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The Pischei Choshen adds, as follows:                       3         last moment, before they started the search for illegal liquor, Reuven                                                                             #                                                                                    20818
                                                                                               broke the barrels, Reuven is exempt because rather than a damaging
                           We can prove that Reuven is obligated to pay, on the                act, his was an act of rescue. Although Reuven did not know this
                         basis of what is explained in the Shulchan Aruch (Choshen             when he broke the barrels, it is in accordance with the Mekor Chayim
                         Mishpat #380:4): If a person lightened the load on a boat             and Orchos Hamishpatim, and resembles the case of the man who
                         about to be overwhelmed by a huge wave by throwing                    spreads a net on Shabbos to catch fish and tows in a child.
                         cargo overboard, he is exempt from paying for the cargo,                 Therefore in our case the physician is exempt from returning the
                         because the cargo is viewed as a “pursuer,” who is endan-             payment he received from the woman for the Caesarean section, since
                         gering all on board. Only if the boat was on the verge of             this surgery saved her life. Even though the physician’s intentions
                         sinking when he threw the cargo into the sea, is he exempt.           were wrong, in actuality the surgery was an act of rescue.
                         But if he threw the cargo overboard before the huge wave                 The question remains, however, whether or not the physician is
                         threatened to sink the boat, he is obligated to pay for the
                         cargo even if later it became clear that his actions saved            held accountable for his act by a Heavenly Court.
                         the ship.                                                                Regarding the verse (Bereishis 50:20): “And Yoseph said to them,
                                                                                               do not be afraid; you meant evil against me but G-d meant it for
                  And in my humble opinion, Reuven is obligated to pay.  It is a               good,” the Or Hachayim comments that if someone intended to give
               basic principle in the Torah that a meritorious deed which results              his friend a cup of poison to drink and by accident gave him a cup of
               in a negative outcome is still considered a meritorious act. Likewise           wine, he is completely exempt in Heaven. The physician in our case
               a negative act that results in a positive outcome is still considered a         meant to give the woman a cup of poison by performing unnecessary
               negative act, as explained in the Ran (Gittin 19b, from the pages of the        surgery on her, but in action, he gave her a cup of wine by removing a
               Rif, s.v. umistabra).                                                           malignant tumor she had. Thus the physician is exempt by the Heav-
                  The Shulchan Aruch (Orach Chayim #222:4) states as follows: One              enly Court as he is by a human one.
               recites the blessing of Hatov Vehameitiv for something good, even                  The Keli Chemdah poses a question: What is the difference be-
               if he is concerned that bad may come of it. For example, if he finds            tween the above case and someone who intended to eat pork but ate
               a lost object and he is worried that someone will take it from him,             lamb, who requires kapparah? (Nazir 23a). And he answers: Although
               he still says the blessing.  Likewise one recites baruch dayan ha’emes          Rava and Rabbah argue whether we follow a person’s thought or his
               when a bad event occurs, even if some good can come to him from                 actions (Menachos 64a), their argument only applies to sins between
               it, such as if it rained on his field and when the deluge passes it may         man and G-d, where it is appropriate to be judged by one’s thoughts,
               do him good. The Mishnah Berurah (ibid., 5) explains this halachah              and even according to the one who rules that we go by the action, the
               as follows: We should not look at the future because what we expect             person still requires atonement from Hashem for his thoughts. This
               may not happen. Thus in our case as well, we could say that one who             would not apply, however, to sins between man and man, where the
               damages his friend is obligated to pay for the damages because he did           basis of the prohibition is that he brings evil upon his friend, but all
               a bad thing to him, in spite of the fact that later it turned out to be         poskim agree that if the act is good or if it causes good results for his
               for his benefit.                                                                friend, we go by the act and not the intentions.
                  However, if at the time that Reuven broke the barrels, Shimon’s                 The Beis Yitzchak (Yoreh Deah, Part 1 #8:8) points out that in the
               store was already surrounded by police and tax collectors, and at the           case of intending to eat pork and eating lamb instead, the person in-




        74               1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Unnecessary Caesarean section  2                                 75
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