Hatzulas Nefashos vs. Hatzalah

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  • #2312357
    ujm
    Participant

    We already have NYPD vs. Hatzalah, so what’s the big deal about Hatzulas Nefashos vs. Hatzalah?

    On a more serious note, why is it surprising that Hatzalah got a new competitor in Hatzulas Nefashos, when in recent years we saw the exact same phenomenon with other chesed organizations?

    We have Misaskim opening up to compete with Chesed Shel Emes, Shmira opening up to compete with Shomrim, and Chavivim opening up to compete with Chaveirim. And these are just some examples that immediately come to mind; there’s other prominent examples as well.

    All of the above are duplicative. If someone is equally opposed to the duplication of an already existing community service and have opposed all of the above, and they are being consistent in opposing Misaskim, Shmira, Chavivim, etc., it makes logical sense to oppose Hatzulas Nefashos. And that’s a fair and wise position. But if one is only selectively opposed to a duplicative organization, then it is simply politics.

    #2312385
    dkbmd
    Participant

    There is a big difference if people are competing to change your flat tire vs competing to provide potentially life saving care – oh, when one side is woefully unprepared for the task…… although one side does have a cyber truck so………

    #2312410
    ujm
    Participant

    dkbmd: Your point is well taken. Wouldn’t it be equally applicable regarding Shmira?

    #2312478
    WiseSage58
    Participant

    This is a shvere issue and I don’t know what the proper approach should be.

    #2312701
    2scents
    Participant

    I’m not privy to the details surrounding the recently publicly published case, but I am sure that either side will use it to further their case, regardless of the facts or circumstances.

    Yet, It’s important to understand that no two situations are alike. The standard of pre-hospital care is to provide advanced life support services. This is for emergencies that require more than a basic assessment and transport to the hospital. Not only do these advanced interventions directly save lives, but they can diagnose certain time-sensitive diseases, such as heart attacks, and notify the receiving hospital so they can activate the appropriate team, all while initiating treatment and continuous monitoring.

    Without advanced capabilities, the basic providers may be forced to transport the patient to the nearest hospital, which often will not be the appropriate hospital, as it may not have the capabilities to treat this patient. The unnecessary delay in care may cause a worse outcome than if they would have had the capability of transporting to a more appropriate hospital.

    This is in addition to the fact that having an agency that regularly treats and resuscitates patients, as well as having an integrated ALS system, improves the chances for success and better patient management. This is beyond the original EMT certification, but being in a system that regularly treats these patients is an important factor.

    These are just a few of many reasons why there is more to managing a health care system, especially a pre-hospital response system comprised of volunteers tasked with managing critical patients, and should not be compared to a chesed organization that is here to help with something such as a flat tire.

    #2312758

    Rabbonim should step in and force competing organizations to cooperate when necessary. For example, if one of them can handle simple cases but not complicated ones, they should refer potentially complicated cases to their competitor. This is done. We have competing kashrus organizations certifying each other’s ingredients, for example.

    #2312994
    ujm
    Participant

    I noticed that Hatzulas Nefashos changed their name. Originally they called themselves Hatzulas Nefashos of Jackson and publicly claimed that they were needed since Hatzalah of Lakewood took too long to get to Jackson, so they started up locally to be quicker — as they were right there.

    Now they switched their name to Hatzulas Nefashos of Central Jersey and, apparently, claim to serve the the entire region. Thereby becoming indisputably duplicative of an already existing service (and leading to an understanding they opened shop for political reasons) and negating their original claim of their very raison d’être.

    #2312984
    pure yiddishkeit
    Participant

    If, and IF the competition would be adequately trained and qualified for the job, the only thing that it could bring is good, as it’s rival would strive to show they’re better at the job, to which the competition would reply in kind etc, up-ending the bar of quality in the service they provide.
    Competition per se is a very good thing, just it needs to be done proper.
    I’d imagine that they can’t get the licence and certification from their respective authorities unless they meet a certain base standard….?

    #2313002
    modern
    Participant

    “having an integrated ALS system”

    For most conditions BLS is superior. You are better off just getting to the hospital faster.

    #2313041
    2scents
    Participant

    Modern,

    You ignore the instances where the patients cannot afford the time it takes to reach the hospital and also where the lack of ALS prevents the crew from transporting to an appropriate hospital that may be further away.

    Furthermore, diagnosing active heart attacks and activating the cardiac cath team cannot be done on a BLS level.

    These are just a few of many instances where lacking ALS integration may be detrimental to patient outcomes.

    As long as they are not offering these services or regularly treating and resuscitating sick patients, it is not offering a competitive service to the community.

    #2313083
    commonsaychel
    Participant

    They took a survey of fifth graders, 95% of them want to Hatzolah members when they grow up, 90 % grow up

    #2313222
    skripka
    Participant

    @UJM, I fail to see your point. Hatzalah of Lakewood changed their name to Hatzala of Central Jersey for political reasons too.

    As someone who spoke to the guy whose son choking was the catalyst for HN being opened, it is true that the then Hatzalah of Lakewood had a huge issue of not having enough members to cover the area, despite fully qualified members who had moved into the area requesting to become members. I’m not getting into the “why” of it. If you want to believe it’s because of the levush/lifestyle of the person I’m not going to stop you because there is some evidence of that, but it’s beside the point.

    Reality is that the person who started HN is known to be a doer, and also known to respond to threats, put-downs, and attacks by becoming more determined and not backing down. So when Hatzalah responded to them opening by complaining and attacking him, he went further and made sure to really make it a big project and yes, also did some things that were petty. But anyone who knows him would’ve told you that.

    Hatzalah begrudgingly put one, then another bus in the area, which wasn’t nearly enough. There wouldn’t be the amount of Hatzalah coverage in the outer communities if not for HN. It’s just a shame that Hatzalah’s ego didn’t allow them to swallow their pride and work together with the new neighborhood members.

    #2313228
    ujm
    Participant

    skripka: If Hatzalah offered to integrate HN into the original Hatzalah, would HN agree to dissolve and become part of the original Hatzalah?

    #2313327
    Pony
    Participant

    One side has well known respected rabbonim (lit is hand chasidish) backing them and the other does not. I know nothing more about the issue but that’s all I need to know.

    #2313353

    So, this is a good test for our modern social system. Is there a beis din, regular or zabla, that can take this case? If not in Lakewood, then when?

    #2313479
    ☕ DaasYochid ☕
    Participant

    In the long run, competition will force Hatzalah to be at the top of their game.

    In the short term, Hashem yishmor from the bad outcomes which would seem likely when there’s an inexperienced organization responding to serious medical emergencies.

    #2313730
    1
    Participant

    Pony because that’s the establishment. Hatzalah was once not needed. 911 goes straight to volunteer ambulance dispatchers. They also bill your insurance anyway.

    #2313784
    Pony
    Participant

    1

    Establishment? These are choshove busy rabbonim that have better things to do with their time than play politics. R’ Chaim Meir Roth, Reb SB Cohen and the Skverer Dayan wrote a letter because they meant what they wrote, not because they are “the establishment”. I have no idea who the fellow that opened HN is but if he feels it’s worthy to fight with rabbonim, that honestly tells me all I need to know.

    Does “establishment” make chosheve rabbonim ois rov? Ridiculous and shameful!!!!

    #2313890

    why are we dealing with letters from Rabonim instead of getting a psak from a beis din?

    #2313913
    skripka
    Participant

    @UJM, at this point? no. The guy who started HN has that kind of attitude unfortunately, once you treat him terribly, he will never forgive you. But initially? Of course he would’ve. That’s what the community was begging for from day 1. Take our members into Hatzalah, even though they are chasidim.

    #2314133
    Pony
    Participant

    @Always_Ask_Questions

    Rabbonim issue hadracha for the wider tzibbur when the issues call for it. A beis din issues a psak when there has been a hazmana and a din Torah.

    #2314228

    Pony, right, so the original Hatzolah might call the new one to beis din. Bava Basra discusses that a professional guild can regulate their members, but if there is a Talmid Chacham, they should go to him for a ruling. Maybe, Hatzolah will be limited to their own losses, and they do not have a standing to defend community standards?

    #2314572
    Pony
    Participant

    @always_ask_questions

    I don’t understand your point. Why should Hatzolah take these kids to a din Torah? They don’t feel the need to. There was a need to warn the community of the danger of relying on an organization that doesn’t have the same training, experience and wherewithal when it comes to a life saving situation. The rabbonim have an obligation to speak out to warn the community of the dangers. Why should they care to take anyone to a din torah??

    #2314975
    ujm
    Participant

    skripka: If at this point he wouldn’t be agreeable to merging with Hatzalah, that is a clear indication that he’s only in it for the kavod.

    #2314979

    Pony, I get your point – you are saying Hatzolah itself did not protest. Assuming this is true, still a community with many Talmidei Chachomim should have a way to jointly manage community-wide issues.

    While we are in this topic, can someone share their, or heard of, experiences of addressing daily issues via Batei Din? Here, in OOT community, when I was involved in a minor accident created by a member of the kahal, a Rav advised me to (surely) report this via insurance to make sure he learned the lesson. I presume in a more Jewishly-dense community, fender benders and property encroachments are resolved via Batei Din. What are your actual experiences?

    #2315036
    ujm
    Participant

    Filling an insurance claim, involving another Torah Jew on the opposite side, is a known halachic shaila.

    #2315216

    > , is a known halachic shaila.

    exactly, in this case, I did not want to, but Rav said I probably should due to total lack of awareness from the offender (before and after causing the accident). So, please describe how this happens under the Batei dinim.

    #2315773
    ujm
    Participant

    AAQ: It is a machlokes haposkim whether filing an insurance claim that involves another Jew on the other side of the claim, is considered to fall under the prohibition of ערכאות של גויים

    #2315953

    so what is happening in practice? did you not ever have a fender bender in Monsey?
    If you have a beis din, you don’t even need to touch a machlokes, let beis din to deal with that.

    #2317029
    Survey Says
    Participant

    Why is this such a big deal- if you don’t want to use an organization because you like a different one better, or for any personal reason, then in case of need reach out to the one you are more comfortable with. Besides, why would Hatzalah mind if others step up to the plate, if their goal is to save lives. Hatzalah has B”H successfully served the various Jewish communities for decades. If/when another group proves their level of professionalism to YOU, and you would prefer, call them.

    #2317211
    ☕ DaasYochid ☕
    Participant

    Besides, why would Hatzalah mind if others step up to the plate

    Because less experienced responders could lead to bad outcomes ch”v

    #2317215
    Survey Says
    Participant

    So why would ‘Hatzalah’ mind

    #2317372
    ☕ DaasYochid ☕
    Participant

    Because they want people to live, not die…

    #2317561
    anonymous Jew
    Participant

    So, let me get this straight. I’m involved c”v in a car accident where I sustain $5000 in damages and the other , frum guy , is 100% at fault, I’m not supposed to file a claim ? Where is he going to get the money?

    #2317613

    I am thinking you re going to Beis Din that might suggest filing the claim. But in town people should tell us how they do it.

    #2317628
    ujm
    Participant

    AJ: As stated, it’s a machlokes. Since permit filling with insurance, as they consider it a formality and not really suing the other person in the incident in secular court. Other authorities do consider it a violation of the prohibition of taking another Jew to secular court. They would require utilization of a Beis Din.

    #2317665
    pekak
    Participant

    @anonymous Jew

    I agree with you 100%. We are required by law in every State to have insurance. The insurance companies (at least in my view) are our arbitrators that by purchasing insurance we accept that they will take care of things for us.

    #2318050

    pekak > we accept that they will take care of things for us.

    So, this is what is done “in town”. I presume even those here who are tzadikim gemurim and practice defensive and kosher driving, still heard about other people getting in trouble. So, do people rely on insurance or go to B’D? say, one person’s daas Torah is for insurance path, and another – for B’D – do we get a B’D to resolve this?

    Also, in reality, many people often pay off the other side to avoid going thru insurance or sometimes do not have it – are these cases going thru B’D or people simple settle on their own?

    #2318313
    commonsaychel
    Participant

    The rivalry between the Monsey Fire Department and Mitzali Aish make no sense, here there is no issue about response time or competence on the side of MFD

    #2318356

    “In the long run, competition will force Hatzalah to be at the top of their game.
    In the short term, Hashem yishmor from the bad outcomes which would seem likely when there’s an inexperienced organization responding to serious medical emergencies.”
    So, by your own admission, it’s shortsighted to block all competition indefinitely.

    “Because less experienced responders could lead to bad outcomes ch”v”
    This is exactly what the pre-existing EMT services said when Hatzalah was being created. Hatzalah itself is the best piece of evidence against this argument. Aside from that, volunteer EMTs and firemen are extremely common in rural areas and they don’t “cause people to die” all the time. You seem to have a general distrust of non-government organizations and have made an exception in this davka for Hatzalah, but refuse to do so for anyone else. This is hypocritical and intellectually dishonest. Frum yidden love to talk the talk of fiscal conservatism and competition helping the consumer… until they talk about this. Then–all the sudden–any mention of free market competition and you might as well be told to go to the back of the bread line at the gulag.

    “Because they want people to live, not die…”
    Absurd and emotionalist argument that warrants no response. This echoes what Corona fanatics said in 2020 about anyone who questioned Fauci. It’s not your business what risks other people chose to take with their lives. Nobody is stopping you from using Hatzalah if you think it’s safer.

    #2318535
    pekak
    Participant

    @Always_Ask_Questions

    The law is that if you are in an accident you get a police report and send all the information to the insurance company. I’m not talking about kissing a bumper. When I owned a car I paid for full coverage . When I rent I pay for full coverage. Not because I lack confidence in my own driving ability, but because I don’t trust you. Seichel says to let the insurance companies work out the details. Auto body shops won’t wait for a B”D to decide things.

    #2318584

    pekak, we are supposed to go to Beis Din when dealing with each other. Put aside for now hard cases involving medical, but a simple damage case. If my bull gores your bull or if my car bumps up your car – wouldn’t B’D be the place to resolve it? Possibly, B’D will tell you to go to the insurance company, or even give a general psak to do that. Again, I understand there are different views, I am asking how people do it in practice. Anyone in town here? A lot of people surely sound like they are!

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