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As you mentioned, "רפואה" can mean both things: healing an existing disease, or preventing a future one. Rashi himself asks your question. He brings the midrash, which reads the passuk as "I will put none of the sicknesses upon thee... (yet if I will, it will be as though I didn't), for I am the LORD that healeth thee." The Siftei Chachamim explain that ...

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