In 2018, some 770 health technology systems costing 3 billion shekels were submitted to the Israeli Health Basket Committee as candidates for public funding. The committee chose 107 of them, amounting to 460 million shekels, the total sum of its state budget. The need to prioritize medical technologies exists in most health systems worldwide. A Basic Course in Health Technology Assessment provide the tools for making tough decisions faced by such committees.

This volume from the series of Mikra Leyisrael contains the commentary of the books Ezra and Nehemia , which provide important information on the return from Babylonia and Persia to Judea after Cyrus' decree and the rebuilt of Jerusalem.

Written at different times and for different audiences - some for scholars of rabbinic literature, some for laymen or for scholars not necessarily Jewish - the essays gathered together in this volume nevertheless have an inner coherence. They reflect the author's lifetime interest in the history of halakhah - not as intellectual history per se, but rather a concern to identify measurable deflection in the unfolding of halakhic ideas that could point to an undetected force at work. What was it that stimulated change, and why? What happened when strong forces impinged upon halakhic observance, and both the scholarly elite and the community as a whole had to grapple with upholding observance while adapting to a new set of circumstances? Haym Soloveitchik's elegant presentation shows skilfully that the line between adaptation and deviance is a fine one, and that where a society draws that line is revelatory of both its values and its self-perception. Many of the articles presented here are well known in the field but have been updated for this publication (the major essay on pawnbroking has been expanded to half again its original size); some have been previously published only in Hebrew, and two are completely new. An Introduction highlights the key themes of the collection and explains the underlying methodology. Having these essays in a single volume will enable scholars and students to consult all the material on each theme together, while also tracing the development of ideas. The opening section of the volume is a brief description and characterization of the dramatis personae who figure in all these essays: Rashi and the Tosafists. It covers the halakhic commentaries and their authors; the creativity of Ashkenaz; and the halakhic isolation of the Ashkenazic community. The second section focuses on usury and money-lending, including the practice of pawn-broking, while the third section deals with the ban on Gentile wine and how that connected to the development of money-lending. The final section presents general conclusions in the form of four studies of the communal self-image of Ashkenaz and its attitude to deviation and change.

In this second volume of his essays on the history of halakhah, Haym Soloveitchik grapples with much-disputed topics in medieval Jewish history and takes issue with a number of reigning views. His insistence that proper understanding requires substantive, in-depth analysis of the sources leads him to a searching analysis of oft-cited halakhic texts of Ashkenaz, frequently with conclusions that differ from the current consensus. Medieval Jewish historians cannot, he argues, avoid engaging in detailed textual criticism, and texts must always be interpreted in the context of the legal culture of their time. Historians who shirk these tasks risk reinforcing a version that supports their own preconceptions, and retrojecting later notions on to an earlier age. These basic methodological points underlie every topic discussed. In Part I, devoted to the cultural origins of Ashkenaz and its lasting impact, Professor Soloveitchik questions the scholarly consensus that the roots of Ashkenaz lie deep in Palestinian soil. He challenges the widespread notion that it was immemorial custom (minhag kadmon) that primarily governed Early Ashkenaz, the culture that emerged in the Rhineland in the late tenth century and which was ended by the ravages of the First Crusade (1096). He similarly rejects the theory that it was only towards the middle of the eleventh century that the Babylonian Talmud came to be regarded as fully authoritative. On the basis of an in-depth analysis of the literature of the time, he shows that the scholars of Early Ashkenaz displayed an astonishing command of the complex corpus of the Babylonian Talmud and viewed it at all times as the touchstone of the permissible and the forbidden. The section concludes with his own radical proposal as to the source of Ashkenazi culture and the stamp it left upon the Jews of northern Europe for close to a millennium. The second part of the volume treats the issue of martyrdom as perceived and practised by Jews under Islam and Christianity. In one of the longer essays, Soloveitchik claims that Maimonides’ problematic Iggeret ha-Shemad is a work of rhetoric, not halakhah—a conclusion that has generated much criticism from other scholars, to whom he replies one by one. This is followed by a comprehensive study of kiddush ha-shem in Ashkenaz, which draws him into an analysis of whether aggadic sources were used by the Tosafists in halakhic arguments, as some historians claim; whether there was any halakhic validation of the widespread phenomenon of voluntary martyrdom; and, indeed, whether halakhic considerations played any part in such tragic life-and-death issues. The book concludes with two essays on Mishneh torah which argue that that famed code must also be viewed as a work of art which sustains, as masterpieces do, multiple conflicting interpretations.

We are pleased to present readers with volume 19–20 of the journal Massorot , dedicated from its inception to research on Hebrew and Jewish language traditions. The present volume contains 12 articles and a book review. They reflect the investigations of 16 researchers, since three of the articles were produced through the fruitful collaboration of two authors. Five of the articles deal with diverse aspects of Judeo-Arabic, both in the Middle Ages and the modern era. Moshe Bar-Asher focuses on disparate translations of a single Biblical Hebrew lexical item in the Maghrebian Sharḥ or literal Bible-translation tradition, and Gabriel Rosenbaum discusses the unique language of the Karaites of Egypt, a variety of Arabic containing distinctive words and expressions of Hebrew origin. Yosef Yuval Tobi analyzes Arabic poetic verses employed by grammarians and philosophers writing in Judeo-Arabic during the Middle Ages. Nahem Ilan reviews the new lexicon of medieval Judeo-Arabic (Jerusalem, 2016) by Mordechai Akiva Friedman, and Rachel Hasson offers a detailed analysis of the language of two Judeo-Arabic folktales from the Cairo Genizah. The contribution by Yehudit Henshke demonstrates the influence of spoken Maghrebian Judeo-Arabic on the Hebrew of Israeli immigrants from Morocco and their descendants. The article by Yael Reshef and Einat Gonen, too, focuses on influences on spoken Hebrew — in this instance, traces of traditional Ashkenazi Hebrew on the Hebrew spoken in Israel in the early 1960s. The volume includes English abstracts.

This book is an updated Hebrew translation of The Modulated Scream: Pain in Late Medieval Culture . Chicago: University of Chicago Press, 2010. The subject of this book is human pain in the later middle ages (13th - 15th centuries) in Western Europe. The author surveys and analyzes the ways people wrote about pain in different situations (like the difference between childbirth and toothache), and the ways people described their own pains. In a world with very few pain-killers and nothing at all to make surgery bearable, people suffered much more pain than we do today. Consequently, since they could not banish pain, they sought meanings for it. Physicians claimed that one should not try to soothe pain, since pain was an indicator of disease and as such, it was useful. Lawyers and judges claimed that the infliction of pain by torture was a tried-and-true method for eliciting true confessions from criminal suspects. Experts in Christian theology debated the nature of Christ’s pain during his Crucifixion, and mystics tried to identify with it, even to feel it. The common people were exhorted by preachers to bear their illnesses with patience, since pain on earth saved them future sufferings in the afterworld. In conclusion, medieval attitudes towards pain were radically different from modern ones: while we try and conquer pain, seeing it as a challenge, people in the past, who were often in constant pain, gave reasons for suffering and adopted pain as part of their lives.

In his article entitled "Facing Up to the Problem of Consciousness", David Chalmers divides the study of consciousness into two parts: the easy problems and the hard problems. The easy problems are those related to neurological/functional/cognitive processes. In contrast, the hard problem is the study of consciousness which is related to the subjective experience. In recent decades brain researchers have joined the race to understand consciousness. Most of them adopt an approach according to which any advance made in the study of neurological activity is also an advance in the study of consciousness. I contend that the gap between brain activities and the subjective experience cannot be bridged, among other things because consciousness is not confined within the brain. This book hence proposes that consciousness extends from the brain to the body and from only from there does it burst forth into the world. One of the book’s main arguments is that the world itself serves as our best model, without any need for representation or a central control system within our brains. Therefore, to better understand the subjective experience we must examine how human beings are present and act within the world.

Something crucial and quite unprecedented happened to kabbalah in the sixteenth and seventeenth centuries. Though it had previously been considered a highly secretive and esoteric tradition, its practitioners began to spread its doctrines throughout the Jewish world with missionary zeal. Their goal was ambitious: no less than the remodelling of the religious and ethical attitudes of the entire Jewish population, a reformation of Judaism. Few aspects of Jewish life and religious practice were not changed as a result of the spread of kabbalah. These innovations originated mainly in the city of Safed in Galilee. They were introduced by kabbalistic adepts, but would not have gained broad acceptance if they had not made sense to people in terms of their everyday lives. The kabbalistic corpus that emerged should thus be interpreted not just as the elaboration of a secretive literary tradition, but as a response to the needs of Jewish society in its manifest historical context. In addition, Roni Weinstein argues, these kabbalistic innovations were partly a response to changes in the Catholic world-view, revealing an intimate link with Counter-Reformation Catholicism that is explored here for the first time. The religious and political changes taking place in contemporary Ottoman settings also contributed to these changes. The effect of these developments on Jewish culture was nothing short of revolutionary, deeply affecting people’s lives at the time and also laying the foundations for change in future generations. Yet they were not presented as revolutionary: the early modern kabbalists understood that they would only succeed in spreading their message if they presented their doctrines as the natural continuation of what went before. Weinstein’s sociological reading of mystical texts encompasses a number of methodological innovations, including the need to consider the impact of the non-Jewish environment in the fashioning of Jewish texts. He sees the emergence of ‘Jewish modernity’ as the result of developments that were intrinsically Jewish rather than as a response to outside influences during the Enlightenment; controversially, he therefore places its origins in the Mediterranean world of the late sixteenth century rather than in eighteenth-century Berlin. His argument is based on a wide range of Jewish sources—including theological tracts, kabbalistic and ethical literature, hagiographies, mystical diaries, halakhic rulings and responsa, and community and confraternal regulations—as well as the testimonies non-Jewish travellers, and Catholic religious literature. This stimulating new reading of the development of kabbalistic texts and practices opens a new chapter in the understanding of Jewish modernity. The Hebrew edition of this book was awarded the Goren-Gottstein Prize for the Best Book in Jewish Thought 2010–2012.

In this book, based on lectures delivered at the Historical Society of Israel, the famed historian G. W. Bowersock presents an examination of political developments in the Arabian Peninsula on the eve of the rise of Islam. Recounting the growth of Christian Ethiopia and the conflict with Jewish Arabia, he describes the fall of Jerusalem at the hands of the late Sassanian (Persian) Empire. He concludes that the Byzantine Empire's defeat of the Sassanian forces, which destabilized the region, provided the opportunity for the rise and military success of Islam in the seventh century. Using close readings of surviving texts, Bowersock sheds new light on the complex causal relationships among the Byzantine, Ethiopian, Persian, and emerging Islamic forces.

In this issue we have articles, in Hebrew, by Professor Avi Ohry, on sanatoria in the Land of Israel, and by Reuven Gafni, on Russian-born Olga Feinberg who served the Arab and Jewish communities in Jericho during the British Mandate until forced to leave, with the destruction of her home, during the riots of 1936–1939. Dror Hubara looks at the example of providing quality medical care in a poor neighborhood in Israel, that of the old Yemenite settlement of Kfar Shiloaḥ close to the Mount of Olives, which came to an end in 1939. Moshe Pinchuk considers Hippocratic and Mesopotamian medicine in the texts of the Babylonian and Jerusalem Talmuds. In her intriguing article Adaya Hadar looks at how the human pulse and its rhythms were understood by the early Hassidic masters, Rabbi Shneur Zalman of Liadi and Rabbi Nachman of Bratslav, in different spiritual and metaphysical ways. Zipora Shehory-Rubin and Shifra Shvarts contribute an important addition to our understanding of school doctors from the Ottoman period till the end of the British Mandate. This saw the beginnings of provision of health services to students, pioneered by physicians like Dr. Hillel Yaffe (1864–1936) and Dr. Mordechai Brachyahu (1882–1959), first hygienist physician in Israel. In the English section Samuel Kottek also looks at medicine in the Babylonian and Jerusalem Talmuds, reviewing several texts on medicine and hygiene, while Edward Reichman features an unusual medical halachic case tried many times as a ritual murder and focusing, partly, on the religious practices of Jews regarding removing a fetus at the time of death, or soon after. Much has been written about Mordechai Gumpel (Gumpertz) Schnaber Leviso(h)n and his role in the early Haskalah movement but Kenneth Collins’ paper concentrates on the years he spent in London and the links he established there with Christian Hebraists and freemasons, as well as on his medical studies with the famed Hunter brothers and his London medical practice and writings. His short Historical Note examines the question whether the early enlightenment rabbi, Baruch Schick of Shklov, was in London in the early 1770s during the time of Levisohn’s period there. Ephraim Nissan looks at the life and death of the Polish-Jewish neurologist Maksymilian Rose (1883–1937), considering the causes of his sudden death in prewar Vilna, which still has significance some eighty years later. Prof. Avi Ohry offers an important account of the career of Berthe Neoussikine (Batia Nose-Chen), a largely forgotten figure from rehabilitation medicine and electro-physiology in France and Israel. Korot has been carrying articles from the regular workshops and conferences on Medicine and the Shoah organized by Boaz Cohen, Miriam Offer and Shmuel Reis and, following the international event held in Akko last year, we plan to publish several papers on this topic in our next issue.