Racial Hygiene: Medicine Under the Nazis is a non-fiction book by American historian Robert N. Proctor, published in 1988 by Harvard University Press. The author explores the German scientific community's role in forming and implementing the racial policies of Nazi Germany. In his study, Proctor analyzes how Nationalsozialistische Rassenhygiene, National Socialist racial hygiene or “Eugenics” was used to justify racial programs and traces the progression of eugenic methods, such as involuntary euthanasia, within Germany. Racial Hygiene generally received positive reviews for its analysis of medical practitioners’ complicity in Nazi racial doctrine.
Racial Hygiene discusses the complicity within the German scientific community in formulating racial policies and the National Socialists’ censorship of medical journals, thereby ensuring that “racial hygiene” became considered “normal science”. According to an article in the Comptes rendus de l'Académie des Sciences , the book “destroys the argument that the German scientific community was coerced into participating in Nazi programs”. [1] [2]
Proctor traces the history of eugenics prior to the Nazi Party's rise to power and analyzes how the Nazis incorporated eugenic ideas into their ideology. He demonstrates how theories of racial science imbibed by the Nazis, and the adoption by scientists in turn of Nazi ideology led to large-scale forced sterilization, involuntary euthanasia, and even mass murder. Proctor examines eugenics in the United States, highlighting its sterilization of the mentally ill for espousing a significant influence on racial hygiene in Germany. [1] [2]
The book addresses other aspects of science in Nazi Germany, including efforts to increase the birth rate of ethnic Germans, the preoccupation with health behavior, and resistance within the medical community. Proctor concludes from his research how, in general, Nazism “appealed to academics and intellects”, offering them financial benefits and academic legitimacy. [1] [2]
A review in Kirkus Reviews noted that the book “revises the idea of Nazis as insane fanatics who perverted science to their devious ends and makes the far more frightening proposition that they were rational, even eminent men, and that Nazi science was deeply rooted in ‘normal’ science”. [3] Professor William E. Seidelman in Comptes rendus de l'Académie des Sciences comments Racial Hygiene is distinct from other works covering the subject because of the book's “broad overview of racial hygiene within the context of prevailing scientific/political values and beliefs”. [2] Commenting on Proctor's “provocative research,” Mary Nolan in The New York Times praises how the book “forces us to reassess the dynamics of Nazism but also challenges pervasive notions about the political neutrality and objective value of science and the moral innocence of scientists”. [4]
Eugenics is a set of beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have attempted to alter human gene pools by excluding people and groups judged to be inferior or promoting those judged to be superior. In recent years, the term has seen a revival in bioethical discussions on the usage of new technologies such as CRISPR and genetic screening, with heated debate around whether these technologies should be considered eugenics or not.
Aktion T4 was a campaign of mass murder by involuntary euthanasia in Nazi Germany. The term was first used in post-war trials against doctors who had been involved in the killings. The name T4 is an abbreviation of Tiergartenstraße 4, a street address of the Chancellery department set up in early 1940, in the Berlin borough of Tiergarten, which recruited and paid personnel associated with Aktion T4. Certain German physicians were authorised to select patients "deemed incurably sick, after most critical medical examination" and then administer to them a "mercy death". In October 1939, Adolf Hitler signed a "euthanasia note", backdated to 1 September 1939, which authorised his physician Karl Brandt and Reichsleiter Philipp Bouhler to begin the killing.
Eugen Fischer was a German professor of medicine, anthropology, and eugenics, and a member of the Nazi Party. He served as director of the Kaiser Wilhelm Institute of Anthropology, Human Heredity, and Eugenics, and also served as rector of the Frederick William University of Berlin.
The term racial hygiene was used to describe an approach to eugenics in the early 20th century, which found its most extensive implementation in Nazi Germany. It was marked by efforts to avoid miscegenation, analogous to an animal breeder seeking purebred animals. This was often motivated by the belief in the existence of a racial hierarchy and the related fear that "lower races" would "contaminate" a "higher" one. As with most eugenicists at the time, racial hygienists believed that the lack of eugenics would lead to rapid social degeneration, the decline of civilization by the spread of inferior characteristics.
In 1924, the Virginia General Assembly enacted the Racial Integrity Act. The act reinforced racial segregation by prohibiting interracial marriage and classifying as "white" a person "who has no trace whatsoever of any blood other than Caucasian". The act, an outgrowth of eugenicist and scientific racist propaganda, was pushed by Walter Plecker, a white supremacist and eugenicist who held the post of registrar of Virginia Bureau of Vital Statistics.
Viktor Hermann Brack was a member of the Schutzstaffel (SS) and a convicted Nazi war criminal and one of the prominent organisers of the euthanasia programme Aktion T4; this Nazi initiative resulted in the systematic murder of 275,000 to 300,000 disabled people. He held various positions of responsibility in Hitler's Chancellery in Berlin. Following his role in the T4 programme, Brack was one of the men identified as responsible for the gassing of Jews in extermination camps, having conferred with Odilo Globočnik about its use in the practical implementation of the Final Solution. Brack was sentenced to death in 1947 in the Doctors' Trial and executed by hanging in 1948.
Harry Hamilton Laughlin was an American educator and eugenicist. He served as the superintendent of the Eugenics Record Office from its inception in 1910 to its closure in 1939, and was among the most active individuals influencing American eugenics policy, especially compulsory sterilization legislation.
Ernst Rüdin was a Swiss-born German psychiatrist, geneticist, eugenicist and Nazi, rising to prominence under Emil Kraepelin and assuming the directorship at the German Institute for Psychiatric Research in Munich. While he has been credited as a pioneer of psychiatric inheritance studies, he also argued for, designed, justified and funded the mass sterilization and clinical killing of adults and children.
Ezra Seymour Gosney was an American philanthropist and eugenicist. In 1928 he founded the Human Betterment Foundation (HBF) in Pasadena, California, with the stated aim "to foster and aid constructive and educational forces for the protection and betterment of the human family in body, mind, character, and citizenship," primarily through the advocacy of compulsory sterilization of people who are mentally ill or intellectually disabled.
The German Society for Racial Hygiene was a German eugenic organization founded on 22 June 1905 by the physician Alfred Ploetz in Berlin. Its goal was "for society to return to a healthy and blooming, strong and beautiful life" as Ploetz put it. The Nordic race was supposed to regain its "purity" through selective reproduction and sterilization. The society became defunct after World War II.
Nazi eugenics refers to the social policies of eugenics in Nazi Germany, composed of various ideas about genetics. The racial ideology of Nazism placed the biological improvement of the German people by selective breeding of "Nordic" or "Aryan" traits at its center. These policies were used to justify the involuntary sterilization and mass-murder of those deemed "undesirable".
Law for the Prevention of Genetically Diseased Offspring or "Sterilisation Law" was a statute in Nazi Germany enacted on July 14, 1933, which allowed the compulsory sterilisation of any citizen who in the opinion of a "Genetic Health Court" suffered from a list of alleged genetic disorders – many of which were not, in fact, genetic. The elaborate interpretive commentary on the law was written by three dominant figures in the racial hygiene movement: Ernst Rüdin, Arthur Gütt and the lawyer Falk Ruttke.
The Hereditary Health Court, also known as the Genetic Health Court, was a court that decided whether people should be forcibly sterilized in Nazi Germany. That method of using courts to make decisions on hereditary health in Nazi Germany was created to implement the Nazi race policy aiming for racial hygiene.
Eugenics, the set of beliefs and practices which aims at improving the genetic quality of the human population, played a significant role in the history and culture of the United States from the late 19th century into the mid-20th century. The cause became increasingly promoted by intellectuals of the Progressive Era.
Involuntary euthanasia, typically regarded as a type of murder, occurs when euthanasia is performed on a person who would be able to provide informed consent, but does not, either because they do not want to die, or because they were not asked.
Geza von Hoffmann (1885–1921) was a prominent Austrian-Hungarian eugenicist and writer. He lived for a time in California as the Austrian Vice-Consulate where he observed and wrote on eugenics practices in the United States.
The history of eugenics is the study of development and advocacy of ideas related to eugenics around the world. Early eugenic ideas were discussed in Ancient Greece and Rome. The height of the modern eugenics movement came in the late 19th and early 20th centuries.
Eugenics in California is a notable part of eugenics in the United States. As an early leading force in the field of eugenics, California became the third state in the United States to enact a sterilization law. By 1921, California had accounted for 80% of sterilizations nationwide. This continued until the Civil Rights Movement, when widespread critiques against society's "total institutions" dismantled popular acceptance for the state's forced sterilizations. There were an estimated 20,000 forced sterilizations in California between 1909 and 1979; however, that number may be an underestimation. In 2021, California enacted a reparations program to compensate the hundreds of still living victims from its eugenics program.
Friedrich Wilhelm Schallmayer was Germany's first advocate of eugenics who, along with Alfred Ploetz, founded the German eugenics movement. Schallmayer made a lasting impact on the eugenics movement.
Eugenic feminism was a component of the women's suffrage movement which overlapped with eugenics. Originally coined by the eugenicist Caleb Saleeby, the term has since been applied to summarize views held by some prominent feminists of the United States. Some early suffragettes in Canada, particularly a group known as The Famous Five, also pushed for eugenic policies, chiefly in Alberta and British Columbia.