A doctor and the grey form
Our doctor is an established German psychiatrist, in his forties, recruited in the summer of 1940 to serve as a Gutachter, an evaluator, in an operation administered from a villa at Tiergartenstraße 4, in Berlin — an address that will give the programme its code name: 'T4'.
The mechanism was born of a mandate signed by Hitler, back-dated to September 1939, entrusting and the physician with the killing of patients judged 'incurable'. Since the autumn of 1939, questionnaires — the Meldebogen — have been sent to hospitals and psychiatric asylums of the Reich. Presented as a simple statistical census, they focus above all on the patient's capacity to work and on the diagnosis.
The completed forms come back by the thousand. 3 evaluators, each at home, without ever seeing the patient, decide in a black-bordered box: a red plus means death, a blue minus survival. Those marked are transferred by buses to centres such as Brandenburg, where a chamber disguised as a shower, fed with carbon monoxide, has been installed.
The task is presented to our doctor as a clinical act, paid, covered by the Führer's authority. He must answer.
German doctor asked to serve as a T4 programme evaluator, summer 1940: sign or refuse these forms marking patients for extermination?
The historical profile corresponds chiefly to agreeing to serve as an evaluator: nearly all the doctors approached accepted. Some 50 psychiatrists and recognised academics served as evaluators or as centre directors, dispatching the Meldebogen at speed. None was compelled: the few who declined and asked to be kept out of the programme got away without serious reprisal — proof that one could say no. By the count of the official 'Aktion T4', closed in August 1941 after the public sermons of Bishop von Galen: about 70,000 dead, then ~80,000, the programme continuing clandestinely ('14f13') by starvation and injection until 1945, for an estimated total of 250,000–300,000 victims. The gas chambers and T4 personnel later served as a technical template for the extermination centres of 'Aktion Reinhard'.
POINT OF VIGILANCE — [Historiographical note: extremely sober poll. No reconstruction of the victims' feelings (rule 14). The dilemma bears on the perpetrator-doctor's decision and the real freedom to refuse, documented at the trials. Figures in ranges, sources from both historiographies.]
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