Erazmus
03-25-2010, 12:31 PM
So I was browsing the web about historical healthcare involvement by government, and I stumbled across this fantastic November 1993 article, posted on thefreemanonline.org.
http://www.thefreemanonline.org/columns/national-health-care-medicine-in-germany-1918-1945/
It is an incredible article, with disturbing insights. It is also an incredibly timely read given our own government's complete takeover of medicine in this country. I highly recommend it.
In the United States the medical profession operates in a mixed (not a national socialist) economy which does not yet have the institutionalized mechanisms of control and regulation of Weimar Germany and in a democratic political system which thankfully does not have the political ideology of the Third Reich. But the “banality of evil” described by Hannah Arendt in the Third Reich may stem largely from a government bureaucracy in which 90 percent of the people think 90 percent of the time about process—not purpose. Does the modern bureaucratization of medicine hold any real risk for a possible return with new health reforms and new medical technologies—to some of the horrors of National Socialist medicine? Removal of personal responsibility (“I was only following orders”), personal authority, and personal choice in a bureaucratized system may leave less and less room for individual ethics in the conduct of medical science and practice.
Politicized medicine is not a sufficient cause of the mass extermination of human beings, but it seems to be a necessary cause. The Nazi Holocaust did not happen for some inexplicable German reason; it is not an event that we can afford to ignore because we are not Germans or not Nazis. The history of Germany from 1914 to 1945 is a telescoping of modernity from monarchy, war, and collapse to democracy and the welfare state, and finally to dictatorship, war, and death.
Medical ethics is the responsibility of all members of a society, not just doctors and scientists. Medicine and science alone do not have the answers to such questions as: When does life begin? When should it end? Are humans just the sum of their genetic parts or genetic programs? While bioethicists debate, individual medical choices are made a million times a day among doctors, patients, their families, and increasingly the government. The product of all these choices ultimately constitutes the ethical, legal, and social framework in which the practice of medicine and of medical research are conducted. In the end it is the preservation of freedom that will guide us to the best application of new health reforms and technologies in the future.
http://www.thefreemanonline.org/columns/national-health-care-medicine-in-germany-1918-1945/
It is an incredible article, with disturbing insights. It is also an incredibly timely read given our own government's complete takeover of medicine in this country. I highly recommend it.
In the United States the medical profession operates in a mixed (not a national socialist) economy which does not yet have the institutionalized mechanisms of control and regulation of Weimar Germany and in a democratic political system which thankfully does not have the political ideology of the Third Reich. But the “banality of evil” described by Hannah Arendt in the Third Reich may stem largely from a government bureaucracy in which 90 percent of the people think 90 percent of the time about process—not purpose. Does the modern bureaucratization of medicine hold any real risk for a possible return with new health reforms and new medical technologies—to some of the horrors of National Socialist medicine? Removal of personal responsibility (“I was only following orders”), personal authority, and personal choice in a bureaucratized system may leave less and less room for individual ethics in the conduct of medical science and practice.
Politicized medicine is not a sufficient cause of the mass extermination of human beings, but it seems to be a necessary cause. The Nazi Holocaust did not happen for some inexplicable German reason; it is not an event that we can afford to ignore because we are not Germans or not Nazis. The history of Germany from 1914 to 1945 is a telescoping of modernity from monarchy, war, and collapse to democracy and the welfare state, and finally to dictatorship, war, and death.
Medical ethics is the responsibility of all members of a society, not just doctors and scientists. Medicine and science alone do not have the answers to such questions as: When does life begin? When should it end? Are humans just the sum of their genetic parts or genetic programs? While bioethicists debate, individual medical choices are made a million times a day among doctors, patients, their families, and increasingly the government. The product of all these choices ultimately constitutes the ethical, legal, and social framework in which the practice of medicine and of medical research are conducted. In the end it is the preservation of freedom that will guide us to the best application of new health reforms and technologies in the future.