Schmacke N
Int J Health Serv. 1997;27(3):559-74. doi: 10.2190/22TT-HMX4-3BPB-VRB9.
Departing from the latest academic research into Nazi medicine in Germany, the author looks at theoretical and ideological concepts in German history that left their mark on the formation of race hygiene. He argues that the overdramatization of the economic burden caused by the special requirements of the chronically ill and handicapped runs through all epochs of modern medical history and that this culturally pessimistic way of looking at a serious social problem in Germany reveals a frightening tradition which reached its cruelest climax in the so-called T4 operation of the Nazis. The author makes a plea for this dark chapter of German medical history to be carefully analyzed and for the results of this research to be used in the current discussion on the further development of the health system, particularly in regard to patients who require special care.
作者背离了对德国纳粹医学的最新学术研究，审视了德国历史上在种族卫生学形成过程中留下印记的理论和思想观念。他认为，慢性病患者和残障人士特殊需求所带来的经济负担被过度渲染，贯穿了现代医学史的各个时期，而这种在德国看待严重社会问题时带有文化悲观主义的方式，揭示了一种可怕的传统，这种传统在纳粹所谓的T4行动中达到了最残酷的顶峰。作者呼吁仔细分析德国医学史的这一黑暗篇章，并将这项研究的结果用于当前关于卫生系统进一步发展的讨论中，特别是针对需要特殊护理的患者。
