The German Enlightenment has often been described as a philosophical or literary movement. This is certainly true to some extent; however, it is far from being an adequate description. It seems more justified to regard it as a general reform movement, even though many reforms that were suggested were not introduced. In the second half of the eighteenth century, social and economic problems became increasingly important for the enlightened thinker. First the emancipation of the peasants was demanded, then that of the Jews, and towards the end of the century, some even asked for the emancipation of women, to name just a few major groups. The enlightened reformers advocated the abolition of the guilds, the introduction of free trade and agricultural reforms. The old penal law was to be brought up to the standards of the time, and the system of poor relief to be reorganized. Groups that needed special care, like the blind, the deaf, and the insane, now received more attention. For the first time, public health became a matter of general concern. Educational reforms were proposed, not only to improve schooling, but also in order to change society through an educative process.

The causes of any revolution are notoriously hard to discover. Despite years of effort, historians still disagree about the relative importance of the short-term and long-term causes of the German revolution in 1918–19. Some describe the “events” at the end of the war as a largely unrevolutionary desire for peace and food, brought about by the privations of the war years; others explain them as the culmination of decades of escalating class conflicts, which the conditions of war sharply exposed. One problem with this whole debate has been an insufficient knowledge of exactly what happened to Germany's workers during the war. Although most historians agree that money wages went up, real wages declined and most people ate less, few have been able to gauge the extent or importance of the change in wages or determine whether workers were simply somewhat hungry, malnourished, or starving. Furthermore there is not enough known about the composition of the work force during the war and the different hardships endured by skilled and unskilled workers.

This article has a twofold aim. First, it intends to present a portrait of the National Socialist physician and functionary Dr. Leonardo Conti, in the context of German health administration during the Third Reich. Second, it proposes to cast more light on the workings of the National Socialist bureaucracy by examining Conti's place in the hierarchical chain of command and by concentrating on his peculiar relationship with the supreme leader.