Dr Josef Mengele (1911 – 1979), Nazi officer and doctor, became the epitome of medical evil. A member of the SS, Dr Mengele conducted grotesque experiments on concentration camp inmates. Deploying his medical knowledge in the service of eugenics, Mengele was dubbed the ‘angel of death.’

I will not describe his experiments in this article. If you are interested in the details, you may find descriptions of Nazi human experimentation here.

How could a doctor, who had taken the Hippocratic oath to do no harm, become such a medically harmful person?

Mengele was exceptionally cruel, and his medical practices gruesome, but he was no outlier.

Earlier, we mentioned eugenics. Let’s keep that in mind, because that particular pseudoscience will form an important part of our story.

Eugenics, the false belief that the human stock can be improved by the selective breeding of those with desirable heritable characteristics, was applied as a racial doctrine and supported by anthropologists from the United States. The society to which the Nazi hierarchy looked for inspiration in applying eugenicist legislation and doctrines, was the United States. After all, the US had a long history of implementing racially oppressive laws.

After the defeat of Nazi Germany in 1944, Mengele fled Europe, escaping to Argentina thanks to a clandestine network of former SS officers. He avoided having to stand trial as a war criminal in the subsequent Nuremberg trials.

Dying of natural causes in 1979, I remember his case. No, not him personally, I am referring to the case of forensically identifying his remains. They were located by investigators in the mid-to-late 1980s.

Teams of investigators from West Germany, Israel and the United States launched a coordinated effort to find and identify Mengele. There had been numerous rumours and gossip surrounding his whereabouts over the decades. His remains were examined, and confirmed to be those of Mengele, in 1992.

Mengele, motivated by fanatical racial hatred, used concentration camp detainees as guinea pigs, because he regarded nonwhite people as inferior races. He was not alone in this belief; more than half of German doctors at the time joined the Nazi party. Mengele was not just a ‘bad apple’, there was institutional complicity and cruelty.

The forced euthanasia programme, forcible sterilisations, the implementation of Nazi racial laws into medical practice – these were all possible because legions of desk murderers, facilitated the machinery of institutionalised medical murder. Numerous care staff, concentration camp personnel and nurses assisted Mengele and other Nazi doctors carry out his nauseating medical procedures.

What explains this ethical collapse of an entire profession, and indeed the wider society? It is easy to simply shift the blame onto a few rotten individuals. If Mengele was evil, then how did he rise through the medical profession and Nazi party hierarchy?

I think there is an explanation which avoids simplistic ‘people are evil’ arguments. The ideology of eugenics was dominant and widespread not only in Germany, but throughout Europe and especially in the United States.

Aleš Hrdlička, the bone and brain collector

We all know about Mengele, but how many of us know about Aleš Hrdlička (1869 – 1943)?

A Czech-born American anthropologist, Hrdlička (pronounced hurd-lich-kah) was a prominent intellectual in the late nineteenth and early twentieth centuries in the United States. He was a proponent of eugenics, and regarded nonwhite races as biologically inferior. A member of the American Academy of Arts and Sciences, and the American Philosophical Society, his counsel was sought by none other than the president, Franklin Delano Roosevelt (FDR) himself.

The first curator of physical anthropology for the Smithsonian museum, he traveled to remote indigenous communities in search of bones and skulls. He disinterred the remains of indigenous peoples so he could examine their brains, and bone structure. Medical schools across the country would send him the bones of indigenous corpses, the trephined skulls of the native peoples in other parts of the Americas, all for him to collect and study.

Regarding the indigenous as one of the inferior races to be examined, his reputation as an expert only increased. He became known as the bone collector, and the Smithsonian natural history museum still retains his extensive collection of bones. The indigenous people regarded him as a ghoul, taking advantage of their dead and using them as materials for his pseudoscientific theories.

No, he never conducted medical experiments on people. But he did, for instance, cut the heads off the bodies of indigenous people killed by Mexican soldiers. In Peru, he collected 2000 skulls for his collection. In 1904, at the St Louis World Fair, where exhibiting indigenous people as exotic artefacts was commonplace, he made plans to acquire the brains of the detained indigenous people once they were dead.

Indeed, in 1942, as the FDR administration was turning away Jewish refugees from Europe, Aleš Hrdlička was tapped by FDR to head up M project. What was that? The Migration Project, FDR wanted to ensure that only immigrants of good stock, white and Northern European immigrants, would be settled in the United States.

FDR did not want large numbers of Jewish refugees settling in the United States, and Aleš Hrdlička provided the eugenicist ideology to support that view. FDR and Hrdlička conducted a voluminous correspondence, the latter explaining his views that Japanese had less developed brains than white Europeans, which made them more childlike but good at warfare.

The fleeing European Jewish population would be spread thin and far throughout the world. Proposals were explored to settle Jews in Argentina, northern Australia, Madagascar and regions of sub-Saharan Africa. The president publicly lamented that had the US adopted this kind of racial screening of immigration in 1925, the nation would not currently have the large populations of inferior immigrants bedevilling the country.

As Europe’s Jews were being slaughtered, the FDR administration did its utmost to ensure that Jewish people fleeing Nazi persecution would be turned away.

Mengele was an extreme example of the eugenicist policies being vigorously implemented in the United States. The malignancy of Mengele was not an individual aberration, but arose as a result of widespread pseudoscientific theories about race and racial hierarchies. Nazi Germany’s case, while horrifying, was not original.

As I wrote a few years ago, the United States provided an inspirational template for Nazi legislators and medical professionals to follow in the field of eugenics.