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               en-pox. Is it permissible for the physician to issue an untrue report
               in order to prevent suffering for people who will be harmed by the                        A senior official gave a physician information,
               vaccination, such as a pregnant woman?                                                    on condition that he not reveal it

                                                                                                   1     Question

                   1     AnsweR to Question 1                                                  A senior official in a health care fund (kupat cholim) told a physician
 #
                                                                                               in a particular hospital that the health care fund was considering not
               The Rambam writes (Hilchos Chovel Umazik 8:9): “It is prohibited to             sending any more tests to that hospital. The physician does not want
               give over a Jew to idolaters (gentiles), either his body or his money,          the hospital he works in to lose the income from these tests. There-
               even if he (that Jew) is harming him and distressing him. Whoever               fore, he wants to notify the administration of his hospital about the
               gives a Jew, either his body or his money, over to a gentile will not           fund’s intention. Is he allowed to do so?
               have a portion in the World to Come.” It says the same in the Shulchan
               Aruch (Choshen Mishpat #388:9). In maseches Bava Kamma (117a) it                    1
               says, on the verse in Yeshayahu (51:20): “Your sons have fainted, at the                  AnsweR
               corner of every street…” – like a wild ox that fell into a trap (Rashi).        In  maseches Yoma  4b, it  says  that a  person  is forbidden  to  repeat
               Just as once an animal is caught in a net, no one has mercy on it,  so          anything that someone else told him unless the person says “Go and
               too, once Jewish money falls into the hands of gentiles, no one has             tell it.” This law is cited in the Semag (Lo taaseh #9) and ruled by the
               mercy on it.                                                                    Chafetz Chaim as well (Hilchos Lashon Hara, Rulel 2, Be’er Mayim
                  In view of this, one must judge whether or not it is permissible for         Chaim 16). Therefore, the physician has no right to tell the adminis-
               a physician to report that a Jewish criminal is healthy thereby giving          tration what he heard.
               him over to the gentiles. Although the physician is not physically                 However, if the health care fund is planning on doing something
               handing him over to them, he causes others to hand him over and                 halachically wrong, such reneging on the contract, he should let the
               this, too, is prohibited.                                                       hospital know, for two reasons: 1) Since the hospital will be unfairly
                  It seems to me that there are a number of different laws involved.           harmed, relaying the information will save them from this loss. 2) Re-
               There are cases where it is permissible to report that he is healthy            laying the information will prevent the health care fund from sinning.
               even though this will lead to his extradition and there are cases where
               it is forbidden.  We will present each of the cases separately:

                  Case 1:
                  If the person is a seasoned criminal, it is permissible to hand him
               over. It says in maseches Bava Metzia (83b) that Rabbi Elazar bar Shi-
               mon reported Jewish thieves to the gentile government although they
               were subsequently sentenced to death by the government. He even
               told the government how to catch them. Rabbi Yishmael bar Yossi
               did the same.




        276              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Physician wants to reveal secret  2                             257





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