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               his opponent as necessary. He must also accept upon himself to re-
               pent for his insolence, and for transgressing the negative precept of                     Transferring an Elderly Patient to a Nursing-
               “Do not wrong one another,” if the beis din heard the arguments of                        Care Ward because of his Repulsive Behavior
               both sides and their excuses and found that Reuven is guilty, as above.
               This is, in total, the Chasam Sofer’s response to the case presented to             1    Question
               him.
                                                                                               In an old-age-home devoted to self-sufficient patients as well as those
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                  We learn from here that one obligate’s the trickster to pay ten gold
               pieces. This is indeed the halacha in the case of the prankster who             in need of nursing-care, whose minds are completely clear, one of the
               called for the ambulance. We obligate him to pay the equivalent of ten          old men began to lose his clarity of mind. He would shout from time
               gold pieces to each of the ambulance medical staff.                             to time. He would also cough up phlegm, hold it in his fingers, and
                                                                                               wipe it on the tablecloth, among other things. The other old men are
                  The words of Chasam Sofer are novel because in his case, it is not           greatly disturbed by his behavior and yell at him to stop.
               mentioned that the mohel lost out on another mitzvah of circumci-                  Are these considered acts that are repulsive to the public?
               sion. If so, why should he pay the mohel ten gold pieces? The Tosfos
               on Baba Metzia (76b) explains that if one hires a worker and then                  The elderly residents of the old-age home asked members of this
               cannot find work for him, he is obligated to pay the worker, since he           patient’s family to transfer him to the nursing-care ward. The family
               made him lose a day’s wages. By hiring him, he prevented him from               claims that remaining with healthier patients would be better for him
               finding work elsewhere. But, in the case of Chasam Sofer, it is not             than being around patients who are in need of nursing care. They also
               stated that the mohel lost money because he could have performed a              believe it would be difficult for him to adjust to a new place, especially
               circumcision in another place.                                                  since his health has deteriorated.
                                                                                                  The question is whether one should sympathize with his suffering
                  In our case, however, the members of the ambulance staff fulfill the         or with that of the other old men, especially since they enjoy praying
               mitzvah of saving lives every minute, even if they are doing nothing            in comfort, without disturbances like these or others. The elderly res-
               other than being available for an emergency call. When they were or-            idents also enjoy when young men and their children join the minyan,
               dered to come on a false alarm, they lost out on this constant mitzvah,         and this is only possible if these repulsive acts are not present.
               since they were not on wait for other calls at the time
                                                                                                  Moreover, his mere presence in the home causes families seeking a
                  Now, let us return to our cases.                                             private and pleasant home for their loved one to seek another facility.
                  In the first case, he who ordered an ambulance in order to take              This is a private facility, dependent on its residents for its income.
               revenge on his friend has violated four prohibitions:                           Does the old age home need to lose money because of this patient,

                  1.  The prohibition of “Do not wrong one another,” both in regard            who has already been there for many years?
                    to Reuven whom he shamed and frightened, and also in regard
                    to the medical staff. This is like someone who deliberately sends              1    AnsweR
                    donkey drivers to the wrong place. This sin of “Do not wrong…”
                    is very severe and comparable to idol-worship.  The heavenly               The old man’s actions are most certainly considered repulsive. Proof
                    curtain do not remain locked to the cries of he who has been               of this can be found in the Gemara (Kiddushin 81a):
                    hurt, and as explained in Chasam Sofer. In order to atone for                 Plimo used to say every day: An arrow in Satan’s eyes. One day,




        172              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Transfer of a Patient  2                                        153
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