Joseph
“I don’t see a parallel between Hatzalah and doctors, at all.”
Look harder.
For example:
An Emergency room is specifically designed for pekuach nefesh situations. It is true that some non-emergency use of Emergency rooms are made, incorrectly. But Emergency rooms iarent advertising itself for non-emergencies. Those outside-its-scope uses take their use of Emergency rooms on their own head/achrayis. Obviously Emergency rooms can’t make a determination everytime a patient comes in whether it is an appropriate use of an Emrgency room, since they risk making a wrong call if they deny service and it turns out it really was a true emergency.
(I removed the references to aino yejhudinm since according to most poskim, (though not all) that isnt relevant practically)
“Many Saturdays they might not even have any pikuach nefesh situation that whole day at their facility”
It depends both on the facility and specialty
I would estimate that, Emergency medicine, intensivists, interventional cardiologists, nephrologists, vasc surgeons, cardio thoracic surgeons, and anesthesiologists save lives every day (Im sure there are others IVe left off).
Many other specialties save lives most days. (obviously depends on thee institution)
Dont generalize before labeling people as mechalelel Shabbos
This applies both those who do go to “work” on Shabbos and those who dont.