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“Where there is no guidance, a people falls, but in an abundance of counselors there is safety” (Proverbs 11:14, ESV).

Five of we Americans were in London a few weeks ago at the invitation of the International Federation for Therapeutic & Counseling Choice (IFTCC) and Christian Concern to—along with colleagues from the United Kingdom, Norway and Australia (some by video presence)—to hold a one-day conference one block from Parliament challenging the proposed UK “conversion” therapy ban. I wrote the following at the request of Christian Concern and IFTCC, reprinted here with their permission.

How do we, as followers of Christ, engage the secular world?

This is no simple question, as the situations and circumstances are nearly infinite in possibility.

Since St. Augustine penned The City of God, there has been a general understanding that Jesus did not come to establish an earthly dominion. One might argue there have been “Christian nations” in a particular sense, but through most of Western history, church and state have always been separate power bases in an uneasy tension. Sometimes the church was on the ascendancy, as when Pope Gregory VII excommunicated emperor Henry IV (1050-1106) over the investiture controversy. You may have heard the story about how Henry stood three days barefoot in the snow to beg forgiveness. This feeds the popular myth of an all-powerful Catholic church embraced by many secularists. Less well known is that three years later, after his second excommunication, Henry IV led his armies against Rome, forcibly deposing Gregory VII and putting his own man in charge. So much for the “all-powerful” church. Power is fleeting, even for emperors and popes.

While many people, including healthcare professionals, think that much of medical ethics is highly arbitrary and relativistic, with the single prevailing rule being patient autonomy, there are nonetheless some widely accepted principles within medical ethics. Principlism, which is based on four guides made famous by Beauchamp and Childress, includes patient autonomy, beneficence, non-maleficence and justice. Unfortunately, for many people, these are the only ethical considerations needed to make informed decisions regarding right and wrong regarding patient care. Several other considerations are needed to decide complex issues rightly.

On December 1, 2021, the U.S. Supreme Court (SCOTUS) heard arguments regarding the legality of abortion restrictions put into place by the state of Mississippi. The case is known as Dobbs v. Jackson. It is the most high-profile abortion case argued before the Supreme Court since Planned Parenthood v. Casey in 1992.

In the classic tale The Wonderful Wizard of Oz by L. Frank Baum, perhaps most recognized by the 1939 movie version starring Judy Garland, young Dorothy Gale from Kansas and her dog Toto are transported via tornado to the strange Land of Oz and undertake a journey to see the Wizard of Oz in hopes he can return them to their Kansas home. Along her path on the Yellow Brick Road, Dorothy acquires three traveling companions who also have requests they hope the Wizard will grant, to give them each something they seem to lack: a brain, a heart and courage. The group’s progress and attempts to win the favor of the Wizard are hindered and harassed repeatedly by the Wicked Witch of the West and her minions, including incessant taunts about their shortcomings as well as a dire warning for Dorothy: “I’ll get you, my pretty—and your little dog, too!”

I joined CMDA in 1982 in the middle of my OB/Gyn residency. At that time, I had known the Lord for about eight years but had not grown spiritually, because I had failed to find a solid, biblical church. Around that time, I finally found a church that helped me grow and develop in my Christian faith. With that growth, I began thinking about how I could incorporate my faith into the practice of medicine and discovered the Christian Medical & Dental Society (CMDS), which was CMDA’s name at that time.

“But the fruit of the Spirit is love, joy, peace, forbearance, kindness, goodness, faithfulness, gentleness and self-control. Against such things there is no law” (Galatians 5:22-23, NIV).

My kids have attended a classical, Christian school for many years. While we love the school for several reasons, its academic rigor set it apart from the several other schools we considered when making the decision to move our kids there 16 years ago. Other schools offered personal attention, others had great mission statements, others had in-depth biblical teaching. But it was all of these things, combined with high academic expectations, that sold us in the end, since the primary purpose of school is to educate kids academically. In the grammar school grades at our school, the students are taught to always do an “Excellence Check,” that is, to look back over their test or assignment and double-check for any errors prior to turning it in. The concept of the Excellence Check resonated with me when my kids were that age because it served as a regular reminder to them that they should be giving their best to each assignment. It was never a “Perfection Check” or a “Compare to Your Neighbor’s Performance Check.” It was a reminder for each student to do his or her best at all times. One student’s best might be a perfect score, while another student’s best might be much lower, but the expectation to do one’s best was clear. We might think of excellence as being at the top of the class or someone who stands out in his field, but that isn’t the way our school defined it, nor the way I am defining it here.

In the spring 2021 edition of CMDA Today, CMDA published an article that examined the ethical basis for taking a COVID-19 vaccine. The goal of the article was to reassure CMDA members of the good reasons to utilize the COVID-19 vaccines produced in the last year. Since the article’s publication, several members have written with ongoing questions and concerns about the ethical status of the vaccines due to their association with abortion-derived fetal cell lines. The purpose of this blog post is to address those concerns. An update on the safety and efficacy of the vaccines will be addressed in the future.

Legislation to ban so-called “conversion” therapy or practices for people with undesired same-sex attraction, gender dysphoria and other sexual minority issues is being put forward across the globe.

Some systems have treated healthcare professionals with clinical skill loss in an almost punitive manner. Aside from careless incompetence, abandonment of patients or grossly unprofessional behavior, this is inappropriate, damaging to the professionals and harmful to society.

How do you ascertain God’s will for your life?

This is one of the greatest existential questions asked by followers of Christ, the young in particular. It is also one of the most profoundly misunderstood.

We may be taught that there is a divine roadmap for our lives, known to God yet unknown to us. We desire to know it for two reasons. First, we seek to please God and be good stewards. Second, we believe following his divine plan will maximize our earthly joy and blessing, but He offers no objective way of knowing it. What then, does that say about God? He created a divine master plan for us to follow, but we have to pry it out of Him? What sort of God would do that, and why? What if we make the wrong decision?

As Christian healthcare professionals, God has granted us the high privilege and responsibility of serving others through healthcare. Part of this responsibility is that of maintaining clinical knowledge and skill in order to provide high quality care to our patients. If we lose some of our skills due to trauma, physical or mental illness, or due to normal aging, this may not always be optimally possible.

Well, that didn’t take long. As predicted, the parade of challenges to human dignity and human life discussed not long ago has already started to come to pass.

Some would say it started earlier this year in January when the 2021 legislative session began in most states. Some would say it started with our increasingly more “live and let live” culture. However, the iniquity started before any of us were born.

A new study authored by a socio-politically diverse team of psychologists evaluated a religiously diverse population sample of varied sexual identification and found that sexual minority people who reject LGB identification have positive outcomes that contradict the expectations of both minority stress and sexual identity development theories.

In last Saturday’s New York Times, Christian columnist Ross Douthat asks, “Can the Meritocracy Find God?”

“The secularization of America probably won’t reverse unless the intelligentsia gets religion,” writes Douthat. Nor is he sanguine for the prospects of that occurring. Douthat postulates two primary obstacles. First, “a moral vision that regards emancipated, self-directed choice as essential to human freedom and the good life.” Second, an entrenched anti-supernaturalism: “The average Ivy League professor, management consultant or Google engineer is not necessarily a strict materialist, but they have all been trained in a kind of scientism, which regards strong religious belief as fundamentally anti-rational, miracles as superstition, the idea of a personal God as so much wishful thinking.”