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The Nazi practice of euthanasia was carried out on hospital patients in the Aktion T4 centers such as Hartheim Castle.

In spite of the decline in discriminatory eugenics laws, some government mandated sterilizations continued into the 21st century.stated in his 1940 book The Rights of Man: Or What are we fighting for?that among the human rights, which he believed should be available to all people, was "a prohibition on mutilation, sterilization, torture, and any bodily punishment".Several biologists were also antagonistic to the eugenics movement, including Lancelot Hogben.In this, Pope Pius XI explicitly condemned sterilization laws: "Public magistrates have no direct power over the bodies of their subjects; therefore, where no crime has taken place and there is no cause present for grave punishment, they can never directly harm, or tamper with the integrity of the body, either for the reasons of eugenics or for any other reason." As a social movement, eugenics reached its greatest popularity in the early decades of the 20th century, when it was practiced around the world and promoted by governments, institutions, and influential individuals.

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Eugenic policies were first implemented in the early 1900s in the United States.