On the basis of this Gemara, the Steipler is quoted as having said that once doctors have determined that by the laws of nature, בדרך הטבע, the patient cannot live, then it is wrong- assur- to daven that he recover.
בספר 'ארחות רבינו' (ח"א ע' של"ה) שהסטייפלר זצ"ל הורה על חולה שאין תרופה למחלתו על פי דרך הטבע, שאסור להתפלל על נס, שהוא כמי שמתפלל על תחית המתים, או כמי שמתפלל על קטוע אבר שיצמח לו אבר אחר
I also saw an article quoting a highly regarded Rosh Yeshiva in Otniel to the same effect- considering the similarity in expression, I assume he was thinking of what the Steipler said:
רב היישוב עתניאל, הרב רא"ם הכהן, פסק כי אסור להתפלל לרפואת חולה שנמצא במצב של מוות מוחי. הרב, שנחשב לבעל השפעה בציבור הדתי, נימק את הפסיקה בכך שמדובר ב"תפילת שווא" - כלומר כזו שאינה יכולה להתקיים בדרך הטבע.
בתשובה שפרסם בעלון "שבת בשבתו", המופץ בבתי הכנסת, הסביר: "האפשרות שהמוח ישוב לתפקד אינה קיימת,
ממש כשם שאיבר חדש לא יכול לצמוח".
There is a great deal to say about this. Besides the body of one hundred twenty one comments on the ynet site, which comprises an extraordinary compendium of ignoramuses, psychotics, mechutzafim, the willfully blind, and a few reasonably well-informed readers, I had been planning to discuss this issue- whether one may daven for the miraculous recovery of a person that בדרך הטבע is sure to die. For example, there is the Sforno in this week's parsha (18:12) that says
Other mekoros that I'll discuss if I have a chance: רמ"א , בכור שור, ישועות יעקב, נפש חיה in OC 187:4 and 682:4 from the Kolbo, Mahrsh"a in Kiddushin 29b, נפש החיים ג' י"ב, רוח חיים ב' ד, רבנו בחיי, and others, all of whom say things that are worth hearing.
But several articles that I recently read motivated me to post this before I was ready to discuss the mekoros in the Gemara, Rishonim, and Achronim.
ותצחק שרה שחשבה שהיה דבר המלאך ברכת נביא בלבד כענין אלישע לא נבואה ושליחות האל ית'. וחשבה שלא יושג זה בזקנים בברכת שום נביא כי אמנם להשיב הבחרו' אחר הזקנה הרי הוא כתחיית המתים שלא תהיה זולתי במצות האל פרטית או בתפלה משגת חן מאתו:
Note that the Sforno is saying that while it would be a joke to think that a bracha can change the teva, tefilla does have that power.
Other mekoros that I'll discuss if I have a chance: רמ"א , בכור שור, ישועות יעקב, נפש חיה in OC 187:4 and 682:4 from the Kolbo, Mahrsh"a in Kiddushin 29b, נפש החיים ג' י"ב, רוח חיים ב' ד, רבנו בחיי, and others, all of whom say things that are worth hearing.
But several articles that I recently read motivated me to post this before I was ready to discuss the mekoros in the Gemara, Rishonim, and Achronim.
First, there was an article that wrote that despite diagnoses of brain death, certain new tests can reveal unexpected brain activity.
But I assumed that the use of the term brain death was just sloppy reporting, because when brain death is diagnosed, there is nothing left- no hope, no improvement, no life, only inexorable and ghastly deterioration.
But then I saw this, where on a nationally televised reality show in Denmark, parents of a brain dead woman were encouraged to turn off the respirator so that the doctors could harvest the vital organs and give them to patients that had a chance to live. And when the respirator was turned off, sholom aleichem, the patient not only didn't stop breathing and die, but she slowly improved to the point that there is a real possibility of a full recovery.
Later, this one joined the ranks.
Later, this one joined the ranks.
So I don't know whether one should be mispallel for a person that cannot live על פי דרך הטבע. There most certainly are cases where it is absolutely clear that the patient is not decaying only because of extreme intervention, and we'll bli neder discuss the issues about davening for a miracle. But I do know that in other cases where a diagnosis of brain death has been made, tefilla might still be appropriate according to everyone, because one of the following three possibilities might pertain:
Possibility One: Misdiagnosis due to human error. This is not necessarily indicative of murderous indifference. Remember this? That's why in the beginning of Bava Kamma, Adam is called Mav'eh, and why a mumcheh l'beis din is pattur. Even the greatest of us needs to be mispallel that we don't err.
Possibility Two: Misdiagnosis due to incompetence or negligence.
Possibility Three: Intentional misstatement of fact because someone decided that the patient, even if he survived, would not have much quality of life, and the people who need the transplant would live and flourish, so in the balance, it's worth taking harvesting the organs even if it is a little premature.