Between 1939 and 1945 the Nazi regime systematically murdered hundreds of thousands of children and adults with disabilities as part of its "euthanasia" programs. These programs were designed to eliminate all persons with disabilities who, according to Nazi ideology, threatened the health and purity of the German race. explores the development and workings of this nightmarish process, a relatively neglected aspect of the Holocaust. Suzanne Evans's account draws on the rich historical record as well as scores of exclusive interviews with disabled Holocaust survivors. It begins with a description of the Nazis' Children's Killing Program, in which tens of thousands of children with mental and physical disabilities were murdered by their physicians, usually by starvation or lethal injection. The book goes on to recount the T4 euthanasia program, in which adults with disabilities were disposed of in six official centers, and the development of the Sterilization Law that allowed the forced sterilization of at least a half-million young adults with disabilities. Ms. Evans provides portraits of the perpetrators and accomplices of the killing programs, and investigates the curious role of Switzerland's rarely discussed exclusionary immigration and racially eugenic policies. Finally, notes the inescapable implications of these Nazi medical practices for our present-day controversies over eugenics, euthanasia, genetic engineering, medical experimentation, and rationed health care.