Dina Degarmi and the Rambam's Method Regarding Shabbat and Healing

Although a person is always prone to sin and there is no distinction between rape and willful harm to a person (harm), it is possible that it is only in the case of harm to the hands. But in the law of the gramma there may be a difference. Even if the gramma is liable, it is possible that the gramma in rape/accident will not be liable. And it is necessary to clarify the matter, because according to the Rambam, all payments of damages are not really money (a ransom as a kind of fine), and the commentators have already established this. If so, the Gemara has even more room to say so, and then it is possible that he was not held liable for rape/accidental damage because he does not need atonement for that. In monetary obligations, the payment is a legal obligation towards the injured party/plaintiff, and then there is no room to distinguish between accidental and intentional damage, since the defendant is entitled to money. But in the case of a fine or ransom, there is certainly room to distinguish. And in general, in the law of harm, it is stated in the Grammar of the Book of the Judges (50a) that one is exempt according to human law but obligated according to heavenly law, and this is also ruled halachically in the Rambam. Therefore, the Shach's words are puzzling for the reader.