Sometimes, someone is so sick that they can't tolerate the bitterness of the herbs necesary to heal them, then the Doctors give up, and cease to treat the patient.
Similarly, people might be so far removed from God, so sick with sin, that they cannot receive Shalom.
For these people, HaShem throws away their sins, so they can receive Shalom with suffering they can survive.
(Likkutei Moharan I:27)
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