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than the new wheat.) In truth, regarding wine, it is permissible to mix   6
               strong wine with mild wine because it improves it. (i.e. If a vineyard                    Altering the Truth in Order to Receive Better
               owner commits to selling mild wine, he is allowed to mix in strong                        Care
               wine because the latter improves the former before it leaves the wine-
               presses. But after it leaves the winepresses, wine has already absorbed             1    Question
               its aroma and its taste, it does not improve it but worsens it.)
                  And my father-in-law, Rav Y. S. Elyashiv zt”l, (in his Sefer He’aros         There was once a mother whose small son was rushed to the hospital
               on Baba Metzia 60a) cites the words of the Chavas Ya’ir (#192:21) who           and immediately prepared for emergency surgery. The frightened
               explains that Rambam (in his Introduction to the Mishnah) writes that           mother, cried out to the physicians: “Please, treat him with dedica-
               when it says here (in Baba Metzia), “In truth, regarding wine etc.” this        tion. This is a dear child who was born after fifteen years of mar-
               means that it is a halacha given to Moshe at Sinai, that it is permis-          riage…!” When the physicians heard the urgent pleas, their hearts
               sible to mix strong wine with weak wine. Since the Gemara provides              melted. They immediately called for the best surgeons and much
               a reason why it is permissible to mix them, why must we rely on the             went into the preparation for the fateful surgery. The treatment was
               dictum of halacha l’Moshe mi’Sinai? The Chavas Ya’ir responds that              performed with extra care and, with Divine assistance, the surgery
               there was reason to prohibit the mixing of wines altogether, since if           was successful.
               we permit doing so before the wines leave the presses, people may                  While the boy was recuperating, the physicians learned that his
               come to do so afterwards as well. For this we need halacha l’Moshe              many visitors were none other  than his brothers and sisters. The
               mi’Sinai to permit it. My father-in-law added that we see from here             mother explained: I did not lie! This boy was born after 15 years of
               how careful we must be about deception.                                         marriage….
                  In our case as well, we should take this into account. If we allow              Did the mother conduct herself properly?
               deception here, people may come to sanction it in other forbidden
               venues.
                                                                                                   1    AnsweR

                   1    SuMMaRy and Conclusion                                                 Even though the case was one of  pikuach nefesh (danger to life),
                                                                                               lechatchila one should not speak falsehood. Hashem is truth, and
               One should not deceive the healthcare clinic by referring the patient           in order for physicians to be successful in their work they require
               to the hospital to perform a test, if it can be done at the healthcare          Heavenly assistance, which is given to those who go before Him in
               clinic.                                                                         truth. Therefore, there is no need to lie or to deceive in order to be

                                                                                            successful. (There are also other reasons why lechatchila one should
                                                                                               not do this.)
                                                                                                  However, it seems to me that one should not blame the mother
                                                                                               who spoke this way at a time of anguish. There is a similar termi-
                                                                                               nology used by the Navi (Yirmiyahu 31:19): “The beloved son to me,
                                                                                               Ephraim …. Therefore, my heart yearns for him. I will surely have
                                                                                               compassion on him, says Hashem.” Rashi explains that these are the




        162              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Deceiving a Healthcare Clinic  2                                163
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