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This form of eugenics was eventually the basis of the National Socialist genetic health policy which was elevated to the rank of state doctrine.

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Petitions from parents of disabled children to the Hitler's Chancellery (KDF) asked for their children to be given "mercy killing" were used as a justifiable excuse and to demonstrate external demand.

The Nazi euthanasia killings may be broadly divided into the following phases: The immediate occasion for the beginning of the organized euthanasia of children is considered in the literature to be the so-called case of "Child K".

About this request, in a statement before the investigating judge on 14 November 1960, Hefelmann said the following: "I worked on this request, as it was in my department.

Since Hitler's decision was requested, I forwarded it without comment to the Head of Main Office I in the Kd F, Albert Bormann.

A precise dating of the events surrounding the case of "Child K" is (as at 2008) not possible on the basis of the statements.

It is conceivable that the period beginning in 1938 (for carrying out the said killing) until early/mid-1939 (for the start of concrete planning phase) is realistic.[...] If, nevertheless, it turns out that the newborn baby is a weak and misbegotten child, the medical council, which decides on citizenship for the community, should prepare a gentle death for it, say, using a little dose of morphine [...] ".In 1935 Hitler also announced at the Nuremberg Nazi Party to the Reich Medical Leader Gerhard Wagner that he should aim to "eliminate the incurably insane", at the latest, in the event of a future war." The elimination of "undesirable elements" was implemented under the term "euthanasia" at the beginning of the Second World War.In doing so, he was able to draw upon scientific argument that transferred the Darwinian theory of natural selection to human beings and, through the concept of racial hygiene, formulated the "Utopia" of "human selection" as propounded by Alfred Ploetz, the founder of German racial hygiene.As early as 1895, he demanded that human offspring should not: " be left to the chance encounter of a drunken moment.If the case of "Child K" actually took place in March 1938, for which there is some evidence, then the case can at best be described as an impetus for the euthanasia of children in Germany and not as its specific cause or trigger.