The Pragmatician

I was going through a fragment of a guide for Hatzalah members.
What jumps off the pages are the extraordinary leniencies accorded to save lives.
While it makes sense and we’ve all learned that saving a life takes precedence over almost any prohibition, it is nevertheless very interesting to see how far Hatzalah personnel is permitted to transgress the Shabbes, even in cases of doubt.
Any suspicion of something serious that may have happened is good enough to pick up a phone and ride an ambulance while various ‘melachaos” are set aside for the sake of human lives.
I have so much admiration for these people.
Yes it’s wonderful that for no compensation whatsoever they will run towards a person in need regardless of the time and day.
But this isn’t the only thing I admire.
I know how awful it is to have to transgress the Shabbes for medical reasons.
And while it’s mandated to do the necessary when ill ח״ש to get better, there’s this disagreeable feeling that’s hard to push aside.
And yet there they go, Shabbes, Yom Tov, day or night, always shaking off whatever feels unpleasant and focus on the person in need.

Now if Rabbonim universally agree that saving a life in the physical sense is important enough to set all Halachos temporarily aside, then why is destroying lives in the emotional sense so rampant?
How come someone who wouldn’t dream of transgressing the Shabbes (even in private) would so easily ‘kill’ a fellow Jew?
How come that orthodox people have to face so many traumas, directly linked to way communities function?

I believe that the Torah teaches us that saving a life is a bigger Mitzvah than all others, then surely destroying one, albeit not physically, has to be the worse Averah (sin) possible.