Eastern workers were also dealt with. (NO-1430, Pros. Ex. 429; NO-1436, Pros. Ex. 430.) Eastern workers, who had been forcibly brought into Germany, who were no longer able to work, and who were considered a burden on the mental institutions of Germany, were brought together in a collecting institution and, unless they could be discharged in a matter of six weeks, they were exterminated under the Euthanasia Program. (NO-891, Pros. Ex. 414; NO-1116, Pros. Ex. 415.) Half-Jewish healthy children (NO-1427, Pros. Ex. 431) and adult gypsies (3882-PS, Pros. Ex. 371) were also killed.
C. Inadequate Examination and Lack of Supervision
The selection and examination of the persons who were subjected to euthanasia were criminally negligent and inadequate.
The defendant Karl Brandt testified that the doctors in the Euthanasia Program were given enormous responsibility. (Tr. p. 2425.) He, together with Bouhler, had authority over the physicians who were participating in the program. (Tr. p. 2408.) He admitted, however, that he did not make observation in, or visits to, insane asylums. He was only once in the Bethel insane asylum and visited a special clinic in Kassel. He admitted having no expert knowledge in the field of psychiatry. (Tr. p. 2470.) He, the doctor of the two persons who were charged by Hitler with the execution of euthanasia (Bouhler was not a doctor), authorized the doctors to administer euthanasia. He did not make investigations as to the medical abilities of these men. (Tr. p. 2476.) He does not know one single name of the total of ten to fifteen doctors who, according to his testimony, were charged with the execution of euthanasia. (Tr. pp. 2478-9.) Brandt testified that he only visited one of the extermination stations, Grafeneck, in 1940, one time (Tr. p. 2480), and never went to an observation station. (Tr. p. 2481.) In winter 1939-1940, however, he visited, together with the defendant Brack, Bouhler, and Conti, the euthanasia station of Brandenburg, where the first gas chamber was set up. The purpose of this visit was to observe a test experiment in which four insane persons were gassed. (Tr. pp. 7645-6.)
Victims of euthanasia were condemned to death by so-called top experts who had never so much as seen the patient. The victims were only superficially examined on the basis of questionnaires. (NO-470, Pros. Ex. 332.) Pfannmueller, an expert, received no less than 159 shipments of questionnaires, averaging between 200 and 300 questionnaires each, prior to 15 April 1941, for judgment as to life and death. (NO-1129, Pros. Ex. 354; NO-1130, Pros. Ex. 355.) Since his main occupation was that of manager of an insane asylum, his judgment of the questionnaires was only a secondary activity. In a period of 18 days, this same expert passed judgment on no less than 2,058 questionnaires. (NO-1129, Pros. Ex. 354; Tr. p. 7384.)
Questionnaires on patients who were in an asylum for as short a time as one month were filled out and formed the basis for judgment as to whether the particular inmate should be killed. (NO-825, Pros. Ex. 358.) Many of these questionnaires were inadequately completed so that it was impossible in any event to form a clear medical opinion. Experts were also exposed to pressure to induce them to give positive opinions. (Tr. p. 1881.) Unanimous opinion of the experts was not necessary to bring about a positive judgment which would condemn the patient to be killed. The dissenting opinion of one expert did not suffice to save the life of the patient. (Tr. pp. 1907-8.)
In a concentration camp 105 Aryans were “examined” by the expert Mennecke in an afternoon. The “examination” of 1,200 Jews, which consisted in the transcription of the reason for their arrest from the files to the reports, took only a few days. In a letter to his wife, Mennecke himself put the word “examination” in quotation marks. It is impossible that any kind of mental examination of the patients was carried out. (Tr. p. 1892; NO-907, Pros. Ex. 412.) In fact, these Jews were mentally and physically healthy. (Tr. p. 1893.) It was impossible for Dr. Heyde and his doctors commission, which was active in the Dachau concentration camp, to examine the great number of inmates selected in the short time they spent there. The examination consisted solely in the cursory study of personal records in the presence of the inmate. (NO-2799, Pros. Ex. 497.) Doctors Schumann and Gorgass screened approximately 100 concentration camp inmates during a one day’s visit in the Buchenwald concentration camp. (NO-3010, Pros. Ex. 503.)
It was not the degree of insanity which was the decisive factor in the decision as to whether or not the inmates should be killed, but rather their usefulness for work. The manner of employment, the value of work, if possible compared with the average performance of healthy persons, had to be carefully filled out in the questionnaires. (1696-PS, Pros. Ex. 357.) Valuable workers were not sent to euthanasia stations. (3865-PS, Pros. Ex. 365.)
Patients who had arteriosclerosis, tuberculosis, cancer, and other disabling illnesses were included in the program. (3896-PS, Pros. Ex. 372.) “Useless eaters” were starved to death. (3816-PS, Pros. Ex. 370; NO-823, Pros. Ex. 399.) Persons who no longer had any value to the state were considered “useless eaters.” It was pointed out that during the war healthy people had to give up their lives while these severely ill people continued to live, and would continue to live unless euthanasia was carried out. In addition, it was stated the lack of food and nursing personnel justified the elimination of these people. (Tr. p. 1906.) Concentration camp inmates were examined as to their capacity for work and their political reliability and were selected accordingly for euthanasia. (NO-2799, Pros. Ex. 497.) Questionnaires were completed on concentration camp inmates who were not insane. (NO-3010, Pros. Ex. 503.) Prior to 27 April 1943, Action 14 f 13 encompassed the execution not only of insane persons, but persons suffering from tuberculosis, bedridden individuals, and others unfit for manual work. (NO-1007, Pros. Ex. 413.) Only inmates who were no longer fit for work were to be brought before the examining commission. (1151-PS, Pros. Ex. 411.)
In the case of killing of children, a previous consultation with the parents or relatives did not take place. (3864-PS, Pros. Ex. 367.) The defense witness Pfannmueller testified that, after having received authorization to kill the individual child, he invited the relatives to visit the child because it was sick. However, he never notified the parents or guardians that he was going to kill the child, as this was a top secret matter. (Tr. p. 7394.) From the documents submitted by the defendant Brack, it is clear that the parents were deceived about the purpose of the transfer of the children to institutions where they were to be killed. It was the business of the medical officers to induce the parents to send their children to such institutions. To accomplish this, the parents were told that in the case of individual diseases there was a possibility of achieving certain successes with treatment. (Brack 52, Brack Ex. 43; Tr. p. 7717.) The parents were told that the best care would be taken of the child in such institutions and everything possible in the way of modern therapy would be carried out. (Brack 51, Brack Ex. 42.) From these documents it is clear that the parents and relatives were not only not asked for their consent in the case of killing of children, but were deceived in order to make the transfer to a euthanasia institution possible. A letter from the Reich Committee for Research on Hereditary and Constitutional Severe Diseases to the Eichberg Sanatorium shows on its face that, in the case of euthanasia of children, the consent of the parents was not sought. (NO-890, Pros. Ex. 443.) This evidence is corroborated by the affidavit of Dr. Suchomel. (NO-2253, Pros. Ex. 557.) The defendant Brack testified that the consent of the parents to the killing of children was an absolute prerequisite. The medical officers who made the arrangements for the transfer of the children to the killing stations were allegedly charged with the task of informing the parents and requesting their consent. This statement is in contradiction to Brack’s own documents, which clearly show what the parents really were told, as well as the top secret character of the program. The proof has further shown that Pfannmueller himself was one of the doctors who had, according to the decree of the Minister of the Interior of 18 August 1939, to report deformed and deficient children. (NO-3355, Pros. Ex. 553.) He himself testified that he never informed the parents about the fate their children had to expect. Brandt admitted that in the case of the killing of insane adults, the consent of the relatives was not requested and their opinion not heard. (Tr. pp. 2427-8.)