The Lancet Commission on medicine, Nazism, and the Holocaust: historical evidence, implications for today, teaching for tomorrow

What happened under the Nazi regime has far-ranging implications for the health professions today, and virtually every debate about health professional ethics can gain from an understanding of this shameful history—from questions regarding the beginning and the end of life, to health professionals&#...

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Published in:The Lancet (British edition) Vol. 402; no. 10415; pp. 1867 - 1940
Main Authors: Czech, Herwig, Hildebrandt, Sabine, Reis, Shmuel P, Chelouche, Tessa, Fox, Matthew, González-López, Esteban, Lepicard, Etienne, Ley, Astrid, Offer, Miriam, Ohry, Avi, Rotzoll, Maike, Sachse, Carola, Siegel, Sari J, Šimůnek, Michal, Teicher, Amir, Uzarczyk, Kamila, von Villiez, Anna, Wald, Hedy S, Wynia, Matthew K, Roelcke, Volker
Format: Journal Article
Language:English
Published: England Elsevier Ltd 18.11.2023
Elsevier Limited
Subjects:
Antisemitism
COVID-19
Economics
End of life
Ethics
Ethics, Medical
Genocide
Health care
Holocaust
Human rights
Humans
Medical personnel
Medicine
National Socialism
Political factors
Professional ethics
Public policy
Germany
ISSN:0140-6736, 1474-547X, 1474-547X
Online Access:Get full text
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Summary:What happened under the Nazi regime has far-ranging implications for the health professions today, and virtually every debate about health professional ethics can gain from an understanding of this shameful history—from questions regarding the beginning and the end of life, to health professionals' roles as economic actors or as agents of the state. [...]we offer here a new educational paradigm, which we term history-informed professional identity formation. Teaching should focus on learning core facts and reflecting on the implications of this history for present and future health-care practice, including the responsibility of medical professionals and their institutions to uphold human rights within clinical practice, research, and public policy, and to combat antisemitism, racism, and other forms of discrimination. The history of medicine, Nazism, and the Holocaust shows that values and ethics in health care are not immutable but change over time dependent on cultural, social, economic, and political factors (and particularly when placed under pressure). [...]values and ethics constantly need to be critically assessed and reinforced to protect them from potentially becoming exclusionary and inhumane.
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ISSN:0140-6736
1474-547X
1474-547X
DOI:10.1016/S0140-6736(23)01845-7