This is a bit of a burning issue for me. I tend to take this very personally, especially within Judaism, since within Judaism, it should be crystal clear that the health, well-being, quality of life, and life of the patient takes precedence over any kind of halachic consideration whatsoever, with the exception of Murder, Adultery, and Idolatry (
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On Shabbat, you have two glasses of water at 140 degrees. You add uncooked tea to each. One you are over an issur derseisa, which depending on the circumstances may have an additional issur that you are banned for drinking it forever. The other is perfectly enjoyable cup of tea. What happens to the tea inside the cup is exactly the same. The only difference is one was prepared in a kli rishon and one was a kli shlishi.
You are arguing that Halacha recognizes the cooking in the kli shlishi but determined that there are other circumstances that allow it to be drinkable.
What I am saying is once that Halacha estabalishes cooking cannot take place in a kos shlishi, it doesn't care what actually happens inside the cup. While you may not like the semantics this is what I mean by halchic reality.
For the most part there is not much practically different from the two approaches. However if you are a Rabbi trying to Posken a shilo it would make a difference in how much investigation would be required to determine a Psak. For example if someone asks if they can drink the tea that was made in the Kos Shlishi in our example. Your approach would require determining if physical cooking occured than what halachot would apply and my would not.
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Consider this: The word "melacha" means "work" - yet you're allowed to rearrange the furniture in your house on Shabbos but not flick a light switch. The way the word is used in a halachic context is very different from the straight meaning of the word.
Halacha doesn't pretend to provide a definition of the word "cooking" in a scientific context. If you need to cook something to ensure you kill off bacteria (in raw meat, for instance), halacha doesn't offer any pretensions, it doesn't try to tell you "use the halachic definition of cooking!" - you cook like a normal person would define it. Halacha doesn't change reality; it just creates legal definitions of certain words for use in a specific context. It recognizes that these do not necessarily have the same effects on the real world, and doesn't try to pretend that they do.
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The shilo involved a situation that required being machal shabbat but the standard definition of Pekuach Nefesh applied. As we have discussed the Posek had to consider issues of Derisah and DeRabannan to come up with the appropriate answer. The Torah may not have discussed the particular case the principles are all laid out.
There is currently a case in Ontario being considered by the Government. A young man needs medicine that costs $500,000 a year for the rest of his life or he will die. The Government is trying to decide to pay for the medication or let him die. While not practical halchacily in this case there are plenty of ethical questions to be considered. While not necessarily structured as medical advice the Torah would deal directly with these serious issues.
On the flip side when I was in Ulpan our teacher would never let us order mushrooms on our theoretical pizza because the Rambam said it was unhealthy. Such medical advice would be taken on a much lighter basis.
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I've asked pikuach nefesh questions multiple times.
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