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eugenics
       Uncomfortable lessons                                                    tweeted: “It’s one thing to deplore

                                                                                eugenics on ideological, political, moral
       from history and today                                                   grounds. It’s quite another to conclude
                                                                                that it wouldn’t work in practice. Of
                                                                                course, it would. It works for cows, horses,
                                                                                pigs, dogs & roses. Why on earth wouldn’t
                                                                                it work for humans?”
       We are horrified by Nazi atrocities but did the beliefs that led           The fact that the breeding of physical
       to them really disappear after the war and do they persist               characteristics in animals and plants is
                                                                                quite different from ensuring intellectual
       today? How can we tackle them? asks Stephen Unwin                        capacity in human beings is one objection;
                                                                                another is that eugenics has been tried
                                                                                and made absolutely no difference.
           ugenics was created in London and   moved beyond the mentality that enabled   It is astonishing that such eminent figures
           enthusiastically nurtured in America   the Nazi Aktion T4, the systematic murder   have spread such pernicious nonsense.
      Eand Scandinavia, but it was in      of people with disabilities.           We also have to recognise just how
       Nazi Germany that it found its most   Furthermore, the appalling catalogue of   deeply rooted the prejudice against
       appalling realisation.              bullying, violence and murder of learning-  disabled people is, and not just among
        The persecution, forced sterilisation and  disabled people in Katherine Quarmby’s   some look-at-me intellectuals. The fact
       murder of as many as 275,000 “useless   book Scapegoat suggests we live in a   that some parents internalised the views
       eaters” is one of the most overlooked   society that all too readily devalues the   of their child’s worthlessness during the
       chapters in the whole ghastly history of   disabled and regards them as fair game.  eugenic period shows just how pervasive
       the Third Reich.                      An example of support for this barbarism  this can be.
        We must be careful not to draw     might be philosopher Peter Singer’s    T4 enjoyed popular support and that
       simplistic parallels between the grotesque   statement in 1979 that “killing a disabled   should give us pause. Germany had an
       cruelties of the Third Reich and the very   infant is not morally equivalent to killing a   advanced society with an enviable
       real but much more nuanced injustices   person. Very often it is not wrong at all.”   reputation for medicine and social care
       faced by disabled people today. However,                                 yet its population had absorbed a culture
       certain lessons can, I think, be drawn.                                  of contempt to such an extent that it
                                                                                allowed these things to happen.
       Support by progressives
       The first is the way this barbarism was                                  Medical values
       supported by lawyers, professors and                                     The programme was carried out by
       other respected professionals.                                           medical professionals, from nurses and
        We can easily dismiss eugenics as                                       doctors right up to the most senior
       pseudoscience but that was not how it                                    academics and experienced physicians of
       seemed at the time, with many people                                     the time, and in hospitals and other clinical
       – including a large number of progressives                               settings, which offers us the second lesson.
       – wanting to improve the health,                                           We rightly praise the NHS and entrust
       happiness and prosperity of “the race”.                                  our bodies to the expert care of its staff,
        In other words, the motivation behind                                   but medical professionals are no more
       this campaign was not confined to Nazi                                   immune to prejudice, often unconscious,
       Germany but was evident in advanced                                      than the rest of us.
       societies around the world.                                                The fact that learning disabled people
        It is an uncomfortable truth that                                       suffered disproportionately in the
       eugenics was not discredited in 1945, and                                pandemic for reasons unconnected to
       many of its core beliefs endured. William                                their condition should make us question
       Beveridge, the founder of the welfare                                    medicine’s hierarchy of values.
       state, was a committed eugenicist.                                         Especially worrying was the National
        The long-stay hospitals that were the   Nazi eugenics poster from the 1930s declaring:   Institute for Health and Care Excellence’s
       destiny of so many learning-disabled   “Healthy parents, healthy children!”  early triage advice which identified
       people in postwar Britain and America                                    learning disability as an underlying health
       treated learning disability as a medical   This was based on his views on the   condition. This was quickly changed when
       issue and were often appallingly    relative capacities of animals: “If we   it was pointed out that a learning disability
       managed, resulting in dehumanising,   compare a severely defective human   was not an illness, but it is troubling that it
       regimented and squalid living conditions.   infant with a nonhuman animal, a dog or   was issued in the first place.
        While the worst of these were      a pig, for example, we will often find the   In thinking about T4, we need to explore
       eventually closed down in the 1970s and   nonhuman to have superior capacities,   the extent to which our own society regards
       1980s, hardly a week goes by without new  both actual and potential, for rationality,   the disabled as in some sense dispensable.
       accounts of neglect, abuse and cruelty,   self-consciousness, communication and
       and the dreadful roll call of places such as   everything else that can plausibly be   A price on everything
       Winterbourne View, Muckamore Abbey,   considered morally significant.”   Third, we should examine how a cost-  Wellcome Collection
       Whorlton Hall and so many others should   Another example is evolutionary   benefit analysis was used to vindicate the
       make us consider whether we have    biologist Richard Dawkins who, in 2020,   murders. For, although irrational hatred

      16  Vol 35 No 3  |  Spring 2022  Community Living                                         www.cl-initiatives.co.uk
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