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- Q154494 abstract "Action T4 (German: Aktion T4, pronounced [akˈtsi̯oːn teː fiːɐ]) was the postwar designation for a programme of forced euthanasia in wartime Nazi Germany. The name T4 is an abbreviation of Tiergartenstraße 4, a street address of the Chancellery department set up in spring 1940 in the Berlin borough of Tiergarten, which recruited and paid personnel associated with T4. Under the programme German physicians were directed to sign off patients "incurably sick, by critical medical examination" and then administer to them a "mercy death" (German: Gnadentod). In October 1939 Adolf Hitler signed a "euthanasia decree" backdated to 1 September 1939 that authorized Reichsleiter Philipp Bouhler, the chief of his Chancellery, and Dr. Karl Brandt, Hitler's personal physician, to carry out the programme of involuntary euthanasia (translated as follows):Reich Leader Bouhler and Dr. Brandt are entrusted with the responsibility of extending the authority of physicians, designated by name, so that patients who, on the basis of human judgment [menschlichem Ermessen], are considered incurable, can be granted mercy death [Gnadentod] after a definitive diagnosis. — Adolf Hitler The programme ran officially from September 1939 to August 1941, during which the recorded 70,273 people were killed at various extermination centres located at psychiatric hospitals in Germany and Austria.Several rationales for the programme have been offered, including eugenics, compassion, reducing suffering, racial hygiene, cost effectiveness and pressure on the welfare budget. After the formal end date of the programme, physicians in German and Austrian facilities continued many of the practices that had been instituted under Action T4, until the defeat of Germany in 1945. The unofficial continuation of the policy led to additional deaths by medicine and similar means; resulting in 93,521 beds "emptied" by the end of 1941. Historians estimate that twice the official number of T4 victims might have perished before the end of the war, exceeding 200,000. In addition, technology that was developed under Action T4, particularly the use of lethal gas to commit mass murder, was subsequently taken over by the medical division of the Reich Interior Ministry, along with transfer of personnel who had participated in the development of the technology and later served with Operation Reinhard. This technology, the personnel and the techniques developed to deceive victims were used in the implementation of industrial killings in mobile death vans, and in established extermination camps with gas chambers for mass murder during the Holocaust.".
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