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"Euthanasia" Films
Reviewed by Mike Hertenstein


Healing By Killing, Nazi Medicine, The Black Stork

Healing By Killing
Written, Directed and Produced by Nitzan Avirim, 1996, 90 minutes, in German and English with English subtitles by Avirim Nazirim

A memorial plaque in
Bedburg-Hau, a German psychiatric hospital where Nazi doctors sent 1,632
patients to the gas chamber in a single day, from the documentary Healing by
Killing. You've seen all this before -- you think. Too many times. The interviews with survivors. Narration over photos of victims. Footage of piles of clothing, gas chambers, crematoria. But this part is something you haven't seen so much: these victims of the Nazi death-machine are not Jews. They are victims of the the pilot project of the Holocaust, the German "Euthanasia" program. Most people who have written about that program put the word "euthanasia" in quotes, because it went very quickly from simply (and while we're at it, let's put "simply" in quotes, too) killing badly-deformed babies and terminally-ill patients -- which many people even today would endorse -- to murdering masses of people because their "defect" was their race. Before what we usually recognize as a Holocaust in the name of racial purity was fully underway, mass killings began in the name of medicine. Between 1939 and 1941, 70,000 to 100,000 patients -- mentally ill, disabled, men, women, and children -- were killed by lethal injection or gas, at the hands of doctors, who had pledged themselves to uphold the ancient and sacred oath to "do no harm".

Robert Lifton, in his book 1986 The Nazi Doctors, showed that the Final Solution developed within a medical context, led by some of the finest minds of the German medical establishment, many of whom went on to use their experience in organizing death camps. Healing By Killing is a documentary on the German "euthanasia" program which utilizes Lifton's approach and perspective to make the same point: that without this context of medical justification for murder, the later genocides might not have happened. It was not Adolf Hitler, but the physicians of Germany themselves, who turned killing into a twisted form of "healing".

The filmed version of this history relies on interviews with survivors to tell the story. These are people who, it must be recalled, were at some point in their lives -- when they were children, obviously, in most cases here -- were declared "unfit" by some Nazified "physician" (and maybe that's another place the quote marks should go). Fifty years later, these "unfit" people are very articulate about what happened to them, and between the lines we pick up a sense of the fullness of their lives which would have been snuffed out but for one lucky accident or another.

Elvira Hempel, an older lady in a pretty pink dress, stands in sunny green garden describing day when, as a child, she got off bus and walked into a killing center. She knew something was wrong, she says, when she saw heaps of clothes and shoes, and was ordered to undress in front of strangers. Paul Eggert, puttering around on his farm, tells us that he was diagnosed as retarded at age seven, and so was sterilized by the regime. As he surveys the land his eyes are looking across time, not space, and your heart goes out to him as he shares his regrets at not being able to have had the experience of having children. "But I'm used to it by now." Another survivor is a man who had had a nervous breakdown while serving in the German Navy navy. He was feeling depressed and discouraged, so he was discharged and sterilized.

Other interviews feature psychologists, historians of the Holocaust, experts in medical ethics. One interviewee accuses the German medical establishment and people of that nation of still not fully facing the truth, lest facing that truth force them to place the blame for the Holcaust -- again, not on a single symbol for evil incarnate -- but "on a specific group of people: the doctors." On the other hand, in his own interview, the present head of the German Medical Association clearly understands that it was his profession which paved this particular road to Hell: "It was medical ideology and medical megalomania which laid the groundwork for the Nazi holocaust."

There is a certain groundwork which was the ultimate foundation: the ideology of a "pure" race. There are two ways of looking at a people, says one interviewee: as individuals, or as a community -- or, in German terms, the volk. After the devastation of World War I, many Germans were caught up in the idea (and the medical metaphor) that an outside infection was responsible for their suffering: a "parasite" or "cancer" which must be surgically removed. The other side of this growing movement was the glorification of health and the ideal human body, in museum exhibits and in propaganda -- including the popular cinema.

In this atmosphere, doctors moved through a crucial gateway when they began the "mercy killing" of babies born with birth defects. The "slippery slope" began to operate in its most textbook example: killing of seriously-deformed children led to killing of less-deformed children. In late 1939, Hitler signed the "Euthanasia Order" which authorized doctors to kill patients with terminal conditions -- any "life unworthy of life", and "unworthy" became a catagory capable of satanic flexibility.

Brandenburg, a former prison, was converted into the first killing center equipped with gas chambers disguised as showers and crematoria for bodies. The film makes note of some protest from the locals, but does not spend much time on the point that public protest actually had the effect (perhaps not one that mattered much in the long run) of temporarily shutting down the program -- or at least sending it under deeper cover. There is no mention of the famous 1941 sermon by Catholic Bishop Clemons von Galen denouncing the "euthanasia" program as "plain murder," a sermon which sent a shockwave through Nazi leadership and inspired the short-lived "White Rose" resistance movement. On the other hand, in the interest of accurate presentation of this story, one must necessarily skim mention of resistance to the Nazis, since proportunately there was virtually no protest from either the people or the religious organizations. There was even less protest from the German psychiatric and medical community.

After the "euthanasia" program retooled and resurfaced, then, it was sleaker and more horribly efficient than ever. It also had considerably stretched that definition of "life unworthy of life": Communists, gypsies, homosexuals, and, of course, Jews. Experienced "euthanasia" teams set up death camps, where physicians were involved in the killing process from beginning to end: the selection process, choosing false causes of death on certificates for "euthanasia" patients, administrating lethal dosages of drugs and overseeing the gas chambers themselves.

Healing By Killing is not as deep in probing the psychology of these medical professionals as Lifton's book, The Nazi Doctors. Liften makes an appearance as an interviewee, reiterating several of the points from his own work: mass killing was made possible by various means of "bureaucratic distancing" -- one doctor did examination and selection, a different one pressed the syringe. Doctors under the Nazi regime worked in an environment "as if" what they were doing was connected to some therapeutic process.

The film presents an interview with an actual Nazi doctor, one Hans Munch, who worked under the most notorious Nazi "physician", Dr. Mengele, and made selections at Auschwitz -- though he later asked to be transferred. Transfer or not, it's still difficult to listen to any moralizing about Nazis from Dr. Munch. There is also an interview with Mengele's personal photographer, who delivers his version of the old rationale, "just following orders".

From the interviews and photos, one catches a whiff of serious science and academia, and you begin to sense the halls of the research institutes attached to Auschwitz were not filled with raving madmen, but ordinary scientists immersed in their work, excited about breakthroughs -- and seemingly unhampered by the obvious fact of the human sources of their data and the inhuman means used to pry this exciting new data from the subjects. "When you become totally immoral you believe two plus two equals six," says one commentator; though one has to wonder if one need be "completely" immoral, or even a Nazi, to rationalize one's deeds into some kind of myth that your evil choices are noble.

Despite the subject matter, Healing By Killing is not as gory as photos and footage of this material displayed elsewhere, for example in the videos at the Holocaust Museum in Washington, D.C. Indeed, this film is stripped down, letting the interviews speak for themselves with little commentary. In this way, the film is an important supplement to Steven Spielberg's "Survivors of the Shoah" visual history project (although interviews with Nazi "euthanasia" victims are also among the histories that project aims ultimately to include in its archival material.)

Any connections between past history and contemporary debates over "euthanasia" -- in or out of quotes -- is approached only in the most ginger fashion. There is an interview of a director of a European study center for euthanasia who seems as world-weary as one who heads such a center could be: of renewed talk of killing deformed babies, he shakes his head and notes that people who do so "think they're so enlightened...". Benno Muller-Hill of the Institute for Genetics, Cologne University is more directly urgent: "It can happen again..." The author of the 1984 Murderous Science: Elimination by Scientific Selection of Jews, Gypsies and Others, Germany, 1933-1945, Muller-Hill says the issue will become more pressing within the next few years after the genes associated with specific conditions and diseases have been identfied. "What's going to happen then?" he asks, and one has to wonder.

Still, the film's director, Nitzan Aviram, a NYU film school graduate, keeps the discussion of the "euthanasia" of the Holocaust from being too glibly identified with contemporary debates over "mercy killing" and "death with dignity". Mention of the Holocaust as an illustration to be used for one side or another in contemporary social and political debates would seem to demand the most careful consideration and sensitivity. And this film was funded by various Israeli film and television agencies and the US theatrical release was co-sponsored by the Museum of Jewish Heritage. Still, the director seems to have an interest in the issues here beyond his own Jewishness and the special tragedy Nazi "euthanasia" meant for his people. Among Aviram's previous works is the 1997 Ben (Son), about a 65-year-old poet, Arik Ben Adon, who upon his wife's death was left to care for a 17-year-old son, Adam, who has Down's Syndrome.

And after watching Healing By Killing, one hopes sensitivity to the special nature of the Holocaust won't keep people from drawing obvious comparisons and speaking out against the movement toward putting quote marks around "murder" -- that is, by acquiescing again to the "medicalization" of killing people.

Mike Hertenstein

Healing By Killing is distributed by New Yorker Films. We'll be screening a 16 mm print of the film at the Cornerstone Festival Imaginarium this summer, as a part of a thought-provoking double feature. Click here for info about Cornerstone Festival.


In the Shadow of the Reich: Nazi Medicine
Produced, written and directed by John J. Michalczyk; First Run Features Home Video, 1997, 54 mins

This documentary makes an excellent companion to Healing By Killing: a couple of the same interviewees appear in both films, but there is surprisingly little overlap of material. Instead, Nazi Medicine provides valuable supplemental and background material to tell the complete story. The title itself suggests a broader scope than Healing By Killing: focussing less on individuals and more on the context, and flow of events. Nazi Medicine begins by sketching the background of the eugenics movment in Germany. This necessarily means sketching the same movement in the United States. In the years just prior to and immediately following World War I, it was the American example in progressive attitudes toward sterilization of the "unfit", and "mercy killing" for defective babies and the terminally ill which was a paricular inspiration to German, soon to be Nazi, doctors. There is a brief excerpt from the American pro-eugenics film, America's Children (see the review on The Black Stork below for the crucial role of the cinema in the American eugenics movement).

While not exactly "sensational", however, this film ratchets up the intensity level in the general tone and with a freer use of shocking footage of "freaks", dead bodies, and Nazi experiments. The only survivor interview is with a woman who was forced as a child to take part in Doctor Mengele's infamous twin experiments.

The broad-scope approach continues in following the story beyond the war through the "Doctors' Trial" at the Nuremberg Tribunal.

And the intriguing reticence toward any comparisons between the Nazi movement toward medicalizing murder is also seen here, quite literally, as an interview with one expert fades to black -- just a little too quickly for me -- just as he himself is drawing the comparison between Nazi "euthanasia" and contemporary discussion of that topic under any name.

Nevertheless, Nazi Medicine, like Healing By Killing, deserves as wide an audience as possible -- if there is to be any hope of keeping this sort of "medicine" confined to the Nazis and to an unthinkable, unrepeatable past.

M.H.


The Black Stork: Eugenics and the Death of "Defective" Babies In American Medicine and Motion Pictures Since 1915
by Martin S. Pernick; Oxford University Press, 1996, 295 pps, hardcover

The silent screen, says Martin Pernick, "was far from 'silent' about eugenics." Dozens of films took one side or the other in a battle over ethics and definitions of eugenic "fitness" which played itself out in popular culture. Most of those films -- like most silent films in general -- have since crumbled into dust. Luckily, Pernick, a professor of history at the University of Michigan, decided to investigate this very nearly-lost history at what seems the last possible moment. He painstakingly searched through paper records -- medical, media, and general periodicals -- often turning up little more than a film title and synopsis. But in the course of his work, Pernick "rediscovered and preserved the only vieweable print" of "the most explicit depiction of negative eugenics to reach the silent screen," The Black Stork, a film which provides the title for a larger history.

Pernick begins by sketching the social and cultural background in which such films came to be made. In the early part of this century, as in the latter part, there was growing public receptivity to letting deformed babies die. Prominent people, including -- incredibly -- Helen Keller endorsed the idea that only "life worthy of life" be allowed to live. Other people, including Progressive activist Jane Addams, took the opposite position, insisting that such decisions are not ours to make.

Not all Progressives were so inclined, believing as they did not just in the power of Science to cure humanity's ills, but in the unanswerable "objectivity" of Science to settle ethical debates.

The faith in science and rising oppenness to eugenics coincided with the decline of faith in Christianity and the revolutionary new idea of Darwinism. Throughout human history, nearly all societies have permitted a certain amount of infanticide. The growing political power of Christianity, which like Judaism, condemned such practices, made the issue (in the West, at least) essentially a non-negotiable one for almost two thousand years. The end of that cultural dominance came just as (or even because) the theory of Evolution gained currency in both scientific and popular circles. Notions of "survival of the fittest" took the support from the once central belief that all individuals were sacred, made in the image of God, and gave that allegience to the notion that quality or "fitness" of individuals for survival was the bottom line. The years immediately following Darwin were ones in which the possibility of actually taking control of human evolution, of weeding out the "unfit", became an exciting dream.

This moment in time was the same one in which, in the US, there was growing concern over the possible "pollution" of America's white European stock by the immigration of "inferior" races.

Meanwhile, compulsory sterilization laws had been placed on the books in dozens of states in an effort to stop at least one catagory of "unfit" -- the mentally-ill -- from reproducing.

All these trends seemed to coalesce at once, and -- amazingly -- in one place: Chicago, where a case, and a doctor, led to a film.

In 1915 the parents of a hydrocelphalic baby girl agreed to let their doctor withhold treatment until the child died, catapulting the case into a cause and the doctor into a national celebrity. Dr. Harry Haiseldon, a "now-forgotten provocateur", was a master of one more converging stream -- the art of mass communications. In this way, Haiseldon was a proto-Kervorkian, whose fervent publicizing of himself and his cause made more enemies among his professional peers than his actual participation in infanticide.

Like Kervorkian, Dr. Haiseldon had a knack for getting his name in the papers he campaigned loud and long for withholding treatment from defective infants, and -- as is the way of these things -- soon he was advocating mercy killing for defective adults.

Haiseldon wrote articles, gave lectures and, in collaboration with a reporter from the sensationalist Hearst newspapers, Jack Lait, wrote and starred in a pro-eugenics film, The Black Stork. The plot of the movie is propaganda of the most cardboard variety: Claude, who carries an unnamed disease, marries Anne -- despite the warnings of their doctor (played by Haiseldon). Anne soon gives birth to a severely-disabled baby who needs immediate life-saving surgery, which the doctor refuses to perform. When the the doctor insists the baby be allowed to die, the young mother agonizes -- until she has a vision of the child's "certain" future: suffering, crime, madness. So the parents accept the doctor's advice. At the moment of death, the baby is shown leaping into the arms of a waiting Christ. This unlikely story was screened in theatres from its release in 1916 through various title and edit changes until as late as 1942.

Despite his mastery of self-publicity, Haiselden, his movie, and popular support of his cause faded after World War I and even more so as Nazi advocacy of the eugenics cause was on the rise.

Though the link between Haiselden and Hitler is not as direct as, say, the link between Hitler and the racist Henry Ford, there is no doubt that in general, the American example had an effect. Progressive American ideas about eugenics and sterlization laws were admired and imitated by those German physicians who would were soon to become known to the world as "the Nazi doctors". Popular cinema also played an important role in persuading the German people under the Nazis to accept the idea of "euthanasia." Robert Lifton mentions these films in The Nazi Doctors: typically urgent and educational in tone, the approach often echoed The Black Stork in contrasting healthy citizens with footage of mental patients and -- in the case of the German films, Jews -- invoking "Science" and Darwinism to demonstrate that the only moral choice for a healthy society is to eliminate such "frightening transgressions" of the law of natural selection.

Haiselden, of course, would have insisted that his own eugenic philosophy was free from ideological prejudice, being "objective." Yet the task of identifying the "unfit," as Pernick shows, has never been as purely "objective" as its advocates have insisted. Definitions of "fit" always include "cultural, ethical, political, and aesthetic values". Notions of hereditary fitness were sensitive to the "fluctuatations in the tide of social prejudices." And the struggle over definitions showed clear interaction between "scientific" and popular views: the supposedly "objective" scientists were liable to start talking in terms within conceptual frameworks they learned from the movies. Pernick also shows how much of their "objective" diagnoses of fitness and the causes of defects were based on what has been subsequently shown to be science as bad as diagnosing witches.

To this murky mix add the subtle linkage of class, ethnicity and race to "scientific" definitions of hereditary fitness. In the original version of The Black Stork, Claude's condition is depicted as the result of his grandfather's liason with a slave.

As Pernick makes clear, and as the postmodernists have been warning us of late, such "objectivity" becomes simply a mask for the personal preferences of whoever has the political power.

The Black Stork is an effort to save a nearly-forgotten and critically-important story from vanishing into that cultural amnesia that ends in repeating the tragedies of the past. The book is published on a university press, by a professor of history, and reads a tad more academic in tone than a non- academic like myself would have liked. I can appreciate the need for a scholarly approach to cataloging historical documents. Yet I wonder if a more pressing need is to tell this story in the most accessible way. An author with more popular leanings would have been able to shape this material in more compelling fashion. Nevertheless, this book deserves as wide an audience as possible.

For the battle is still being waged on the popular front. At present -- luckily or not, according to your view -- the most popular advocate of mercy killing is still Dr. Kervorkian, who nobody will ever mistake for George Clooney. On the other hand, Clooney's very popular character on ER recently went out as a martyr when the hunky pediatrician's tenure at "County Hospital" climaxed with a "heroic" mercy killing of a suffering child.

The story of The Black Stork would, indeed, make a great movie. But whether or not Haiseldon is depicted as a hero or a villian would, of course, depend on the views of whoever made the film.

Just as the history of this debate will be written by the victors - or "the fittest", as they will surely declare themselves to be.

M.H.


Published on Imaginarium #5, first posted 4/30/99
© 2000 Cornerstone Communications, Inc. All rights reserved.