Engershom E
Holocaust Genocide Stud. 1990;5(1):73-87. doi: 10.1093/hgs/5.1.73.
In discussing such issues as euthanasia and eugenics there has been no lack of oblique references to Nazi medicine and the Nuremberg Trials. It is as if the impact of Nazi medicine on medical ethics has been most pronounced in its rhetoric, and regrettably also in inapt comparisons Is it possible at all to profitably apply the Nazi analogy to the problems of normal medicine? The thousand threads which linked the medical crimes inside the camps with the conduct of "innocent" doctors, nurses, civil administrators etc. outside, have been subjected to new scrutiny during the past decade. The results of these explorations are highly significant. They run the whole gamut from wishful Ignorance and timorous acquiescence to deliberate cooperation with the Nazi health policy of many officials and citizens. The silence of the outside world allowed the "few" perpetrators of medical crimes to have their way. Normal medicine has many important lessons to learn from this passivity and compliance of doctors and the public. This topic ought to be included in obligatory courses and examinations of medical ethics.
在讨论诸如安乐死和优生学等问题时，不乏对纳粹医学和纽伦堡审判的隐晦提及。似乎纳粹医学对医学伦理的影响在言辞方面最为显著，遗憾的是，在不恰当的比较中也是如此。将纳粹的类比应用于正常医学问题是否可能有任何益处呢？过去十年里，将集中营内的医疗罪行与外部“无辜”的医生、护士、民政管理人员等行为联系起来的千丝万缕受到了新的审视。这些探索的结果意义重大。其范围涵盖了从一厢情愿的无知、怯懦的默许到许多官员和公民与纳粹卫生政策的蓄意合作。外部世界的沉默让少数医疗罪行的实施者得逞。正常医学有许多重要的教训要从医生和公众的这种消极和顺从中学到。这个话题应该纳入医学伦理的必修课和考试中。
