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Opinion & Comment
Telolei Oros: Medicine and Halochoh

By Rav Yissochor Dov Rubin

"For I Am Hashem Your Healer"

Telolei Oros presents sources relating to doctors and patients. May it be Hashem's will that the verse be fulfilled in us: "The entire malady that I inflicted upon Egypt I will not inflict upon you, for I am Hashem your Healer" (Shemos 15:26).

Part 4

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Health Insurance

The Rabbis taught in Nedorim (49): "Rabbis are sickly." Rashi explains: "They occupy themselves with Torah and do not derive enjoyment from the world, and become sick."

According to natural laws, if a man eats and drinks healthily, takes walks after eating, sleeps sufficiently, and enjoys his life, then his body will be healthy and strong. However, a man who sits and meditates on Torah day and night, never interrupting his learning, and removes himself from all the physical enjoyments—minimizing his sleep, completely straining himself in his toil to understand the Torah's depths—will be weak according to natural laws and could become sick and feeble.

Therefore, the Torah teaches us that this is not the case. For truly: "If you hearken to the voice of Hashem, your G-d, and you do what is proper in His eyes, and you listen closely to His commandments and observe all His statutes" — despite the toil and effort that should weaken the body — "all the sicknesses that I have visited upon Egypt I will not visit upon you, for I am Hashem your Healer" (Shemos 15:26). Just as Hashem cured the bitter waters (Ibid. 23) in a miraculous way, so too He will remove sickness from you. (HaRav Yitzchok of Volozhin, Peh Kodesh).

The Shechinah at His Head

"And Yisroel prostrated himself on the head of the bed" (Bereishis 47:30). Rashi comments: "He turned around to the side of the Shechinah. From here the Sages deduced that the Shechinah is at the head of [the bed of] a sick person."

If a person sins before Hashem, as long as he is healthy he is able to return to Hashem in teshuvoh and good deeds, and to rectify the blemish he made. He made the blemish with his actions, and with his actions he can do teshuvoh. However, a sick person cannot do teshuvoh in this way, in actions and deeds, due to his illness, and from his sickbed his teshuvoh is in thought alone.

Therefore, the Shechinah is at the head of the sick person. This means that it is above his head due to the thoughts and considerations in a sick person's head. Hashem does a kindness with His creations to accept their teshuvoh, which is a matter that the angels and Seraphim do not comprehend, for they do not know the thoughts of man. The teshuvoh of the bedridden sick person is only before the Shechinah that bothered to come for this reason and dwell above the head of the sick person. (HaRav Yehonoson Eibshitz, Tiferes Yehonoson).

The Dividing Line

One of the gedolim became ill and came to Maran HaRav Yaakov Yisroel Kanievsky, the Steipler zt"l, for a blessing. Maran the Steipler told him to make a gemach for hachnosas kallah, providing for brides in order to increase his merits. As a support he cited commentaries that ask why the Tanna mentioned "hachnosas kallah" in between "visiting the sick" and "escorting the dead?" They answer that it was meant to teach us that hachnosas kallah separates sickness from death. The godol (HaRav Chaim Kreiswirth zt"l) listened to his advice and started a large fund for hachnosas kallah. He was cured and lived many years afterwards (Orchos Rabbeinu).

Healing and Salvation

In the private diary of Maran HaRav Yechezkel Sarna, the rosh yeshiva of Yeshivas Hebron, dated Elul, 5712 (1952) during his hospitalization in Switzerland, he writes: "Every sickness is caused by a spiritual cause. Therefore, it is possible that one may be cured from a physical malady by some merit, but this will not cure the spiritual cause of the malady. This would be called a "refuah (healing)" without a "yeshuo (salvation)," for it would be possible that he would become ill again because of the same spiritual cause.

"Therefore, we ask HaKodosh Boruch Hu: `Heal us, Hashem — then we will be healed; save us — then we will be saved.' This means that we are asking that yeshuo should come together with the refuah" (Achar HaAsaf).

How Many Beds?

A city in Lithuania made an appeal for the establishment of a Jewish Hospital, and the head of the gathering was Maran HaChofetz Chaim. Among the group were quite a few wealthy individuals, and each one of them made a pledge. Some donated one hospital bed, and others contributed a number of beds. Maran HaChofetz Chaim honored the wealthy men very much, smiled at them and praised their contributions and the great kindness involved in them.

Among the assembly were a few talmidei yeshivos, and Maran HaChofetz Chaim greeted them with exceptional honor. This angered some of the wealthy contributors, and they protested: "How could this be? We're giving a lot of money. Why are they being honored?"

One of them rose and asked Maran HaChofetz Chaim in a sarcastic way: "How many beds are these bnei yeshivos contributing?"

Maran HaChofetz Chaim answered immediately: "What do you mean? Each one of them gave fifty beds!"

They could not understand what he meant and asked: "What? fifty beds? That's an astronomical amount. Why, with all our money, we gave a total of ten beds. And they each gave fifty beds?"

Maran HaChofetz Chaim explained: "Yes, yes, each one of them gave fifty beds that will never have to be used! Each one of them prevents fifty maladies from inflicting the Jewish people! They contribute the beds that will not have to be in the hospital. Torah protects and saves, and their Torah saves Jews from sickness and pain! (She'al Ovicho).

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Once, it came to Maran HaChofetz Chaim's attention that a meeting of Jewish doctors was being organized in Vilna to discuss proposals to force the yeshivos to accept arrangements that would limit the number of students and the times of study, with the intention of improving the conditions of health and hygiene. Maran HaChofetz Chaim sent a letter to the well-known activist, Dr. Shavad, with the following:

When I heard that a meeting of doctors will occur shortly under your leadership, I am sending my blessing to you that the Healer of Yisroel will send you His help and blessing from Above . . .

Since I heard that the situation in the yeshivos concerns you greatly, I decided to inform you that Boruch Hashem the yeshivos stand on a firm and correct foundation. The students receive all their needs, they have three meals a day, and they have two hours each day to walk and relax. The bochurim are healthy and whole. I am sure this will be a cause of great joy for you.

From your friend, who honors you in your great honor,

Yisroel Meir HaCohen

P.S. The Torah states: "Whoever shall touch the mountain shall surely die" (Shemos 19:12). If this was so concerning the "mountain," then concerning the Torah itself, how much the more so!

Visiting the Sick

The Rambam writes: "One who comes to visit the sick should enwrap himself and sit at the head of his bed and beseech mercy for him, and leave" (Hilchos Oveil 14:6).

Maran HaGriz of Brisk comments: "This teaches that also the departure from the sick person is an integral part of the mitzvah and is included in the mitzvah of bikur cholim, visiting the sick" (Rinas Yitzchok, Melachim).

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Baron R. Shimon Wolf Rothschild was friendly with the Ksav Sofer while they were together in a health retreat. They would meet, and the Baron would walk with the Rov to hear his words of Torah.

Once, the Baron changed his routine and hurried to end the meeting with the Rov just after they met. The Ksav Sofer asked him what was the reason for his rush. The Baron answered: "I noticed the Rov is not feeling well, I hurried to bid farewell. Chazal deduced from the posuk: `"Yeilchu, they shall leave"—this is visiting the sick' (Bava Kama 99b). Chazal mean to hint that sometimes the one who visits the sick person creates a burden with his presence, whether because the sick person is weak or because he feels bad that others see him in his bad condition, and the like. In such a situation, a man has the mitzvah of `yeilchu.' He should go and not burden the sick person. On the contrary, when he goes he fulfills the mitzvah of visiting the sick."

The Ksav Sofer would praise the Baron's words and repeat them in his name (Chut HaMeshulosh).

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HaRav Yaakov Yitzchok Ruderman told the story of a Jew in Brisk who was very punctilious in the mitzvah of visiting the sick. The problem was that he would stay a long time with the sick person, and that was a burden for the patients.

When Maran HaRav Chaim of Brisk heard about this he sent for the man and said: "The gemora says that whoever visits the sick takes away one sixtieth of his illness (Nedarim 39b). The Ran explains: `Every one of the visitors takes away one sixtieth of the illness that remained with the sick person after the last person visited him.' If so, let us make a calculation, the sick person needs time to eat, sleep, and take care of all his needs. In order for there to be enough time in the day for sixty visitors each one can stay no more than ten minutes" (Shimush Chachomim).


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