וגברי היכא מיבדקי אמר ריש לקיש בשעה שעוברים על הגשר גשר ותו לא אימא כעין גשר רב לא עבר במברא דיתיב ביה עכו"ם אמר דילמא מיפקיד ליה דינא עליה ומתפיסנא בהדיה שמואל לא עבר אלא במברא דאית ביה עכו"ם אמר שטנא בתרי אומי לא שליט
And why particularly in childbirth? — Raba said, When the ox is fallen, sharpen the knife. Abaye said, Let the bondmaid increase her rebellion: it will all be punished by the same rod. R. Hisda said, Leave the drunkard alone: he will fall of himself. Mar 'Ukba said, When the shepherd is lame, and the goats are fleet, at the gate of the fold are words, and in the fold there is the account. R. Papa said, At the gate of the shop there are many brothers and friends; at the gate of loss<span class="x" onmousemove="('comment',' Rashi. Levi, Worterbuch s.v. [H] conjectures that [H] should be read instead of [H]: he translates as Rashi: where there is loss. Jast.: at the prison gate, Krauss in T.A. II, p. 699, n. 435 appears to translate: at the toll-gate, and this is a reference to the severity with which tolls were exacted.
');"><sup>4</sup></span> there are neither brothers nor friends.<span class="x" onmousemove="('comment',' These are a series of proverbs, the general tenor of which is that when danger is near, one's faults are remembered and punished. Childbirth is dangerous, and that is when a woman is punished for her transgressions. — Mar 'Ukba's proverb means: the shepherd waits until the goats are by the gate of the fold or pen, and then rebukes and punishes them.
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Shenei Luchot HaBerit
In view of this, some people may be tempted to ask why were the brothers not rewarded for advancing G–d's plans instead of the ten Torah scholars becoming martyrs for a crime that had gone unpunished for so long? Neither the brothers, nor any other players on the stage of history were under compulsion to advance G–d's plans in that manner. Positive developments accrued from sinful actions, but the perpetrators can certainly not be given credit for these developments. Our sages have long formulated a principle: מגלגלין זכות על ידי זכאי וחובה על ידי חייב (Shabbat 32a). Loosely translated this means that innocent people are employed as instruments for (recognizable) positive developments, whereas guilty people are employed as the instruments for (apparently) negative developments. This whole principle needs to be elaborated on, but here is not the place for such a discussion.
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Shenei Luchot HaBerit
My merit has been depleted by all the favors and the fulfillment of Your promises." According to Rabbi Aba in Bereshit Rabbah 76,5 the word קטונתי, means that Jacob felt unworthy of all the favors he had experienced at the hands of G–d. Rabbi Levi, however, feels that Jacob had felt entitled to receive favors, but had exhausted his merits by so doing. Both Rabbis are quite correct. Jacob's remarks expressed both his feelings vis-a-vis Esau and his feelings vis-a-vis Samael. Concerning his standing vis-a-vis Esau, Jacob expressed concern that the very favors he had experienced up to now might place him in a disadvantageous position, for Esau had not been recompensed for his merits. We know from Shabbat 32a that a miracle performed for someone draws on his accumulated merits. The Talmud derives this principle from our verse. Rashi understands the verse in the latter sense. We must conclude that Jacob appealed to G–d at this point to perform a miracle for him now too, in order to save him from Esau. When he invoked the four-lettered Name of G–d, we see a similarity to Psalms 20, 8: ’אלה ברכב ואלה בסוסים ואחנו בשם ה' אלוקינו נזכיר, "They (call) on chariots, they (call) on horses, but we call on the name of the LORD our G–d," for true salvation is G–d's domain. Not feeling morally entitled, Jacob pleaded with G–d to perform the miracle for the sake of His Name. Regarding his imminent confrontation with Samael, however, he said: קטונתי מכל האמת, he invoked his own specific attribute of “אמת,” as we have explained repeatedly in connection with Michah 7,20: תתן אמת ליעקב, "You will keep faith with Jacob." This attribute is a reference to the Torah which is known as תורת אמת, in other words the Torah was given to the people of Israel through this attribute of Jacob. According to the Kabbalists the Torah originates in the upper regions of Heaven, a region where the attribute of Jacob is at home. Jacob is described in the Torah as being איש תם, "a perfect individual residing in the 'tents' of Torah” (Genesis 25,27). The expression קטונתי, "I am too insignificant, too unworthy," may be understood better when we compare it to the last Mishnah in tractate Sotah 49, where we are told that after the death of Rabbi Yossi the “קטנותא,” there were no longer any men deserving the title "the pious one." If Rabbi Yossi was so pious, why does the Mishnah refer to him as "the little one?" According to Rashi the meaning is that Rabbi Yossi was the least pious of all the pious men preceding him. According to Maimonides it means that Rabbi Yossi was the "root" of all the pious men, and the root is by nature something that has small beginnings. Jacob then alluded to the process of attaining significance as being one that commences by one's being small, קטן. This is also why Jacob is popularly known as יעקב הקטן, "little Jacob." In his entreaty to G–d to save him from Samael, Jacob referred to this when he said: קטונתי. When Rabbi Levi said in the Midrash that Jacob meant: "I was deserving, he meant "but now I have become 'small' seeing that my merits may have been used up."
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Pele Yoetz
Behold, thus each person needs to seek the proper cure when he needs them. For if he will not do this and will cause "death without judgment", he will be held accountable for his life. And he is at fault [his death is worthwhile] for he transgressed on that that is written [in the Torah], "and you shall protect very well your life." [deut / devarim 4;15] And the person who does not preserve his health, and does not act in the according to nature, to seek the proper medical treatment of his illness, to the best of his ability - will surely be punished since he transgressed that which is written in the Torah. It also comes out that he depended on a miracle and if a miracle was done for him, a part of his merits will be taken away.