That is what it has always meant: it means you will gladly sterilize and murder disabled people; it means you are willing to put everyone who you think similarly "unfit," your political rivals, etc in camps to be tortured, and worse.
It means you look at Dachau and Auschwitz as goals, not warnings.
Reposted from John Ganz
To me, a Nazi salute means, "I want to murder your family." There can be no irony about it: It puts deep anger and hatred in my heart to see it done and I will never forgive anyone who justifies or minimizes it.

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