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Aktion T4 was a campaign of mass murder by involuntary euthanasia which targeted people with disabilities and the mentally ill in Nazi Germany. Certain German physicians were authorised to select patients "deemed incurably sick, after most critical medical examination" and then administer to them a "mercy death". In October 1939, Adolf Hitler signed a "euthanasia note", backdated to 1 September 1939, which authorised his physician Karl Brandt and Reichsleiter Philipp Bouhler to begin the killing
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