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Ordinary people following rules - without questioning right from wrong - can enable harm. History warns, and today’s medicine and laws are testing that lesson. 
 
The horrors of Nazi medicine - sterilisation, euthanasia, and human experiments - began not with gas chambers but with paperwork, policies, and doctors convinced they served the "greater good." Germany’s medical establishment in the 1920s and '30s was among the world’s finest, yet it slid into atrocity when the state’s priorities overrode the patient’s dignity.
 
Today, as medicine increasingly bows to insurance codes, government guidelines, laws, and "quality of life" metrics, we risk stepping onto a similar slope. The danger isn’t in dramatic cruelty but in the quiet erosion of conscience - where doctors become bureaucrats, and patients become statistics and bits of data.
 
Once medicine serves the state instead of the patient, it was only a short step to deciding whose lives had value -  and whose don’t.

These days we debate abortion, assisted suicide, genetic screening, rationed care, and “quality of life” scores. Increasingly, decisions are filtered through insurance codes, government guidelines, and hospital policies. Doctors say, “I’d like to help, but my hands are tied.” Patients are reduced to cases, costs, and compliance charts.

It made me think of a book called Eichmann in Jerusalem: A Report on the Banality of Evil "  by Hannah Arendt, published in 1963.
 
It’s based on Arendt’s coverage of Adolf Eichmann’s trial in Jerusalem for his role in the Holocaust. Arendt examines Eichmann, a Nazi bureaucrat instrumental in organising the deportation of Jews to death camps.
 
She argues that Eichmann wasn’t a fanatical monster but an ordinary, unthinking bureaucrat who followed orders without questioning their moral implications. This “banality of evil” describes how horrific acts can be committed by individuals who are not inherently evil but simply conform to a system, prioritising obedience and efficiency over conscience.
 
Arendt explores how Eichmann’s lack of critical thought and moral responsibility enabled his role in atrocities, raising broader questions about complicity, authority, and the nature of evil in modern society.

As far as she was concerned, Eichmann wasn’t a monster -  he was a bureaucrat. He followed procedures, filed reports, obeyed orders. He stopped asking whether what he was doing was right. For me, I guess I feel differently. He was a monster because of that very reason. 

That’s how mass evil hides: not in dramatic acts of cruelty, but in ordinary people just “doing their jobs.”

It is a cop out. 

That is the danger of today’s bureaucratised medicine. Not that it will suddenly turn genocidal -  but that conscience will be replaced by compliance. That no one will feel personally responsible when life-and-death decisions are reduced to a policy line item. When law substitutes for conscience, when obedience trumps ethical reflection, ordinary people act against their moral instincts.

History doesn’t repeat itself in the same costume. But it sure does follow a pattern. And if we keep surrendering medical ethics to bureaucracy, the slope Germany once slid down may not be as distant as we think.

We see this already. The backlash against COVID-19 vaccine policy has become a broader crisis of credibility for health experts. When bureaucrats and political appointees distort or abandon science, the “experts” find themselves undermined and adrift. Trust evaporates -  and the consequences are massive.

I refused the Covid vaccine. It was not an easy decision. I was called selfish, reckless, even dangerous. I watched family members roll up their sleeves, trusting the experts and the slogans: “safe and effective.” So many did it because they needed to keep their jobs. No jab? No job. So much for voluntary. 

Now I sit with heartbreak. Friends and relatives gone. Others dying. Yet more unwell. Myocarditis. Turbo cancers. Illnesses that came out of nowhere. They did what they thought was right. They trusted.

That trust has not been honoured. Questions are brushed aside. Concerns dismissed. The same voices that once shouted certainty now whisper, or change the subject.

This is not just about science. It is about authority and accountability. When debate is silenced, when doubt is treated as heresy, and when the consequences are borne by ordinary people -  not the ones giving orders -  something in society breaks.

I don’t write this to say “I told you so.” I write because the cost is written into the graves and hospital wards of people I love. And I wonder: how do we stop this happening again? How do we make sure the next “crisis” doesn’t mean blind obedience, but open truth? This is not just about science. It is about authority, accountability, and conscience.

When debate is silenced, when doubt is treated as heresy, and when obedience is demanded even at the cost of personal morality, society erodes. Ordinary people are compelled to act against their ethics, and the system rewards compliance over conscience.

The line between medicine as a force for healing and a tool for harm is perilously thin.
 
History shows that when trust is demanded without accountability, and when obedience trumps questioning, the consequences can be catastrophic.
 
The heartbreak of vaccine skepticism, the loss of loved ones, and the erosion of faith in experts are not just about one crisis - they’re a warning. To prevent history’s pattern from repeating, we must demand transparency, protect individual choice, and ensure medicine serves people, not policies.
 
Only by questioning blindly accepted “science” and listening to our instincts can we safeguard the humanity at the heart of healing.

 

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