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By Rev. Dr. W. Sihler
"To What Intent Does God Afflict Us With Sickness?"
There are two kinds of men whom God afflicts with disease: believers and unbelievers.
With each of these parties God aims at something different, though their sickness
be the same. What is His design in afflicting unbelievers? Answer: Disease is intended,
in their case, to be a salutary means of discipline in the sick person to prepare
the way for, and to assist the divine law in its demands, threats, curses, killing
and condemnation, that the patient awake from his deep sleep of sin, acknowledge
his sins, feel them in his conscience and confess them before God with a contrite
For this proximate end God often causes the sickness to continue, administering
to the patient an increase of beneficial discipline; for on the one hand He gives
the patient in his extreme pains a moderate foretaste of the eternal pains of hell;
on the other hand He restrains him from progressing on the road of sin, from indulging,
as in the days of health, in covetousness and debauchery; again He gets him more
into silence and solitude and grants him leisure, in painless hours, to meditate
upon his sinful corruption and lost life, and to search himself according to God's
commandments. Moreover God aims at making his continued ungratefulness for the high
favor of health bear heavily upon his conscience, and at showing him how health exceeds
ever so great temporal wealth. Though the patient were ever so rich and possessed
ever so many millions of dollars, what can all his money and property avail him now?
Likewise, what relish do gluttons and drunkards or dainty mouths now get from their
costly meats and drinks, as they both now loath all meats and strong drinks?
In short, God's gracious design in afflicting unbelievers with disease aims
at making them come to thoroughly, by the demands and curses of His law and the disciplinary
punishment of sickness, that they might experience the burden and curse of their
sins greatly and attain with a broken spirit and a contrite heart to true repentance.
Furthermore, God graciously purposes that the Holy Spirit kindle through the
Gospel, true faith in Christ in the heart of the contrite patient, so that he, through
remission of his sins, may become healed first as to his soul, as the man sick with
the palsy (Matthew 9:2); for to heal the sin-stricken soul, did God especially afflict
the body of the formerly unconverted patient.
Now first the patient has become a believer, and now first he also possesses
the spirit of grace and prayer, and is enabled, as the leper was (Matthew 8), to
call upon the Lord in an acceptable manner, "Lord, if Thou wilt, Thou canst make
me whole also in my body, as Thou didst unto so many in the days of Thine earthly
walk, and bless the means of cure." Yet he will meetly close his prayer with the
third petition. For though God should not restore the craved bodily health, He grants
him something immensely better, when his soul effects its entrance into life eternal
by the death of his body.
Now, it is a mournful fact, God does not attain this blessed end likely with
most of the impenitent sinners whom He visits with sickness. They oppose, as to
His law, so also to His well-meant discipline of punishment only an increased obstinacy
of maliciousness. They must suffer, indeed; but it is not their will to suffer:
and in place of becoming broken for their own good by the wounds made by the divine
law and bodily sickness, their heart rather becomes more and more hardened like an
anvil. And instead of permitting their hearts to be made tender by both unto "repentance
toward God," they inwardly increase in hardness, bitterness, hatred and enmity against
God. In extreme pains they oftentimes indulge in blasphemous utterances against
God, or resign themselves, when their disease continues, like Mohammedans, in silent
and stern defiance against the Lord to their unavoidable fate, as though they never
had been made Christians by baptism. Sometimes they will also chide God, especially
if they be self-important and self-righteous children of unbelief: that He afflicted
just them and so long, too, whilst so many grossly wicked fellows enjoy lasting health;
and these they hate therefore the more, and yet at the same time envy them.
But with believers, with His dear children in Christ, God aims at a different
object by visiting them with sickness. For them it is not a punishment, but a wholesome
chastisement, a means of paternal training for the purpose of maintaining them also
thereby, in connection with His Word, in repentance, faith and new obedience. For
Christians are not as yet wholly spirit, but have, besides the new man, still the
old man; besides the new spiritual life of heart, mind and will, also yet the flesh,
the sinful, corrupted nature with its fruits, the actual sins in desires and thoughts,
words and deeds cleaving to them. Therefore they must engage in a continual struggle
against the lusts of the flesh, so that by the grace of the Holy Spirit and by the
power of the divine Word the new man subject the old man more and more, and the dominion
of the spirit over the flesh abound daily more and more.
Now it happens that the Christian relaxes in this struggle for a time. He becomes,
for instance, more slothful and cold in offering praise and thanks for the great
gift of health also and other favors of God. He is no longer possessed of the same
earnestness and zeal to hear and learn, to read, and meditate upon, the Word of God
and thereby to increase in the blessed knowledge of God and himself and to obtain
clearer conceptions of divine things; yea, according to the old man, he sometimes
feels a disgust of, and an aversion towards the Word of God. Occasionally also that
sin stealthily and gradually creeps to his heart again, which before his conversion
was his darling and besetting sin, be it love of money and covetousness, or the thirst
for strong drink, or worldly cares, or the love of the world, the fear of the world;
or if one that is married and the head of a family, exercise no longer his former
diligence in governing his house according to God's Word, to rear his children in
the nurture and admonition of the Lord. Or if he prosper in all his enterprises
and be in danger of nestling again in the earth and of feeling quite at home and
at ease here below, so as to feel very little like a stranger and pilgrim, etc.
In brief, the Christian is in a dangerous state. What, then, does God, his
heavenly Father in Christ, do -- God, who has His eyes fixed upon him incessantly
and looks toward his welfare with more than motherly care? He visits him perhaps
with a protracted and partly painful sickness. But to what purpose?
In the first place that he abound more and more in "repentance toward God";
that he increase in the knowledge of this world's vanity, of the fleetness and nothingness
of temporal goods, joys and pleasures; that he experience a profounder hatred and
abhorrence of his former besetting sins; that he feel more keenly his light-mindedness
and slothfulness in offering praises and thanks to God, his want of earnestness and
steadfastness in the use of the divine Word -- as sins against the love of God, and
contritely confess the same before God; that he acknowledge his unfaithfulness or
weakness in governing his house and bringing up his children, with deeper compunction;
that instead of having put on bowels of Christian compassion towards the sins, evils,
distresses, wretchedness and misery of his fellowman -- so often hardness and unfeelingness
had been in his heart, and that for this reason he often neglected the opportunity
of serving and assisting his fellowman according to his temporal or spiritual wants
by acts of charity; that he also, contrary to charity, had submitted to the sinful
perverseness of his temperament, especially to his proneness to anger.
In the second place, God sends sickness upon His children to keep them from
holding on to any repentance worked by the law, and to induce them again and again
to approach in childlike faith the throne of grace, their Lord and Savior, and from
the fulness of His merit receive in virtue of His absolution grace for grace, remission
for remission, comfort for comfort. By such continued appropriation of God's grace
through Christ in the Gospel they are strengthened gradually in the sound faith in
Christ, in the faith which readily clings to, and abides in, the Word of grace without,
yea, sometimes contrary to feeling.
In the third place, God sends sickness upon His faithful also for this purpose,
that their faith being tried might work in them from day to day patience, that makes
them willing to be sick as long as it pleaseth God, and that their heart rest quietly
and meekly in the third petition, and they resign without any will of their own their
recovery or departure to God's will.
In the fourth place, God lets them become ill and keeps them sometimes in a
long school of affliction, that, as their repentance, faith and patience increase,
their old man be killed more and more and their new man live more and more.
Finally, their godly behavior shall not only edify the weak in the faith, but,
also, be a loud and earnest voice unto repentance for unbelievers who flee and hate
sickness and are slaves of the fear of death.
"To What Intent Does God Afflict Us With Sickness" by Rev. Dr. W. Sihler is here
reprinted from The Lutheran Witness, July 7, 1883, Volume 2, Number 4, pages 31-32.
Note: While no translator is expressly indicated, the article ends both with a reference
to Zeit- und Gelegen-heits-Predigten, pages 28-32, andthe initials of The Lutheran
Witness's editor, C. A. Frank, in brackets. This electronic edition was edited and
made available by: