I am sorry that the answer to your most recent letter cannot be as complete as I would like to make it. My files are in Philadelphia
locked up and I am here in Washington.
The enclosed copy of Alexander's article from the New England Journal of Medicine provides some fragmentary documentation
of what he has told me much more extensively and which appear in his collected papers donated to Tufts University. I have
highlighted sentences here and there indicating the medical involvement in the beginning process as well as some of the time
I do know that the list of those chosen for extermination was put together over a long period of time and included not only
the mentally ill but also the feeble, the infirm, some tuberculosis patients, some amputees from World War I, and a number
of children called "monsters." The extermination process began some years before Hitler's first direct order for
euthanasia was issued in September 1939. How many of the 275,000 were already exterminated before the order and how many after
is not clear.
I do know from what Alexander has told me that the same green psychiatric forms that were used to exterminate "psychiatric"
patients before the order went out were used for a considerable time after the order even though the reasons for extermination
shifted from "mercy killings" to reasons of politics, ideology, race, etc.
Also enclosed is a book review of Medical Holocausts with certain pertinent passages highlighted.