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that is evil. Though that is rarely if ever the case.
More often than not, the conflicts are raised either due to suffering of the patient, whether physical or psychological. OR by a “waste” of resources, which yes ends up pitting the value of one life vs another, though not in as dramatic a fashion as in my case, but for society as a whole in a very real way. Make no mistake about it. 30% of medicare costs are spent on the last year of life. That is a lot of money. We may feel that is money well spent. But it is not EVIL to feel if we spend that money elsewhere, say curing cancer, we as a society would be better off.
To be crystal clear, I am not making that argument, I am just saying that that isn’t evil.
These are very uncomfortable thoughts for most people, and probably never occur to people who fill their “heart and mind with the Torah leaving room for NOTHING ELSE.” (and needless to say we need people like that) But there is no shame in accepting that these issues are very real and very difficult, even with the Torah to guide us, let alone without ch”v.