The halacha, is clear, no matter what I am supposed to treat the patient, so does it really matter why? The bottom line is, yes, it does matter. If the reason why I am supposed to treat him is because I am afraid of the repercussions, then it is a bedieved. I should do everything I can to NOT be in the situation. This type of attitude really does make a difference to my patients. Maybe it is intangible, maybe it is unmeasurable, but it does matter. Being a doctor takes devotion, compassion, and empathy. To be an effective physician, you have to be more than a scientist, you actually have to care about your patients. More importantly, you have to believe in the importance and value of what you are doing!
Now that you have seen and read my analysis in this blog, you know that it is the Torah from which I derive the incredible value and importance of treating this person, this human being. And yes, this importance is such that it even transcends the prohibitions of shabbos. Once we have given all human beings that live in and take part in a moral and righteous society, the status of a ger toshav, we can apply the words of the Ramban (Sefer HaMitzvot Mitzvah 16 - my own translation)
That we have been commanded to support and maintain the lives of the ger toshav, to save him from his enemies, so that if he were drowning in a river or if he was stuck underneath rubble, that with all our strength we will involve ourselves in saving him, and if he were sick, we will heal him ... and this is considered pikuach nefesh that supersedes the Shabbos, and this is what God meant when He said in His Torah ..."When your brother is destitute ... and you shall support him and the ger toshav, and he shall live amongst you ..."
To say that this reflects the true sentiments of the Torah would be the understatement of the century, as anyone who has ever read the Bible would tell you.
This of course does not mean that Jewish doctors should go out of their way to be in the hospital on shabbos to work. Of course the Torah wants us to keep shabbos. Of course the Torah wants us to spend shabbos at rest with our family, in our shuls and communities. Of course we should try as much as we can to let our competent and caring gentile colleagues take hospital calls on Shabbos while we take their Sundays etc.... But once we are there, it is not at all a bedieved to take care of people. It is doing the work of the Ribbono Shel Olam, and it should be done properly and with enthusiasm.
Now I am sure that many of you are looking forward to my next topic. I still have some more to say, and I was going to write a post about how the five principles of Rationalist Medical Halacha have been applied with my analysis of this issue. However, I am eager to start with a new topic, so I will leave that one out for now. So let me conclude with an invitation to say whatever you want in the comments. I begged you before to reserve judgement until I finished. Thank you so much for your patience, and now we can take our discussion into the comments section, and all holds are off, say whatever you think. The next topic will be abortion. Please give me some time to get my thoughts together, but I promise to do my best to start that subject asap.