Imagine a scenario where a loved one is suffering from an incurable condition and unimaginable pain.  And yet, antiquated laws have prevented her from finding peace once and for all. Shouldn’t they be changed to allow a medical professional to compassionately put her out of her misery?

This is the argument posed by physician-assisted suicide (PAS) advocates, and it has successfully changed numerous laws in the United States. But is death the only way to end pain? And do laws which allow PAS affect others in unexpected ways as well? Furthermore, could the legalization of PAS be abused?

First, let’s examine the facts. PAS is legal in many westernized countries today, such as Canada, the U.K., and Japan. But the country with the most PAS data is the Netherlands–one of the first countries to legalize the practice. Shockingly, PAS accounts for over four percent of all deaths in the Netherlands today, and the percentage is probably larger, since many such deaths go unreported. Furthermore, many euthanized were either unaware or incompetent to make this decision for themselves. Even children as young as twelve can be euthanized under the law. People can also be euthanized for depression in the Netherlands; eighty-three people were put to death for psychiatric conditions in 2017. Because of these facts, many Dutch citizens worry about being euthanized against their wishes. In fact, it is estimated that 10,000 Dutch citizens carry a “do not euthanize me” card just in case they become incapacitated.

Sadly, the United States is following in Holland’s footsteps. Already ten states and the District of Columbia have legalized the practice of PAS and the number of states which will legalize PAS in the future is expected to grow.

But what are the risks of legalizing PAS? Physician bias is always an issue. One only needs to find one doctor who is willing to approve nearly any request for euthanasia, and numerous unneeded deaths will be the result. Furthermore, as the price of health care increases, the possibility for coercion grows. Families will decide, often for economic reasons, that it’s best to end a loved one’s life rather than pay for long-term treatments which might result in financial collapse.

Is PAS even needed to control pain? One of the positive movements in recent decades has been the growth of the hospice movement and its effort to provide palliative pain care. The truth is that most pain conditions caused by life-threatening diseases can be alleviated using analgesic medications, including opioids. Indeed, proper hospice care has been able to extend life in many cases, even above the expected longevity of undergoing additional treatment.

Ultimately, as Christians, we need to understand how PAS does, or does not, fit into God’s plan for our lives. And as with any moral issue, Gods’ Word has to be our final guide.

One of the problems with today’s society is that there is no perceived value in suffering. Everything is solved with a pill. But God’s Word tells us otherwise. In 2 Corinthians 12:9-10, Paul reflects on how the Lord told him that, “My grace is sufficient for you, for power is perfected in weakness.” Paul writes, “Most gladly, therefore, I will rather boast about my weaknesses, so that the power of Christ may dwell in me. Therefore, I am well content with weaknesses, with insults, with distresses, with persecutions, with difficulties, for Christ’s sake; for when I am weak, then I am strong.” Our illnesses teach us about the kind of humility we need in order to have an honest relationship with the living God.

We must leave the power of life and death in the Lord’s hands. After his entire family was killed, Job wrote, “The Lord gave and the Lord has taken away; may the name of the Lord be praised.” We need to leave our mortality in the hands of God because we have a bright and shining future waiting for us – even after we die. At the end of time, “[God] will wipe away every tear from [our] eyes; and there will no longer be any death; there will no longer be any mourning, or crying, or pain; the first things have passed away” (Rev. 21:4).

Rev. Dr. Dennis Di Mauro is pastor of Trinity Lutheran Church (NALC) in Warrenton, VA. He also teaches at St. Paul Lutheran Seminary and the North American Lutheran Seminary.

Have you ever preached the Gospel
to people who don’t care about anything but the present moment?  Or to put it differently, can you imagine
sharing the good news with people who don’t believe that the past and future
have any claim on today? 

Past, Present, Future

A Facebook group to which I belong recently shared a “Preaching Moment” video by Thomas G. Long, homiletics professor at the Candler School of Theology, in which he addresses this situation.  According to Long, the so-called “narrative” mode of preaching has become less effective in recent years because fewer people view their lives as a story with a past, present, and future.   

“The narrative mode of preaching addressed this need: the need is, I have heard the gospel; I know the biblical message, but I am not existentially engaged with it,” Long explains.  “And therefore I need to move from knowledge to delight.”  Narrative preaching seeks to move listeners from passive knowledge of the Gospel to a lively faith in it by telling stories that help listeners see themselves within the grand narrative of Scripture. 

Location on the Timeline

But you know how stories work: they
typically connect the past, present, and future, making sense of how one event
touches another.  What if the culture to
which you preach lacks that sense of time? 
That is, what if it lacks not only knowledge of the biblical narrative
but also what Long calls narrative
competence, the ability to view things in chronological relationship and
locate oneself within that timeline? 

Referencing an Oxford scholar named Galen Strawson, Long points to the rise of people who understand themselves in this “episodic” way.  People who think “episodically” know that certain things happened to them in years past, but they insist that those things don’t have a material effect on who they are today.  Moreover, they don’t view their present in light of any anticipated future. 

Instead, the present moment alone becomes the workshop of identity.  A person’s origins, experiences, and ultimate destination have no necessary bearing on beliefs and moral decisions.  “Who I am today may not be who I am tomorrow” — we’ll have to wait and see.  (You may read Strawson’s argument here.)

You and I, like Long, may disagree with this episodic interpretation of human nature.  It seems, perhaps, a bit defensive, like an argument for how someone wants things to be more than a confession of how things really are.  But now consider some of the trends that we see in our culture and churches. 

Trends and Doom

In the realm of identity politics and intersectional theory, both personal and national identities can be forged through hard breaks with the past that disavow its relevance for the present.  Perhaps the past is viewed as too oppressive or indecent for serious consideration, even to the point of rejecting the literary and artistic accomplishments of prior eras due to their supposed moral degeneracy. 

Likewise, scientific and
quasi-scientific foretelling of the earth’s future can sometimes paint such a
vision of doom as to deny any real future at all.  Ecological prophecy can leave people anywhere
from dismal about tomorrow to blithely unconcerned about it.  The future looks as impossible as the past
looks dangerous, rendering both irrelevant for the present.

Torching the Church’s Past

We have whiffs of this episodic malaise
in the church, too.  Some of its leaders seem
intent on torching the church’s past, perhaps deeming it too white, too
capitalist, or too cis.  Better, they
say, to remake the church in light of present sensibilities alone.  Others, in their radical calls for social
justice, appear almost to despair of any future change, their cries
increasingly vengeful.  Where, one might
wonder, is their enlivening hope in the advent of Christ?  You can always smell a church without a
Christ-centered vision of the future, especially if you’ve had prior experience
in smelling corpses.

How Now Shall We Respond?

So Strawson and Long may have
touched on something significant.  Their
reflections dovetail with what others have noted about the growth of a “new
paganism” in America, given that many non-traditional spiritualities also lack
a clearly linear conception of time.  
But now the question is: how shall confessing Lutherans respond? 

First, we should answer for
ourselves the basic challenges that the episodic mindset poses to our
confession of faith.  For example, speaking
of forgiveness necessarily assumes the relevance of both the past and the
future to the present.  Forgiveness only
matters as part of a story where people are otherwise responsible for their
past action and face condemnation in the future.  But why should that be?  Why should my actions yesterday have any
claim on who I am today?  Don’t Lutherans
believe in a “new Adam and Eve rising daily” before God? 

Why the Past and Future Matter

In response, Lutherans might start
with what we consider the hallmark condition for freedom and life before God: “the
righteous shall live by faith.”  Trust in
Christ justifies the sinner, Scripture says, and just a little reflection on
the nature of faith will reveal why the past and future matter as much as the present. 

Simply put, trust is necessary for
happiness.  It is trust that allows us to
form commitments that provide us with daily security and open the future to
such fundamental things as love and family.  
At the same time, trust thrives on the past and anticipates a future.  Whether it’s trust in God or trust in our
neighbor, faith in anyone depends on the reliability of that person, a
reliability that is only known through the narrative of that person’s past.  As a colleague of mine points out, you may
consider yourself as free of your past as you wish, but your boss may have
other thoughts.  A boss relies on your
dependability in anticipation of the company’s future success. 

Why Trade Freedom for Bondage?

Having reflected on those
connections between happiness, trust, and time, confessing Lutherans may then critique
the episodic mentality and answer its challenges with the renewing Word.  By way of the Law, we may press a culture
that seeks to ignore the past and future with a simple question: why would you
trade freedom for bondage?  Why give up
the necessary conditions for trust
and commitment and love (the life God would have for
you)? 

Indeed, why not acknowledge things
for how they really are, even if it means finding yourself saddled with a
history of wrong?  Facing our past error ultimately
sets the stage for greater trust, commitment, and love in the future by
exposing our unreliability and asserting that both God and we hope to end
it. 

Then, having exposed the happy
life’s dependence on both the past and the future, we may introduce the
narrative of God’s utter dependability.  His
trustworthiness, pictured through the history of Israel and fulfilled in Jesus,
not only justifies the existence of sinners now — they exist for His glory, as
it turns out — but it also opens the future with the promise of their ultimate
healing.  Preaching this faithfulness of
God starts to root a rootless culture into His narrative. 

Rise of the New Adam

It also allows us to grant the
episodic mindset at least one gracious nod. 
Inherent to episodic thinking is the desire to be continually new.  As noted earlier, some might say that
thinking episodically is good Lutheranism. 
“Don’t Lutherans believe in a new Adam or Eve emerging daily?”  Yes, it is essential to faith in Holy Baptism!   Recognizing that the past and future play a
role in shaping identity should never steal from the believer that fresh joy of
Christ. 

But now we can see what makes such joy possible.  The believer only comes to newness of life by trusting God’s trustworthiness over the sinner’s unreliability.  That is, it only comes by way of repentance, and that repentance is made possible only through trust in God’s mighty works and what they promise in the world to come.  Only through this intersection of the Biblical narrative and one’s personal narrative does the New Adam arise. 

I’m not writing these reflections to advocate a renewal of narrative preaching.  To the contrary, I agree with Long that the narrative preaching of the last century has probably enjoyed its heyday.  But consideration of how the church and its neighbors divide over one key aspect of narrative (time!) may help us speak the Gospel.  It may lead us to understand better why some people are not hearing us, and how we may overcome that divide with the good news that turns past, present, and future into a really good time.

“Let the peoples praise You, O God; let all the peoples praise You.  The earth has yielded its produce; God, our God, blesses us.  God blesses us, that all the ends of the earth may fear Him.”  (Psalm 67:5-7)

In the ebb and flow of history, nations arise which do praise the Lord.  They are blessed when they do.  But whether or not they bless the Lord, He provides for them.  The earth brings forth its bounty and God provides for all.  See how good the Lord is and although many ignore Him, be one who blesses the Lord for the goodness He brings forth into this world.

Lord I am often more influenced by those around me than by You.  Yet the truth is that Your presence so permeates the world that it is You who is everywhere.  Help me to see more clearly that only in You is there hope and a future and that by Your goodness we all live.  Guide my heart to simply give thanks and praise You always and in every situation.  Thank You, Lord, for Your goodness.

Lord Jesus, not only were all things created by and through You, but You have redeemed the world by giving Your own life as a sacrifice.  Lead me, Lord Jesus, to live into the promises You have given and know that in You is there hope and a future, Lead me, O Lord, that I may be led to walk in the way You have established always.  Guide me and teach me how to praise and be thankful for all things.  Amen.

“On account of the sin of their mouth and the words of their lips, let them even be caught in their pride, and on account of curses and lies which they utter.  Destroy them in wrath, destroy them that they may be no more; that men may know that God rules in Jacob to the ends of the earth.”  (Psalm 59:12-13)

The wicked will come to nothing though it be a generation or even many generations before their deeds are remembered no more.  Do not spend your energy on those who will perish, but keep your eye on the prize of eternity which the Lord offers to the faithful.  Know that He is mighty to save and will lead you in all of your ways in His path of righteousness.

Lord, help me see through the confusion of this age the goodness that You offer before me.  Help me now and always to see clearly the truth You have revealed once for all.  Guide me in the way of truth that I may walk now and always in Your ways.  Help me to see Your goodness and know that in You is the hope for all in this age of sin.  May I now and always be guided by Your salvation.

Lord Jesus, by Your grace alone is there hope and a future for all who are captives in this age of sin.  Guide me now and always to see the hope of glory You offer through forgiveness.  Lead me to see in You alone my guidance through everything that will come.  Help me now and always to live with You as my example, by Your grace able to meet all that will come this and every day.  Amen.

“My God in His lovingkindness will meet me; God will let me look triumphantly upon my foes.  Do not slay them, or my people will forget; scatter them by Your power, and bring them down, O Lord, our shield.”  (Psalm 59:10-11)

The Lord meets us.  People pursue the Lord, but cannot on their terms.  He comes and meets us, for His name is salvation.  Do not pursue the way of the wicked, but come to the Lord who invites and desires that You would come to Him.  Let the Lord lead you in all of your ways and He will give you rest.  Be guided by His goodness and know that He knows you and loves you.

Lord, I am carried away and enticed by the sinful ways of this world to have vengeance. But vengeance is Yours alone. Guide me in the way You have established that I would now and forever be guided by Your goodness.  Help me in every time of trouble to see that You alone are Lord and only in You is there a future.  Lead me, O Lord, that I would be led by Your salvation knowing that only in You is there hope.

Lord Jesus, Your name means salvation, come and take my hand this day that I may be led by You wherever You take me.  Help me now and always to see in You the hope of glory and the way of forever.  Guide me to walk in Your ways and flee from the temptations of this world.  Help me in every time of difficulty to look to You first and follow in the way You lead now and always.  Amen.

“They have prepared a net for my steps; my soul is bowed down; they dug a pit before me; they themselves have fallen into the midst of it.  My heart is steadfast, O God, my heart is steadfast; I will sing, yes, I will sing praises!”  (Psalm 57:6-7)

In the midst of the turmoil of the world, many will lament, curse God and join in the fray.  But will that change the rampant sin that prevails?  No, it will not.  Praise the Lord in all seasons and know that You have His promise that everything will work for His glory.  Know that the Lord is good in the midst of all that is not good.  Let your heart be steadfast and praise the Lord at all times.

Lord I often spend time in laments, but not in praise.  Praise is not an emotion, but an attitude.  Guide me to see in You hope and a future.  Lead me into the life to which You have called me that I would go with hope in You.  No matter what happens in this life, lead me O Lord to walk in Your ways, praising You for all that comes.  Keep my heart steadfast upon You.

Lord Jesus, You know the pain and suffering more than any other, for You took it all upon Yourself.  Help me know that this is true that I may walk with You confidently trusting in all that You have done.  Let me work through every adversity while You are shaping me day by day to be more like You.  Lead me, O Lord, and grant my feet the ability to follow.  Amen

“Be gracious to me, O God, be gracious to me, for my soul takes refuge in You; and in the shadow of Your wings I will take refuge until destruction passes by.  I will cry to God Most High, to God who accomplishes all things for me.”  (Psalm 57:1-2)

Grace is unmerited favor, a gift that the Lord grants to those who turn to Him.  We all need grace, for we all have fallen short of the glory of the Lord.  Cry out to the Lord who hears you and knows all about what He has made.  Know that in Him you can take refuge and He will cover you in the shadow of His wing.  The Lord is more than able to accomplish your salvation.

Lord, in times of trouble I look to You, but often in times of plenty, I simply go my way and ignore You.  Help me realize that this age is a time of great trouble and turmoil.  Lead me into the truth of Your presence that I would know that in You I have an eternal hope and a future.  Guide me in Your will to walk in Your ways all the days of my life, knowing in You alone can I hope.

Christ, the Savior of the World, You have come to be the refuge for all.  Lead me in the grace You have purchased by Your own blood that I may forever walk in the mercy of the Father.  Destruction has already come upon the world, but in You I need not fear anything that comes.  Lead me, O Lord, to stand by Your side and walk where You direct, knowing that only in You will I be made complete.  Amen.

“Therefore encourage one another with these words.” (1 Thess. 4:18)

St. Paul didn’t act as though he had more than he really had.  He had words, and they were good words.  Words can open minds, console hearts, and change futures.  Words from God, founded on the acts of God, can do even greater things: they can raise the dead.

Here in central Wisconsin, we can know how words work just by looking at the great hunting season that unfolds this month.  Consider how much talk accompanies hunting; think of the photos that people post of their kill to illustrate the stories that they tell.  That conversation encourages hunters in their hope and accompanies them into the woods.

It’s a reflection of the greater glory of Jesus Christ.  His life has authored a deathless word, the Holy Gospel that not only speaks of forgiveness now but also of the world to come.  This holy Word we must steadily proclaim, more and more, to encourage one another and reveal to this present world that there is a happy future to be had.  In the end, that sacred conversation of the Church is the hope that will accompany souls into the woods, however dark the woods may be.

LET US PRAY: Speak, O Lord, we will hear You, for Your Word alone is life.  Amen

Pastor Steven K. Gjerde

Zion, Wausau

“You have taken account of my wanderings; put my tears in Your bottle.  Are they not in Your book?  Then my enemies will turn back in the day when I call; this I know, that God is for me.”  (Psalm 56:8-9)

The Lord knows the days of our life.  He knows what we need long before we ask.  He allows all the things that happen to occur for His purposes.  Trusting in the Lord is the result of faith and knowing that all things are in His hands is the truth.  Come then to the Lord and be not afraid.

Lord, all around me is the evidence of a world that is not quite right.  Help me, I pray, to see through the fog of this world the truth of Your Word.  Guide me according to Your never-failing principles to walk humbly on the earth knowing that You alone are God of all.  Your book is written and in it is that page onto which You have written me.  Guide me to live as You would have me live.

Lord Jesus, You are the author and finisher of the faith for all of those who come to You.  Lead me to follow and open my ears to speak as You speak that I would be guided by the truth of eternity.  Though all around me is chaos, settle my heart to simply trust in the grace You provide knowing that only in You is there hope and a future.  May I truly follow You all the days of my life.  Amen.

“In God, whose word I praise, in God I have put my trust; I shall not be afraid.  What can mere man do to me?  All day long they distort my words; all their thoughts are against me for evil.”  (Psalm 56:4-5)

Word twisting is nothing new.  It has been done from the beginning.  Pay attention to what the Lord has said, straight up, and praise Him as you have been created to praise.  Do not mind the ones who distort the truth, but live in the truth of the Word which has been revealed and know that God is good and gracious, slow to anger and abounding in steadfast love.  Think on God’s goodness.

Lord, all around me are those who seek my acceptance of them and their ways.  Lead me, O Lord, in the way I should go that I would hold fast to Your Word of truth knowing that in You alone is there hope and a future.  Let my lips praise You all the day long and I will forever look only to You as the source of life.  Shield my ears from the false ways of the wicked ones of this world that I may hold fast to Your Word.

Lord Jesus, You have come that I may have life and have it abundantly.  My mind is affected by the twisted words of this world.  Clear my mind to hear the straight truth of Your Word which is from everlasting.  Help me keep things simple and listen to what You have to say.  You are the author and finisher of my faith.  Lead me in the way I should go and I will follow You.  Amen.