In contemporary ethical discourse generally, and in discussions concer
ning the legalization of physician-assisted suicide (PAS) and voluntar
y active euthanasia (VAE) specifically, recourse is sometimes had to t
he Nazi! accusation. Some disputants charge that such practices are or
will become equivalent to the Nazi 'euthanasia' program in which over
73,000 handicapped children and adults were killed without consent. T
his paper reflects on the circumstances that lead to the use of this c
harge and offers reasons for putting the Nazi! charge aside in contemp
orary discussions of PAS and VAE. A number of the philosophical presup
positions common to both the Nazi 'euthanasia' program and the current
ly proposed practices of PAS and VAE are examined. Noting that racist
ideology and violent coercion characterized the Nazi program, the pape
r concludes with a cautionary consideration of the current circumstanc
es that would specify PAS and VAE in the US.