There is a Midrash peliah, אמרי נא אחותי את – מכאן ששוחטים לחולה בשבת, the Rav Chezkuni asks how do we know that Avraham Avinu will be killed. maybe they will commit adultary? Then they wil sin at every beila, but when they kill him will be one sin. Similarly, the Ran asks why do we slaughter for the sick on shabbos and don’t give him nevelah? Then he would sin with eating every kezayis. Therefore, it is better to do one sin then multiple and since Avraham Avinu was afraid they will kill him, we slaughter on shabbos rather than give nevalah.
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