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to endanger the life of one person if there is only a slight chance of   14     saved. We will thus have retrieved those whose chance of being saved
               saving another. One can only endanger himself for results. If endan-            is minimal and lost those who could be definitely saved.
               gering himself will not bring about results, he should not do so.                  The well known halacha is that we are commanded to desecrate
                  In view of the above, if the armored personnel carrier is in enemy           Shabbos for the ambulance or the physician to return to the station,
               territory, and does not increase its danger by approaching the burn-            because of the possibility that they will be called again on that Shabbos.
               ing tank, then they are certainly obligated to come closer and to try           Likewise, in our case, we have to protect the medical team carefully, to
               to save the lives of the soldiers in the tank. However, if the APC is           ensure that they return safely, lest they be needed again.
               endangered by coming closer to the tank and he exposes himself to                  We still need to address the question from a different viewpoint.
               enemy fire, they are probably not obligated to do so. Even though               It is known that going to war with a feeling of fear and weakness of
               we do not follow the law of the majority in cases of pikuach nefesh             spirit is likely to end in danger to the people of Israel as a whole, as
               and one desecrates Shabbos even for a small chance of saving lives,             explained below. If so, one can say that if the soldiers known that if
               this applies only to the suspension of Shabbos or other mitzvos of the          they are wounded they will be saved at any price, they will fight with
               Torah. But in regard to the danger to the life of a person, it does not         vigor. But if they know that at times when the chances of saving them
               apply to say that in pikuach nefesh we do not follow the rule of the            are small, they will be left to fend for themselves, they will fight in
               majority, because the reason for this principle is the tremendous value         fear. It’s possible that for this reason, we are obligated to endanger
               that the Torah places on a Jewish life. If so, we should not endanger           ourselves to save them, not because of the obligation to save lives but
               the lives of the rescuers because of the small chances of saving lives of       because of concern of danger to the nation of Israel.
               the wounded, since we also value the lives of the rescuers.                        Let us examine how great is the danger caused by fear.
                                                                                                  In Melachim 2 (6:15-18) it says that the King of Aram sent a large
                  If there was a medical team in the personnel carrier, there is an            army to surround the city of Dothan, where the prophet Elisha was
               additional reason not to endanger them for only a small chance of               present:
               success in saving lives. The Mishnah Berurah rules (#334:68): Two                  And when the servant of the man of G-d had arisen early and gone
               people are trapped in a burning house. One is healthy and the other             forth, behold there was a host with horses and chariots surrounding
               is dangerously ill or wounded, and it is not possible to save both of           the city, and his servant said to him: Woe, my Master! What shall we
               them. The healthy one comes first. From this we learn that if a physi-          do? He answered: Fear not, for those who are with us are more than
               cian can save a moderately ill or wounded person or attempt to save a           them and those with them. And Elisha prayed and said: Hashem,
               dangerously ill or wounded person who it may not be possible to save,           open his eyes so that he can see. And the Lord opened the eyes of the
               he should treat the moderately ill or wounded person first, because             young man and he saw. Behold, the mountain was full of horses and
               we have to save those who are more likely to be saved. The same logic           chariots of fire round about Elisha and they came down to him. Then
               applies in our case. To our sorrow, soldiers are wounded in war, and            Elisha prayed unto the Lord and said: Please smite these people with
               they must be similarly triaged. Therefore, we should devote our first           blindness. And he smote them with blindness, according to the word
               efforts to those wounded soldiers whom we are more confident will               of Elisha.”
               survive and afterwards try and save the others.
                                                                                                  The question arises: Why did Hashem perform the first miracle,
                  Therefore, if G-d forbid, members of the medical staff will be               to open the eyes of the young lad who saw the mountain filled with
               wounded, this will endanger the lives of those wounded that can be              horses and chariots of fire surrounding Elisha? The second miracle




        394              1  Medical-HalacHic Responsa of Rav ZilbeRstein                       Saving the wounded when chances are slim  2                     395
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