Staff and Organizational Structure of the Prisoner Infirmary
After the establishment of the prisoner infirmary (HKB; Häftlingskrankenbau), doctors for the HKB in the Buna/Monowitz concentration camp were recruited from among the deportees to Auschwitz who had claimed possession of a medical degree upon their arrival. Assistants and orderlies, however, were not absolutely required to have a prior grounding in medicine. In the early days, therefore, the actions of the workers often were inexpert or even rough, and they might sell part of the soup rations meant for the patients, to get cigarettes or articles of clothing. Often, too, patients were beaten for the slightest offense.
At first, two or three doctors and a few prisoner orderlies worked in the outpatient clinic; those who were more seriously ill had to be transferred to the HKB of the main camp. Later on, larger numbers of professionally qualified prisoners were deployed there, and there were at least nine doctors, often internationally recognized experts in their field. In addition, in each of the nine blocks of the HKB there were four or five orderlies and a clerk. A few patients continued on there as orderlies after their recovery. Besides, prisoners also were secretly employed in the HKB at all times, doing mechanical tasks, for instance. Work in the HKB was coveted; it “was considered comparatively easy and afforded a chance for a better diet.”[1]
Though the possibilities for treatment were limited, the staff had opportunities to make the prisoners’ hard life easier: Survivors speak of assistance from the infirmary, food that strengthened them, warning about or rescue from a selection, and treatment with rare drugs. Moreover, if there was a threat of selections, convalescents could be released and put in an easy detachment in the camp, or moved to another ward with a new patient record. Doctors and orderlies faced a moral dilemma: Contrary to their professional practices, they often had to make themselves into “masters of life and death,” deciding who would enjoy the scarce resources and who would not. The assistance of prisoner physicians often was perceived in different ways: camp elder Stefan Budziaszek (Buthner), described by the Polish prisoner physician Antoni Makowski as the man who guided the “infirmary to full development,”[2] was investigated in connection with the Frankfurt Auschwitz trial: In the proceedings, Jewish prisoners claimed that he showed preference to Polish prisoners and suggested “exclusively Jews”[3] for selection.
The employees of the infirmary were not under constant SS supervision, partly because of the terrible conditions, the stench, and the danger of infection. Many took advantage of this to plan resistance activities.
Though most of the prisoners who failed to return from their infirmary stay fell victim to selections, in winter a great many also succumbed to disease or emaciation. Between November 1942 and March 1943 alone, about 580 patients died. Their bodies were gathered in the mortuary and taken by truck to the crematoriums of Birkenau.
(SP; transl. KL)