The memorial commemorates "Aktion T4" during the Nazi era. As part of the National Socialist euthanasia programme, psychiatric patients from various sanatoriums and nursing homes were classified as "life unworthy of life". The people were picked up in grey buses disguised as the bogus organisation GEKRAT (Gemeinnützige Krankentransporte) and transported to concentration camps, where they were subsequently murdered.
As the successor organisation to the Provinzialverband Rheinland, which was responsible for seven sanatoriums and nursing homes during the Nazi era, the memorial also represents a confrontation between the LVR and its own history.
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