1990 issue 4 - the reconstruction of medicine - counsel of chalcedon
TRANSCRIPT
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The
Reconstruction
of
edicine
by Joseph C. Morecraft, i l l
I THE CRISIS OF MODERN
MEDICINE
A.
The
Political Crisis
Our
federal government
continues to move closer and closer to
the complete socialization
of
America's
health care system with such plans as
Secretary Bowen's Catastrophic Health
Insurance
and
Senator Kennedy's
Mandatory Health Insurance.l It refuses
to recognize that socialized medicine is
the death
of
the practice
of
medicine
that is inexpensive, effective and
available to
all.
All nations with
socialized medicine, such as the USSR,
Great Britain,
and
Canada lack one
thing,
writes
Harry Schwartz: enough
money
t9 provide quality medical care
and
to
take full
advantage
of
modem
medical technology. 2 Health care
in
the USSR is a disaster. Britain's health
care system is in shambles,
and
Canada's is on its way down.
One or two generations
ago,
many
people dreamed that socialized medicine
would provide every citizen with all the
health care he needed or wanted. But
history
has
proved irrefutably that
s ~ i a l i z e ~ medicine is simply a means
of tmposmg Procrustean rationing on
the entire population. In other words
. .
some ctuzens receive care and live,
while others are denied care and are
permitted to die as quickly as
possible. 3 (Harry Schwartz, The
British Way
of
Withholding pg.
lOlf
in The Freeman
March, 1989).It
must be mentioned that socialism is
not
the
only eontrlbuting factor
to m
political crisis of medicine. The
unionization of medicine by the .
American Medical Association, with its
Leftist
orientatioJl.
is also a
contributing factor.
This political crisis is a religious crisis.
As
men
change their faith, their
politics, worldview
and
social order
change.
As
America's
faith
becomes
less and less Christian and more and
more
pagan, its politics,
worldView
(regarding medicine
as
well as
everything else) and its social order
become more and
more
dominated by
paganism's superstition, magic;
h ~ s m ~ s l a v e r y This shows up
Particularly
the
medical profession.
SoCialized
medicine; rooted in a retuni
to pagan religion, is already here
with
state
and
federal
licensW"e,
regulation , ,
and
~ n t r o l
which can protect
medicme and doctors, but the same
way that slavery protects s1ave8. There
are benefits, but the loss .is a Vitalone _
- modem
men
and modem doctors are
sta.te property. They may grumble at
bemg
sheared periodically, Or sacrificed
to suit the s t a ~ but, in essence, most
ate getting what they have asked for by :
their daily lives. They
are
statist in
faith. The slave may grumble a ~ o u t
his
working conditions, but he is simply
property,
and
he will be used as such. f
he
wants
a real change, he must work
for his
freedom."4
B. The
-
Legid
Crisis '
One needs only mention
words, medical rnalpractice.stiits, or be
Page
16
May
1990 The o u ~ s e l of h a l c e d ~ n
reminded o doctors'
insurance
costs
and it becomes all too painfully '
obvious that the legal crisis of medicine :
is out of control.
C The Medical Crisis
1.
1HE CRISIS
OF
A LOSS
OFFAI11I
a. The
Loss
of Faith in the
Doctors
Modem
doctors,
generally, have lost thek faith in the
One,.True.and Living God of
the
Bible.
They have replaced thek faith in God
with a fajth in
themselves and
in
medical/scienCe
research
and ~ h n o l o g y .
as g o d - ~ I I D d their gods are failing
them
One evtdence
o this change of
gods
in
doctors
iffid
its evil
resUlts
is
medicine's mechanical model" in
Western.
Culture,
Its roots are
also
in
ancientJ>aganiSm. This niechanical
model"
rejects the
biblical
truth that
man
and
woncin
are
made
in the image
of God and are physical-spiritual
beings
for pagan view that
the
physical
body Is
the sole concern of the doctor
and
is simply a mechanistic thing. '
When the fuel is
low in
a machine, we
add
more oil and gasoline. When
the
mechanical parts break or wear out, we
,add new parts. So with modem
medicine's approach to the patient This
~ e c h a n i ~ a l model produces not only a
distorted medical practice, but a
dangerous
one.
The
idea
of
man
being a
person
created
in the
image of
God is
by-paSsed. Life is no longer
seen
as a
religious f ~ t but a legal definition
writes Ru8hdoony
:
5
The unborn chnd is
merely a piece of tissue. Euthanasia is
p ~ a c t i c e d because
elderly
people are
vtewed as Qld, worn-out models , now
fit only for the junk
pile. "The
spare
parts idea is cultivated--aborted babies
are a source of raw
materials
and the
dying are cannibalized
for
spare
organs. 6
P a t i ~ t s
God
b. The Loss of
Faith in the
(1). The
Loss
of Faith in
In
recent decades
Americans in general have lost thek
faith
in
the triune
GQ
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Christians seek salvation from God in
Christ This
is
nothing new.
In
ancient
Judah,
King
Asa became diseased in
his feet His disease was severe, yet
even in his
disease
he did not seek the
Lord, but the physicians,
II
Chron.
16:12.
(2). The Loss of Trust in
Doctors
Since all idols
disappoint their worshipers, more
and
more people have lost faith in
physicians. Their image has been so
badly
dama
ged
by
their humanism,
especially their willingness to murder
unborn babies, that the patients' trust in
doctors is weakening. The doctor once
had
an honored and loved status with
his patients because they were
convinced he was deeply religious and
deeply concerned for them. That picture
is rapidly changing due to the decline of
Christian faith
in
our culture.
John Naisbitt, in
his
best-selling
book,
Megatrends
points out that
America's loss of faith in the medical
establishment
gave
a strong symbolic
push to
the
paradigm shift from
institutional help to self-help. When we
entered the 1970's without the long
promised cure
for
cancer, people began
to question the omnipotence of
science.
(pg.
133)7
2. TilE CRISIS OF NEW AGE
HOLISTIC
MEDICINE
Accelerating this medical
crisis and this growing distrust in
orthodox medicine is the New Age
Movement
with
its emphasis on
holistic health and healing. In his
helpful book:, Unmasking theNew
Age Douglas Groothuis describes the
attitude that
moves
people toward
holistic New Age medicine: The
health professionals' mechanistic view
of people, rising malpractice suits,
dangerous
prescription drugs, iatrogenic
(doctor-caused) illnesses and soaring
costs have caused more and more people
to question modem medicine. Many
would agree with Voltaire's evaluation:
'Physicians pour drugs of which they
know little, to cure diseases of which
they know less, into humans of which
they know nothing.' Discontent with
establishment medicine coupled with a
gnawing feeling of helplessness in the
face of death and disease has brought
many to the ~ r t e healing fount of
holistic health.
Because of modem orthodox
medicine's loss of a Biblical worldview,
there
is some justification for t l J ~
criticism that all it knows to do is cut,
poison, and bum. There must be a
renewed understanding that patients
are
spiritual-physical beings; that
wellness, i.e., abundant life in
Christ is the goal of medicine, not
simply the absence of disease; that
people should take responsibility for
their own health; and that God made
available to
us
natural resources in
creation, such as certain plants,
minerals, vitamins, etc., that are
essential to our health
and
restoration.
Although holistic medicine
emphasizes its own version of some of
these points (mentioned above), much
of Holism is not holy, because
its
roots
and presuppositions are drawn from the
paganism of Eastern Religions.
Groothuis warns that while many
involved in holistic health may not
follow the idea that all is one and all is
god
this is
what is most often meant
by holistic. The emphasis
on
'universal
energy' betrays the worldview.
Although not all in the profession
would agree, one chiropractor makes his
views crystal clear: 'The chiropractor
believes that the innate intelligence that
runs the body
is
connected to universal
intelligence that runs the world,
so
each
person
is
plugged into the universal
intelligence through the nervous
system.' 9 Hence, the pantheism
of
the
New Age Movement .
Some
forms
of acupuncture, drawn
from Chinese Taoism, Shamanistic,
folk healing techniques, hypnosis, and
psychic and mediumistic healing, are
based on the pantheistic worldview of
the New Age Movement, and are
modem forms of old-fashioned
occultism. Groothuis continues: The
Christian cannot condone a vision of
health rooted in spiritual deception.
Whatever the efficacy of these various
practices, the Christian must be careful
to test the spirits to uncover unbiblical
ideas, I Jn. 4:11.
A host of rebellious
spirits and demons can masquerade as
agents of healing and health for the
purpose of diverting attention from the
Great Physician. -- Holistic health
sometimes falls prey to the great lie
that we are masters of our own destiny
and
lords of reality.
lO
Therefore,
it
can
be said, that New Age medicine is a
major contributor to the medical crisis
and decline of health care today.
3.
Til
CRISIS OF TIIE
ruDGMENT
OF
GOD ( NEW
DISEASES DISORDERS)
Medicine is undergoing a
crisis, precisely because our culture and
society is under the covenant curse
and
judgment of Almighty God for our
apostasy from him. But it shall come
about, if you will not obey the Lord
your God The Lord will make the
pestilence cling to you until he has
consumed you from the land. . . . The
Lord will smite you with consumption
and with fever and with blight and with
mildew, and they shall puisue you until
you perish, Deut 28:21f. This
explains the complete failure of modem
medicine to cure AIDS, and the whole
host of new viruses and diseases
entering the human blood
system.11
Modem medicine, with
its
humanistic
presuppositions
is
a pathetically
helpless dwarf in the face of the
gigantic monster, AIDS. When God
sends plagues
in
judgment upon a
people, there is
.
.
no
healing for your
sore, no recovery for you (Jer. 30:13),
without repentance.
D. The Moral Crisis
Christians are all too painfully
aware of the moral crisis of the medical
profession.12 It hurts even to mention
the
problem: The holocaust of abortion;
Infanticide; Euthanasia; Disregard for
the sanctity of human life;
Psychotherapy; Freudianism;
Relativism; Darwinianism; The abuses
of
brain death; Sex therapy; The abuses
of birth control; Artificial
insemination; Genetic engineering; In
vitro fertilization; Surrogate
motherhood; Sterilization, etc.
And,
in
a very real sense the political, legal and
medical crises of modem medicine are
also moral crises, just
as
they are all
religious crises. They reveal a long
standing, persistent rebellion against
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God and His revealed
will
for hwnan
life, which, unless we
repent,
can only
bring down His severe and devastating
judgment.
l l
THE
RECONSTRUCTION
OF MODERN
MEDICINE
A. The Basis
of
Mediclne
The
God
of
the
Bible
and
his
covenant promise
are
the basis for the
practice and effectiveness o medical
treatment and health care. If you
will
give earnest heed to the voice of, he
Lord your God, and
do
what is right in
his
sight, and give
ear to
his
conunandments, and keep all his
statutes, I will pllt none of thediseases
on you which
I
have put on the
Egyptians; for I,
the
LORD, am your
Healer, Exodus15:26. Bless the Lord,
0 my soul; and all that is within
me
bless
his
holy name. Bless the Lord,
0
my soul, and forget none
of
his
benefits; who pardons all your
iniquities; who heals all your diseases;
who redeems your life from
the
pit;
who crowns you with lovingkindness
and compassion; who satisfies your
years with good things, so that your
youth is renewed like the eagle,
(Ps.
103:1-5.) And Jesus was going about
in all Galilee, teaching in their
synagogues, and proclaiming
the
gospel
of
the kingdom, and healing every kind
of disease and every kind of sickness
among the people. Matt. 4:23; 9:35.
The root
of
all disease and sickness
is sin, Rom. 6:23; 3:23. God covenants
with us in mercy and grace that he will
bring spiritual, physical, social and
cosmic health and restoration in the
Lord Jesus Christ. Normally, just as
God uses ministers and witnesses to
bring spiritual and cultural restoration,
so he uses physicians and medical
treatment for physical, .
(pneumosomatic), restotation and
health, James
5:14.
B. The Worldview of
Medkine
Dr.
Ed
Payne succinctly sets
forth the basics of a Christian/Biblical
worldview of medicine in
his
book,
Biblical/Medical Ethics
(pg.
94f):l3
Certain distinctives are essential for a
biblical concept of health. Biblical
anthropology tates that
man is
composed o body and spirit. Man is
not 'whole' until he
is
rightly related to
God through the atonement of
JeSus
Christ. Any wholistic approach without
the centrality of salvation is antithetical
to.biblical wholism. Following
salvation, wholistic health
is
dependent
upon the balanced Christian life
which
consists of four characteristics (certainty
of salvation, obedience, right attitude or
motive, and perseverance) and seven
activities (prayer, Bible study,
fellowship, physical health, putting off
.of
sin,
ministry and management of
daily essentials, {and-I might add,
worship}). The joy and peace
whiCh
result from characteristics and
activities are the most important
ingredients for pneumosomatic health.
Preventive measures are second in
importance. Coaelations between the
health benefits associated with the
balanced Quistian life and preventive
practices has been demonstrated
biblically and empirically.
The
practice
of medicine
is third.
In an attempt to make such
distinctives clear, the discussion can be
formulated into succinct statements:
1. Man is composed of two distinct
substances, the body and the spirit, yet
these exist and function as a unit
[pneumosomatic].
2.
Biblical
and
empirical evidence
correlate that health is positively
affected
by
the balanced Christian life,
preventive practices and modem
medicine.
3. Pneumosomatic health is not
possible for
the
unbeliever; although
preventive
and
medical practices will
improve and/or maintain health.
4. Pneumosomatic health is
possible
for
all believers; but its
implementation in an individual's life is
dependent upon God's sovereign will for
that life.
S
Perfect pneumosomatic
health
existed in the Garden of Eden
and
will
exist in
heaven.
6. Since unbelievers are not aware
of
man's
spirit or the rtecessity of
biblical concepts, only physicians who
are
Christians
are
able to practice
pneumosomatic medicine.
7. No final conflict exists between
Page 18
May
1990 The Counsel
o
Chalcedon
pneumosomatic health and empirical
evidence when
the latter is cOiltrolled
by
biblical principle.
8. The most common health
P'oblems in
the
U.S.
are
a result of
personal sin.
9. Sickness and death are not
'nonnal'
according to
the
biblical
account
of
creation.
10.
Many specific sins
result
in
specific
diseases.
For example,
syphillis is contracted through
extramarital sex.
11. Physical health primarily
involves individual responsibility and
- only secondarily is a responsibility of
the
medical
profession
(except for the
education of the patient).
12. Many
diseases
cannot effectively
be treated without simultaneous
application of biblical principles.
Sometimes, these will be
Jl10i'e
important
than the
medical treatment.
13. The effect of sin is
to
program
man's body
to
age and die with an
upper
limit to its longevity.
14. Biblical principles may not be
violated for medical reasons. For
example, a divorce designed to relieve
stress in a heart disease patient is a
violation of the sanctity of marriage.
15. Health resoilrce allocation
in
the
U.S. is reversed according
to
the
effectiveness of pneumosomatic,
preventive, and medical practices.
The biblical ethic for health is
distinct from
the
ethic of naturalistic
science and its ethical principles will
never be inconsistent
at
any point when
a thorough biblical approach is
realized. l4
C. The
Vocation
o
Medicine
R.J.
Rushdoony
has written in
his
book, Institutes o Biblical Law:
The
doctOr's
function
is
to
further
healing and to protect and further man's
life under God. 15 This vocation is
rooted
in the Law and in
the
Gospel.
First, it
is
rooted in
the
Law of
God.
Since the protection and nurture of
man's life under
God
is the positive
affumation of
the
sixth commandment,
[Thou shalt not commit murder], it
becomes apparent why, in Biblical
tradition, both
in
Israel and in Westeril
Civilization,
medicine has
been closely
linked
to religion. 16
Second, it is
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rooted in the Gospel of Christ
According to the Bible, the physician
has a
priestly calling. His
very area of
concern, health, requires this. In the
Hebrew-Christian heritage, the doctor,
in origin a Levite, is concerned
with
health, and health is an aspect of
salvation. The Latin
word,
salve, carries
the same implication, and it is a fitting
fact, in
terms of
the Bible, that our
English word, salvation, has as its root
the word for
health. Salvation is total
health, spiritual
and
material; it
means
in its fmal form the resurrection of the
body, in its inception, regeneration,
and,
in between, growth in
terms
of the
principle
of
health,
God in
Christ
As
a
result, for Biblical
faith,
care of the
body
is
a religious concern, and health a
godly duty and blessing. The m n
who
ministers
to
the body has thus a
priestly calling, as does the man who
ministers
to
the
spirit
Both doctor and
pastor have a priestly calling or
ministry. 17 Both
aim
at
pneumosomatic health--the health of
the
whole person in Christ, James
5:14.
D. The Practice of Medicine
1. WHO SHOUlD PROVIDE
MEDICAL TREATMENT AND
HEAL1H CARE?
Health care and medical
treatment should be provided
by
three
sources, according to
the
Bible.
a. FAMILIES should know
how to provide some measure of. health
care for their members. The Laws of
Childbirth, Lev.
12:
1-8, the Laws
of
Circumcision
of
male infants on the
eighth day, Gen. 17:10f,
the
Laws of
skin-diseases and mildew, Lev. 13-14,
and
the Laws of Bodily Discharges in
men and women were oriented toward
family life m the covenant community,
and
presuppose some ability
to
recognize diseases and disorders
as
well
as
some knowledge of medical
treatment, preventatives, minor
surgeries, and health care m general.
b. PHYSICIANS should be
sought out for medical treatment
when
needed. Jesus clearly taught that those
who
are
genuinely ill need a physician,
Matt
9:12; :Mk. 2:17; Lk. 5:32. Paul
calls Luke his beloved physician ,
Col. 4:4. However, Christians should
be cared for
by
Christian physicians,
primarily, and i possible. Dr.
Ed
Payne
writes: Believers have indiscriminately
accepted
the
role of physicians in their
lives. Empirical and biblical evidence
has
been presented to demonstrate the
close link between sin and sickness.
Therefore,
i
almost all medical care is
practiced without consideration of, or is
opposed
to
spiritual realities, the most
important dimension in believer's lives
has been neglected,
I I
Cor. 4:16f; Rom.
8:18; I Tim. 4:7f. 18
c. The
OIUR H
should offer
some measure of health care for those
who need it, especially, but not
exclusively, those of
its own
membership. This can be offered in,
at
least, five ways:
(1). By nouthetically
counseling those who are sick, that
their cure could be found
in
repentance
and in obedience to the Law
of God -
Do not
be
wise in your
own
eyes; fear
the Lord and tum away from evil. It
will be healiDg to your body, and
refreshment
to
your bones, Prov. 3:7.
(2). By praying for those
who are sick-- ls anyone among
you
sick? Let him call for the elders of the
church, and let them pray over him,
anomting him with oil in the name of
the Lord; and the prayer offered in faith
will restore the one who is sick, and the
Lord will raise him up, and i he has
committed sins, they will be forgiven
him, James 5:14.
(3). By properly
administering the Sacrament of the
Lord's Supper-- For he who eats and
drinks, eats and drinks judgment to
himself,
i
he does not judge the body
rightly. For this reason many among
you are weak and sick, and a number
sleep, I Cor. 11:28f.
(4). By the ministty and
counsel
of the
diaconate, which is
responsible for the health and welfare
of
the membership of the church, Acts 6:1-
7. The New Testament deacons, like the
Old Testament Levites, mercifully
promoted
the general health and welfare
of God's people by encouraging them to
eat better food and practice better
hygiene and receive a better d u c a t i o n ~ -
while carefully monitoring their
infectious diseases and decontaminating
their housing and supervising their long-
range socio-economic practices,:
according to F. Nigel Lee.19 (His
scriptural support for the diaconate
fulfilling the pennanent social
functions of the Levites, as opposed to
their temporary, ceremonial functions
fulfilled in Christ, include Acts 6 : 1 ~ 7
especially verse 7; Lev. 11-15, 25-27;
Dt
2A:8; I
Sam. 21:1-6;
Ezra
8:24f.
See pages 7-11
in
his unpublished
paper, The Diaconate.
(5) By recommending,
nonprofessionally, proven methods of
treatment
of
physical disorders and
health care. The Apostle Paul did not
hesitate to suggest to Timothy that he
drink a little wine for his stomach
problems, I Tim. 5:23. The Book of
Proverbs is even more specific in its
reconunendations: Give strong drink to
him who is perishing, and wine to him
whose life is bitter. Let him
drink
and
forget his poverty, and remember his
trouble
no
more, Prov. 31:6-7. James
urges the one who is sick to call for
the elders of the church, and let them
pray over
him,
anointing him
with
oil
in the name of the Lord; and the prayer
offered in faith will restore the one who
is sick, and the Lord will raise him
up,
and i he has committed sins, they will
be forgiven him, James 5:14f. Here
the elders, not doctors, are encouraged,
not only to pray for the sick person
who calls for them, but
also
to anoint
him with oil. Only the Christian
church has a means for curing
hamartiagenic sickness, i.e., sin
engendered sicknesses. James offers
the means for a cure. The anointing
with oil mentioned here
is
not a
ceremonial or symbolic ritual.
Although the Old Testament speaks
of
anointmg with oil
as
one of the rites
of the Sanctuary, Jay Adams shows, in
his
book,
Competent to Counsel, that
James did not write about ceremonial
anomting at all. 111e Greek word
'anoint'
aleipho),
which James used,
does not mean ceremonial anointing.
The ordinary word for a ceremonial
anointing was chrio (a cognate
of
christos, Christ, the 'anointed one). The
word James used aleipho), in contrast
to the word chrio, 'to anoint,' usually
means 'to rub' or simply 'apply.' The
word aleipho was used to describe
the
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personal application
of
salves, lptions,
and
perfumes with an oil base. The
word is
allied
to /ipos 'grease.'- An
aleiptes was a 'trainer'
who rubbed
down
athletes in a gymnastic
school.
Aleipho
was used frequently in medical treatises.
And so i t turns out that what James
required by the use of oil waS the use of
the best medical means of the day.
James simply said to
rub
oil, often used
as
a base for mixtures
of
various
medicinal herbs, on the body, and pray.
What James advocated
was the use of
consecrated. dedicated medicine.
In this
passage he urged the treating of
sickness by medical means accompanied
by prayer.
(pg. 105-108)20
f the
patient was cherishing
unconfeSsed,
unrepented of sins, the medicine and
prayer would
be
ineffective
unless
he
confessed his sins and repented
of
them.
2. WHO SHOUlD
W1:
PROVIDE.MEDICAL lREATMENT
AND
HEAL1H
CARE?
The one social institution
that
is
not
given the power
and
authority by God to provide medical
treatment and health care
is
the civil
government, the state, whether federal
or local. In Old Testament and New
Testament alike the civil government
is
given the one function
of
the
administration
of
justice--
.
it is a
minister
of God, an
avenger
who
brings
wrath upon the one who practices
evil
,
Rom. 13 :1-7;
Deut
16:18-20; When
a
civil government usurps powers
and
responsibilities, such as health,
education and welfare, which God has
not assigned it, it not only fails to
execute
its
appointed purpose, it
also
begins to experience the effects of God's
judgment for its attempts to play
God
rather
than
being a minister
of
Goo.
a.
Harold
OJ
. Brown
reminds
us of
the point made by Nobel
Prize winner, Jean Bernard
of
Paris; in
his
book, The Grandeur
and
Temptations o Medicine that
it
is
physically and financially beyond the
capacity
of
a great
i n ~ s t r i l
nation
to
provide for all its citizens all the
medical services that our modern level
of
medical knowledge tells
us
will or
possibly could
be
helpful to them.n21
b. Governmental
bureaucracies with Orwell's Big
Brother mentality bungle
and ruin
the
practice of medicine, endangering the,
lives
of
the healthy andthe
sick.Dr
Jane Orient's rewriting
of
the parable
of
the Good Samaritan
c c o ~ g to
the
principles of socialism illustrates the
point:
A man
fell among antisocial
elements,
who
probably had a deprived
childhood. (In the absence of property
rightS,
there are of cOUISe.no thieves.)
A
priest and a Levite passed
by,
and
notified
the
proper agency in cbarge
of
prioritizing and providing for a victim's
right to medical care in
an
efficient and
fair manner. While the bleeding victim
was awaiting his turn, a Samaritan
came along. The Samaritan
w s
moved
by pity (a deplorable trait, since
tenderheartedness can lead to favoritism
and other evils). However, he had no oil
or
wine for pouring on the
man s
wounds,
no
beast,
and
no
denarius.
Because the business in which he
was
engaged did not serve the social good,
his property had
been
redistributed
to
those who needed
it
more.He was thus
unable to help the man. Eventually,
some member
of
the helping
professions brought the victim to
the
inn, where he was evaluated by
the
gatekeeper.
There was
a delay
because
the
man's identification card
had been
stolen, and
it
was difficult to
verify
his
eligibility. Also, the.gatekeeper needed
to confer with
a
utilizatiOn review
advisor, who was more expert
in
applying the criteria. The admission
criteria
had been
recently revised
by
a
committee
of
community-based
professional consultants, including the
priest and Levite. Once the gatekeeper
certified that the man
was
both eligible
and needy,
he
assigned
him, by now
in
a moribund state,
to
a preferred
innkeeper.
The
innkeeper's duty
was to
take care
of
the patient, for whatever
reimbursement sdCiety decided upon .
In
fonner times, he might have gotten a
denarius, but in the age of cost
efficiency, he would make do for
less,
without
any
decline in the quality
of
care. Otherwise, he would lose his
innkeeper's license, or face other
sanctions.
An innkeeper who
complained that HE had fallen
among
thieves would
be
accused of greed and
selfiShness.
f
he failed
to
cure the
Page 20 May 1990 The Counsel
of
Chalcedon
patient, the priest and
LeVite
could
accuse him of incompetence or
negligence, and
the
man or his heirs
could instigate a lawsuit,
with
the aid
of the
neighborly lawyer. The
innkeeper's
union,
in
turn,
could
complain that society had
not
provided
adequate resources
or
had allocated them
unfairly. They could also propose an
additional tax on the Samaritan for
programs
to
alleviate the conditions
that
lead
to roadside crime.
In
this
Utopia,
mere
love for one's neighbor
could be replaced by
concern
for all
humankind. The new code of social
responibility would supercede the
primitive, individualistic Oath of
Hippocrates, to the benefit of all,
especially priests, Levites,
lawyers and
thieves
.
The
obsolescent Good
Samaritan and the bankrupt private
innkeeper would go the
u n l ~ n t e d way
of
the dinosaur. 22
c. Socialized medicine
becomes
punitive medicine. This
has
been
amply documented in a recent book
entitled, Punitive Medicine by
Alexander Podrabinek, who is
now in
exile in Siberia. He carefully shows
how psychiatry
and
medical treatment
are
used brutally for political
purposes
in
the
U.S.
S.R.23
He reveals
how
leading opponents
to the
communist
totalitarian regime are discredited
by
being sent
to
mental institutions, where
they
are drugged and tortured into
submission.
In
his review of this
book,
Rushdoony makes
this
insightful
comment: The
most serious mistake
we can make is to treat punitive
medicine
as
a Soviet aberration.
We
should instead see it as the logical
conclrision of all socialized medicine.
The advocates
o
socialized medicine
believe that such astep would bring
more medical care
to
the poor
and
needy. The fact is that, at least in the
United States, the poor have
usually
had more medical services rendered to
them
than
any
other class. .
But
the
problem goes
deeper;
--
There
is
no reason t believe that
socialized medicine anywhere will serve
the people ahy better or
as
good s
-
8/12/2019 1990 Issue 4 - The Reconstruction of Medicine - Counsel of Chalcedon
6/7
private practice. On the contrary it will
serve the federal government Let
us
remember, after
all,
that the Sixteenth
Amendment (the income tax) was
voted
into the U.S. Constitution in the
name
of
helping the
poor
There is no reason
to suppose that a socialized and
federalized medicine will be any
more
benevolent
than
the Internal Revenue
Service.
Anyone who can think of
the
IRS as the people's friend today does
indeed have mental problems
Socialized medicine will be no better
than the
IRS,
and potentially worse.
Any
and everything which puts
us
into
contact with a powerful state and its
bureaucracy is dangerous,
and
socialized
medicine
will place us
in
a
very
close
relationship to that power-state: at
pregnancy and childbirth, in i l l health
and accidents, for a variety
of
required
medical examinations, and much more.
Also,
as
euthanasia becomes an
accepted practice like abortion, the more
the state knows abOut you, the less
safe
you are. "Thus, Alexander Podrapinek:'s
Punitive Medicine
gives
us merely the
avant
garde
aspect
of
the new medical
practice, socialized medicine. It is a
very logical development The state is a
punitive agency
or institution. Its
pUipOse is to punish or
to
vindicate. Its
basic and truest instruments are the
courts
, the police and the military.
Their purpose is punitive -- the state is
the
agency of coercion.
To place the
healing arm
of
society under the
coercive or punitive arm is the height
of
folly
and unreason. No realm taken
over by the state has escaped its
coercive and punitive nature. As a
result,
because no independent,
uncoerced, and
free
voice exists,
corruption prevails."24
3. WHO SHOUlD PAY FOR
MEDICAL TREATMENT AND
HEAL1H
CARE?
Virtually every institution in
human
society has some role to play in
the payment
of
medical treatment and
health care,
although the
role for some
institutions is narrow and highly
limited.
a. The individual who
receives the medical services is
primarily responsible for payment, i
possible. "For the Scripture says, 'You
shall not muzzle the ox while he is
threshing,' and
The
laborer is worthy
of
his hire,"' I Tim. 5:18. Jeremiah warns:
Woe to him who uses
his
neighbor's services without pay and
does not give him his wages,'' 22:
13.
In fact, according
to
the Bible,
oppression is the failure to give a just
return for services rendered to you.
Prompt payment of medical services
rendered is commanded
of
us in the
Bible. "You shall not oppress your
neighbor, nor rob him. The wages
of
a
hired man are not to remain with you
all night until
m()Jlling,"
Lev. 19:13.
Failure
to
pay, short-changing
payments, and delay in payment was
and is fraud
b. The family
of the
person
receiving the medical services is also
responsible for payment, when
necessary. Paul makes clear that we are
to
"honor widows who
are
widows
indeed; but i any widow has children or
grandchildren, let them
fli'St
learn to
practice piety in regard to their own
family, and to make some return to
their parents; for
this
is acceptable in
the sight
of God. But,
i
any
one does
not provide for his
own, and
especially
for those
of
his household, he has
denied the faith, and is worse than an
unbeliever,"
I
Tim. 5:3-8. The church
is to support needy widows, unless
those widows have
families of
their
own who can support them. In fact, the
family is to provide for the needs
of
all
the dependents in the family: widowed
mother, grandmother, wife, children,
orphaned nephews and nieces, and
servants. "Failure to care for members
of
one's family thus constitutes a
violation
of
the fifth commandment; it
is also a violation of the eighth, in that
it is a form of theft Those
who
do not
support their own
are
fmt
to be rebuked
and then excommunicated, (i.e., treated
as an unbeliever, Matt. 18:17),"
explains Rushdoony.25
c. The neighbors of the
person receiving the medical services
are also responsible before God for
payment, when their friend is in need.
They
may
either act individually or in
voluntary associations. The primary
example
of
this
is the Good Samaritan,
who found a victim
of
muggers lying
in a ditch. He had compassion on him,
cared for him, and took him to an inn ,
gave the innkeeper a denarius, and said,
"Take care of him, and whatever more
you
spend, when
I
return,
I
will repay
you,"
Luke
10:35
. Jesus himself taught
that the
second
greatest commandment
is the Old Testament Theocratic law so
essential
to
social order and so
illustrative
of
selfless love--"You shall
love your neighbor as yourself," Matt
5:43;
19:19;
Lev.
19:18.
d.
The employer of the
person receiving medical services for
injury received or sickness contracted in
the
service
of
the employer, and the
property owner
on
whose property one
is injured due to the owner's negligence,
are both responsible for payment of
required medical services. The Bible's
liability laws,
or
laws
of
damages,
Exodus 21:24,25, teach us that one
who injures or wrongs another has the
responsibility
to
make restitution. The
employer and the property owner
are
liable for
the time
lost from work and
for the medical expenses of the injured
party. They "shall cause him to be
thoroughly healed," Exodus
21:19.
"Laws
of
liability are thus laws
of
responsibility. They declare that a man
is responsible for
his
acts, his
possessions, and for
his
failures,
negligences and omissions. To be
responsible means literally
to
be
answerable to Him for what we do to
ourselves and to our fellow men, to our
neighbor, writes Rushdoony
26
That is
why Deuteronomy
22:8
says, "
When
you build a new house, you shall make
a parapet for your roof, that
you
may
not bring blood-guilt on your house if
anyone
falls from it"
e. The church through its
tithes and offerings is responsible
before God
to
assist
in
the payment of
medical services
of
the needy, when
possible and necessary. We have already
seen in I Tim. 5:3-8, that the church is
to provide for the needs of widows, i
they have no family to take care
of
them. Acts
6:1-3 clearly shows the
corporate and diaconal responsibility the
church has for the health and welfare
of
needy people, especially of its own
The Counsel
o
Chalcedon
May
199 Page
21
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8/12/2019 1990 Issue 4 - The Reconstruction of Medicine - Counsel of Chalcedon
7/7
needy members. In
n
Corinthians 8 ~ 9 ,
Paul urges the Corinthian Church to
imitate the super-generous ch\Jrches of
Macedonia in coritributing
to
the
support
of
needy Cluistians. "For I
testify that according
to
their ability,
and beyond their ability they gave of
their own accord, begging
us
with
much entreaty for the favor
of
participation in the support of the
saints," 8:
3-4,
"for the ministry
of
this
service
is
notonly fully
Supplying
the
needs of the saints, but is also
overflowing through many
thariksgivings
to
God," 9:12.
f. 'The
state
also has a role,
although specific and limited. It does
not have the responsibilitY to provide
or to pay for medical
serviCes
far its
citizens. Using thebamH
of
a gun
tO
force money from one person in order
to
give
it to
another, whatever
the
need,
is armed robbery. When the state does
it
legally t s
legal plU tder.
In essence,
it
is the same
as
armed robbery. Our
modern fomiS of taXation, coupled with
our welfare state, decapitalize
Americans so that it becomes most
difficult to pay for our medical bills
properly, and then, only with much
strain and sacrifice.
The state's
only role in the payment
of
medical services is in the enforcirig :
of
biblical laws requiring restitution arid
fair compensation to the victim
of
a
crime to be paid by the convicted
criminal, Exod. 21:23-25. The "eye for
an eye" principle spelled out in these
verses is not retaliation but restitutiOn.
It simply means that ''compensation.
appropriate to the loss incurred must be
paid out.'' Wtinham.27 "The failure
of
a society to 'ground itself
on
restitution,
or its departure from this principle,
means a growing necessity for costly
protection by means
of
insurance.
Much insurance is, all
too
often, a
fonn
of
self-restitution,
in
that the buyer
pays for protection against ittesponsible
people who will not make restitution.
The
large insurance premiums paid by
responsible persons
and
COipOrations are
their self-protection against the failure
of the law
to
require restitution,'' writes
Rushdoony.28
E. The
l f ~ t u r e
o Medicine
Medicine, reconstructed by the
Word
and
Spirit of God, has a
bright .
and important future;
.
as the Kingdom
of Jesus Christ makes its way
triumphantly through this earth, I Cor.
15:2Af,
As
Christ's Kingdom
progresses over its enemies, the
promises
of God's CoVenant will be
more and more realized in the life of
Christ's.church on earth.
God
will
liberate.medicine from the restraints and
perversions
of
its humanistic
presuppositions and will then be used
of
God f improve
r e a . ~ y
the overall
health of God'speople, greatly
extending their longevity, physical
strength and productivity. The future
holds increasingly good health for God's
people; and increasingly poor health for
God's enemies.
''You shall lie blessed above all
.
peoples; there shall
be
no male or
female
ba en
among
you
or
among
your
cattle.
And
the
Lord
will remove
frr;Jm you
all
siclcness; and He will not
PU
on
you MY of
he harmful diseases
ofEgypt
which you have known, but
He
will
l y
them
on ail who hate you.''
(Detit 7.14-15)
"No longer will there be in
t
( e r ~ a l e m ) an
infant
whO
lives
buta
few
days,
or
an
old
man who does not
l ~ v e out his
days. For the
youth
will die
at the age .
of
one hundred
and
the one
who
does not.reach the age
of
one
.
hundred shall
be
thought accursed.
And
they shall build houses
and
inhabit
them: they shall.also
plant
vineyards
and
eat their fruit. -
They
shall not
labor in ~ a i n
or
bear children or
ca(cqnity;for
~ h e y
are the offspring.
of
those blessed
by
the Lord, and their
descendents with them." (Isa. 65:17-23;.
o ~ ~ 3:29>
Endnote$
L
Warren
Brookes,
"Mandatory Madness
on H e a l t h ~ " Washington Times
July
27
1989, .
r l .
' '
2. ~ a r r y
Schwartz, "The British
Way
of
Withholding
Healtll," The.FrifeU111 _
Vo[ 39,
~ S o c o . .3,
, pg
. 101fj .and Pierre Lemic' J.X,
~
Medicme< The Canadian
~ f e n c e The Freemtm, Vol 39, No
. .
3,
pg. .
3. Ibid. pg
.
101 . '
4. JU, -Rushdoony
_
"Doctors as State
~ i ; & / J t t ~ e d o n Medical Report, No. 5,
..
5. 1u.
Rushdoony, "Medicine's
M
273
chanical Model," Chaldedon
Report, No.
?
pg l6. '
o.
l;6id.
pg,
16f.
Page
22 May 1990
The
Counsel
of
Chalcadon
7. John Naisbitt, Megatrends, NY Warner
BooksJnc. 1 9 ~ 2 J . . t > & :
1 33
. '
8. uouglas uroothuis, Unmasking
the
~
Age.t
Downen .Grove, Ill., lnterVarsity
~ I 9 6 , p g , ~ 8 .
9. lbi4. pg.M .
10.
lb1d.
pg.
66 . .
11.
Gene-Antonio, The AIDS
Cover-Up
?
San
Francisco Ignatius
Press, 1986.
.. for four
excellent
.sources on a
Chnstian approach to medical
ethics see (a)
BiblicaUMed
ical Ethics,
by Frankllii E'
P ~ Y i l e . Jr;.o }d
.D., .
published by Mott M e d i a : ~
D
Milt:o.
M l b c h ~
9 . 8 ~ ;
(b).
Making Biblica
ec' 10ns, y rrailK1in: E. Payne, Jr., M;
D,,
Pllblished by Hosanna House
Escondido
Cal., 1989; { ~ ) . Medical Ethics: by John M:
Frame, puolished
by Presbvterian and
Reformed P u b l i s t r l n ~ Co. . :Phillipsburg
NJ., 1 9 8 8 ~ . Dr. Greg Bahnsen's tapea
lectures on
i fal
Efl1.icj ~ v e n atRet'oniled
Tlteological enupary m ckson, Miss. .
1 ~ .
. F r ~ m E. Payt e, Jr.,
Bibl caUMed1cal Ethifi
1
Milford Mich
Mott Media, 1985,
pg. ~ f . .
14. Ibid.
pg.
94f. '
15
.
RJ. Rushdoomo, Institutes
of
Biblical
Law, Nutley, NJ., The Craig Press. 1973
pg. 221. . ,
16
. Ibid.
pg.
221. ,
17. ,
RJ. Ruspdoony,
"The . Medical
Profession as a Priestly
Cailing,"
CliaJcedOn
M1fal
~ ~ k t ~
1,
VallecitO,
Cal, .
BibuealJMe Licai
E t h i c ~
M f u . ~
M i c ~
Mott Media, 1985 .
lOs. ' . .
19
F. Nigef
.
The. Dim:onate
unpublished, bUravailable thro\lghChalcedon
P r e s b ~ Church, Atlanta, etA.
7Q Jay E. Adams, C01JJPetent to Counsel
Phillipsburg,
NJ
.,
Pi'esbvterian
ami
Reformed l'ublishirig Co.,
1
970.pg 105-
108. . ' . '
21. Hiiroid
OJ.
Brown, The
Ret;onstructzon
.
of
the Republic . New
Rochelle, NY, Arlington House
Publishers
1977 p_g. 131. . . . '
L_it. r ~ Qrient, M.D.,.
A
S p e ~ { t
given
at
tru:
Assoc1atwn oJ A m e r ~ c a n PhysJCUliiS and
~ " g e o n s d
OcBanquet
43rd Annual Meeting,
.Denmi
a, ctobet 24, 1986; .
0
23. Alexlllldcr
.
Podrabinek, .Punitive
M e d i q ~ .
(1980: K.aroma PublisherS
Carolina .
House,
236
Forest
.
Park
Place:
Ottawa
11linois,
61350).
24.
liJ.
Rushdoony,
"Statist Medicine :
Chalcedon Medical Report,
No.
8, VallecitO
Cal. '
25. RJ. Rushdoogy,
Imtitules of
Biblical
Law" Nutley
, NJ., The
Craig Press 1973
pg. 111. ' . '
26 .
RJ
. R ~ h d o o n y l..4w and Society,
VaUCCito,
Calif., Ross House
Books,
1982
pg . 350. . '
2/
1
Gordon Wenham,
The Book
of
LevW
Ulcusk(fo ICOTI. Grand R a p i d s ~ . . . M i c h .
m
B. cerdmans
Publishing Co.,
u
Law
28
.
RJ.
Rushdoony, lnstztutes ofBiblical
, Nutley, NJ., The Craig Press, 1973, p
I
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