Monday, December 14, 2020

"Good science"

From an important essay, "Why Did So Many Doctors Become Nazis?":
.... The Nazi euthanasia campaign was publicly justified with four main arguments. First, ridding Germany of the unfit was simply “good science.” Who better to determine what constituted good science than German physicians, who were already the best in the world? The experts knew what was best for the German body.

Second, euthanasia was deemed humane. Since it was supported and implemented by a profession with a long tradition of healing and caring, the argument was even more persuasive. Pediatric euthanasia was often supported by many parents of disabled children for this reason; yet, with mixed motivation, for many wanted to avoid the strong stigma of having a disabled child. This conflict of interest shows how medical culture can influence the ethics of both individuals and society at large. ....

By the end of the “T4” program to euthanize disabled adults and children, between 70,000 and 100,000 persons had lost their lives; stigma against the vulnerable in attitude and language had become codified in law. According to Proctor, these three programs—forced sterilization of the “unfit,” the Nuremberg Laws, and the euthanasia laws—were the primary means the Nazi physicians and scientists used to accomplish “racial hygiene,” and led directly to the technological and medical surge responsible for genocide at the death camps. ....

The physicians who actively aided the Holocaust believed that they were practicing “good science.” But scientific truth alone does not “grasp” the reality of life, and if we believe it so, we are further on the road to what the late Jean Bethke-Elshtain called “scientific fundamentalism.” Physicians and health care professionals must, therefore, remember the Holocaust, but remember, as Pope John Paul II said on his visit to Yad Vashem, to “remember with a purpose.” ....

...[S]ociety is created for the person, not the person for society, and hence the dignity and integrity of the person and her freedom cannot be sacrificed for the sake of society. No contingent factor—race, religion, economic status, disability, or actions of the past, present or future—can rob a person the dignity she is owed. ....

.... Targeted abortion for unborn children with genetic conditions such as trisomy 21 and cystic fibrosis have reduced populations by more than 90%, and are justified on utilitarian grounds. But if a person is the fundamental unit of value of our society, then no “other good” can eclipse her. Politically, legally, and medically, this would mean an expansive and firm definition of person, for it is a far smaller risk to give protection to an entity where personhood is possible, than to destroy the life a person who in the end deserved our protection. ....  (much more)
Why Did So Many Doctors Become Nazis?

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