As a rabbi, I get rare insights into the lives of others. In my congregation, I have seem a woman in her early 60s forgo any breast cancer treatment because she didn’t want to suffer the effects of treatment while a woman in her 90s just had surgery and and is in treatment to fight hers.
While doctors certainly have recommendations, it’s ultimately up to us where, when, and what treatment we may seek for our ailments.
Yesterday, the daf was discussing the dangers of visiting a non-Jewish midwife. Today, they worry about non-Jewish physicians. Clearly, the rabbis were living in a time of Jewish persecution and, therefor, distrust that they could put their lives into the hands of the non-Jewish majority that saw them as less than. But what if you’re going to die if nothing is done. What then?
The Gemara analyzes a situation in which one may receive medical attention from gentiles. Rava says that Rabbi Yoḥanan says, and some say that it was Rav Ḥisda who says that Rabbi Yoḥanan says: If there is uncertainty as to whether a patient will live through his ailment or die from it, the patient may not be treated by gentile doctors, due to the concern that a gentile doctor may kill him. But if it is certain that he will die from his affliction if he does not receive medical attention, the patient is treated by them, as it is possible that a gentile physician will save him.
The Gemara challenges: Even if it is certain that the patient will die if he is not treated, nevertheless, there is value in temporal life, i.e., it is preferable for the Jew to live as long as his ailment permits rather than risking a premature death at the hands of a gentile physician. The Gemara explains: We are not concerned with the value of temporal life when there is a possibility of permanent recovery, and therefore it is preferable to receive medical attention from a gentile despite the risk involved.
Temporal life . . . that’s the debate. Sometimes (not always, but sometimes) treatment is a gamble. Sometimes surgery is a gamble. It’s a long shot for a shot at recovery or more life. But we do risk that “temporal life” being cut short or worsening with treatment. Our daf really struggles with the right thing to do. So so so many who receive tough diagnosis. Even I didn’t know if I really needed to have radiation, and then if I really had to be on tamoxifen, after my cancer treatment. In my case, I suffered the temporal drawbacks of all those side effects for the hope that I was extending my life, curing my cancer.
I do hope that in the world to come I will find out if I made the right gamble. In the mean time, here I am, almost 13 years after diagnosis. So far so good.