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Thus it seems that the words of the Shulchan Shlomo apply only to               to travel to a more distant hospital where the atmosphere is friendly
               a sick child who does not say anything. However, if an adult says “I            and each person respects the opinion of the other.
               want to be treated by physician so-and-so,” and he places no trust in
               the physician of the healthcare clinic, it would be permissible to give            The  Tumim (#7:12) wonders: How is it possible that there are
               him charity money.                                                              Torah scholars who hate each other? Are they wicked people who
                                                                                               violate Torah prohibitions, such as “You shall not hate your brother
                                                                                               in your heart” (Vayikra 19:17)? If the explanation is that each of them
                   1    SuMMaRy and Conclusions                                                claims that his friend has transgressed a grave sin and it is therefore

                                                                                               permissible to hate him, then how would he sit with him in beis din?
                  1.  It is permissible to desecrate Shabbos to be healed by a more            This requires further study, for one can answer this question, but only
                    expert physician.
                                                                                               with difficulty.
                  2.  If a child has a physician willing to treat him, but the family
                    wants him to be treated by a renowned physician, then if the                  Were it not for the holy words of the Tumim, we could explain
                    second physician has significantly greater experience than the             that this does not refer to two Torah scholars who literally hate each
                    first – i.e. if the physician of the healthcare clinic has performed       other, but rather to two Torah scholars whose conduct differs greatly
                    hundreds of such surgeries, while the expert has performed                 from each other, as explained by the Birkei Yosef above. Since they are
                    thousands of surgeries – and the surgery is a complicated one,             so different, they cannot find anything in common and they behave as
                    then the money contributed for this purpose is considered tze-             if they hate each other. Whatever one understands, the other under-
                    dakah.                                                                     stands the opposite. What one draws near, the other distances, and
                  3.  If the patient himself refuses to use the surgeon provided by the        what one justifies the other says is evil. There is no personal hatred
                    Kupat Cholim since he was previously treated by him unsuc-                 between them, however, so they do not violate any Torah prohibition.
                    cessfully, then it seems that money collected for this purpose is          Nonetheless they are forbidden to sit together in one beis din because
                    considered tzedakah as well.                                               dayanim are obligated to ask advice from each other. If they do not
                                                                                               deliberate with each other, they will not reach common ground and
                                                                                               the verdict will be wrong.

                                                                                                  We see from here that a cordial and friendly hospital merits Divine
                                                                                               Assistance. In a hospital fraught with tension and hostility among
                                                                                               the staff, the Divine Presence will not dwell. Notwithstanding the
                                                                                               expertise of the physicians, they will not succeed so long as they don’t
                                                                                               confer with each other. This was the sin of Nadav and Avihu; they
                                                                                               did not confer with each other, as explained in the Midrash Rabbah
                                                                                               (Vayikra, 20:8). The sages interpreted this from the words “And Na-
                                                                                               dav and Avihu, the sons of Aharon, took, each of them, his censor”
                                                                                               (Vayikra 10:1).  Therefore, one should not admit himself to such a
                                                                                               hospital on a weekday, and he is probably also permitted to desecrate




        182              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Relationships Among Physicians  2                               207





































































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