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.

The apostle Paul wrote to the Galatians, “Do not be deceived; God is not mocked, for you reap whatever you sow.” (Galatians 6: 7)  From my viewpoint, the ELCA is reaping what it from its inception has been sowing.

Lenny Duncan is an ELCA pastor who describes himself as “the unlikeliest of pastors.”  He is author of the book, Dear Church: A Love Letter from a Black Preacher to the Whitest Denomination in the United States.  We should not be surprised that he quickly became a celebrity within the ELCA – a sought after speaker in congregations and educational institutions.  He sounds exactly like someone to whom the ELCA would give the greatest amount of publicity and visibility. 

There is only one problem.  He has turned on the ELCA and has done so viciously.  Check out his website – https://lennyduncan.substack.com.  There you will find parts one through five of his articles, “Why the ELCA needs to start a reparations process,” which he subtitles, “Why you should defund your denomination.”

What is his plan?  What I really should ask is, What is his demand?  He is demanding that the ELCA set aside $32 million over the next three years to create a reparations fund to right the wrongs of centuries of racial injustice here in the United States.  And if the ELCA does not set aside $32 million over the next three years, then he is challenging people to “defund churchwide” and redirect $32 million in contributions away from the ELCA into his reparations fund.  What is amazing to me is not only the audacity of the way in which he demands that the ELCA make his top priority into their top priority, but also the vicious way in which he speaks of the leadership of the ELCA – a group that gave him support, visibility, and every opportunity to make maximum impact.

But as I think about, I realize that his words and behavior should not be surprising.  I would like to distinguish between the more moderate, pro-organization revisionists, and the more extreme, burn-and-tear-the-organization-down revisionists.

The more moderate, pro-organization revisionists are the ones currently in power in the ELCA.  They have three top priorities – their relentless agendas, their own power, and the preservation of the churchwide organization.  For them it seems that anything goes – you can believe and advocate for anything you want – even the rejection of basic, Biblical moral values and the foundational tenants of the historic Christian faith – as long as you are loyal to the organization.  For them preservation of the organization is paramount.

The problem is that they are now running into – or maybe I should say that they are being run into by – what they have been enabling and empowering – extreme revisionists who feel no loyalty to and do not value the organization.  Rather these extreme revisionists would be just as happy to burn or tear the organization down.  As it is happening in our nation, so it is happening in the ELCA.

Here is another example.  In 2019 the ELCA Conference of Bishops recommended to the Church Council a document entitled, “Trustworthy Servants of the People of God” as a basic statement of the ELCA’s expectations for rostered leaders.  Extremists, who do not want pastors and other rostered leaders to have to be married (by any definition) in order to be sexually active, objected so strongly that the ELCA Church Council declined to consider the document and instead sent it back to the ELCA’s Domestic Mission Unit to come up with a new document that would not be so hurtful and harmful for people who had been deeply wounded by former ELCA statements that held to traditional Biblical standards for behavior and relationships.  The latest I have heard is that the ELCA’s Domestic Mission Unit has not yet come up with a new document because it wants to give the ELCA a “breathing space.”  Here also the extreme revisionists have been enabled and empowered.  You can be sure that they will not rest until the document that is approved by the ELCA Church Council is one that reflects the most extreme, revisionist view of human sexual relationships and identities.  

And what about the ELCA’s refusal to stand up to the “We Are Naked and Unashamed” movement, which arose out of one of the ELCA seminaries and which rejects marriage by any definition as normative for sexual activity?  Or what about the people who are chosen to be keynote speakers for the ELCA’s triennial youth gatherings?  The last time – in 2018 – one of the keynote speakers – another pastor whom the ELCA has chosen to make into one of its greatest celebrities – led 31,000 young people in rejecting traditional Biblical standards for morality as a lie.  What will the ELCA do as it continues to experience the effects of what it has been enabling and empowering?  How will the ELCA respond as it continues to reap what it has been sowing?   

“They crush Your people, O Lord, and afflict Your heritage.  They slay the widow and the stranger and murder the orphans.”  (Psalm 94:5-6)

The world has always been hostile to the ways of the Lord.  There are those who prey on whomever they can to get for themselves what they will.  Can not the Lord stop them?  Of course, but He has a plan that is far superior to our ability to even begin to comprehend.  Rather than trusting in your understanding, trust in the One through whom all things have their being.

Lord, this world is often difficult and I do not understand.  Why are the wicked able to prey upon the weak?  Why do things happen as they do?  Help me stop seeking answers that I may learn to trust You above my own reasoning.  Guide me to see that everything is in Your hands and that You will work all things together for good as You teach us to love as You love.

Love Incarnate,You have come that we may not be trapped in this body of sin, but freed to live into the life to which we have been called.  Guide me, my Savior, to walk humbly in Your sight.  Lead me according to Your purposes to be the child of the Heavenly Father that You died to enable me to become.  May I spend this and every day in praise of You who alone is able to save me from this wicked world.  Amen.