All German physicians were reorganized through an organization derived from the Reich Physicians’ Chamber. This National Physicians’ Chamber was placed directly under a medical “fuehrer” with the title of “Reichsaerztefuehrer.” This position was also held by Conti. All doctors except those on active military duty were subordinate to him. His regional deputies were selected from the ranks of active National Socialists who terrorized the district branch societies. These deputies, who usually strutted about in SA or SS uniforms, were recruited mainly from the early members of the National Socialist Medical Association. It was their job to bring pressure on physicians to join and take part in various party organizations, such as the SA and SS.
A command performance, especially for younger physicians, was attendance at the so-called Fuehrer-School of German Physicians at Altrehse in Mecklenburg, which had been organized by the defendant Blome. There physicians were indoctrinated in the National Socialist point of view and way of life. The so-called comradely association and sports activity were merely window dressing for political spying. These courses finally became compulsory and had to be attended for several months annually.
The general respect, in which doctors were held, sunk in view of the decreasing level of general education and ability of the doctors. This was partly due to the constant occupation of the physicians’ time with Party functions, especially the time-consuming Party formations and marches which made it impossible for young physicians to develop scientific interests, so that recent graduates increasingly lost understanding and inclination for serious scientific study and long-range research.