On Faith and Love

My recent contributions to this blog have explored some of the issues I have wrestled with throughout the turmoil of the last year and a half—namely, how faith has impacted the church’s response to issues, and where we have strayed from biblical truths in our responses. I have wrestled with faith and politics, faith and freedom and faith and fear. But the overarching issue, I think, in Christians’ response to recent—and, in fact, any—world events is love. There are only two things that Scripture tells us explicitly identify the Christ-follower: their fruit and their love. Jesus Himself said that all men would know we are His followers if we have love for one another (John 13:35). In fact, He repeatedly commanded that we love one another (John 13:34, John 15:12, John 15:17). And the rest of the New Testament tells us more than 20 times to love one another.

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A Vaccine Trial is Not a Trial: What Participating Looks Like

I love vaccines. To those of you who have read my other articles on the subject (available here and here), this comes as no surprise. But, you may rightly say, “love” is an awfully strong word. Shouldn’t I only love people, not things?

I love vaccines because I love people. Millions of people are alive today only because they were vaccinated. Who are these people? Nobody knows, because the vaccine kept them from getting sick and dying. One of them could very well be me. Or you.

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Living in the Household of God

Our family has an unofficial mascot—a little bendable Gumby doll. I have no idea where Gumby came from or how exactly we acquired him. He started out as a little game in which various family members move Gumby to different places around the house. When you find Gumby, you move him somewhere else where he awaits discovery by another family member. Over the years, we have adopted an unofficial motto that goes with our unofficial mascot: “Semper Gumby” (always flexible). As is true of numerous other healthcare professionals, flexibility is not my strong suit. I am really good at focus, goals, determination and persistence. Flexibility, not so much. So “Semper Gumby” is a motto for me as much as anyone else in the house. A reminder that flexibility is a necessary part of doing life with other people.

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A Christian Perspective on Antidepressants

“Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body.” — 1 Corinthians 6:19-20, ESV

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AJP Issues Correction: No Mental Health Gain from Gender-Affirming Surgery

The American Journal of Psychiatry (AJP) printed a rare and important correction this month. A study claiming to be the “first total population study of transgender individuals with a gender incongruence diagnosis” was published in the October 2019 AJP titled “Reduction in mental health treatment utilization among transgender individuals after gender-affirming surgeries: a total population study.” Seven letters to the editor from 12 authors, myself included, resulted in a data reanalysis and subsequent correction statement that no improvement was demonstrated with surgical treatment. Now for the setting and major points of my team’s published letter.

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Was Jesus a Proponent of Critical Theory?

With recent discussions about allocation of scarce resources with the COVID-19 pandemic, concern has been raised about ensuring justice across all ethnic and political lines in caring for our patients. If allocation is determined based on anticipated quality life years based on treatment, then an inherent bias is baked in against the elderly. If likelihood of good outcome is a major criterion, then patients with higher levels of pre-existing disease will lose out. An example of this would be that among certain ethnic/racial populations there is at baseline a higher proportion of people with underlying heart, lung, metabolic or environmental disease. The African American population, in general, has a lower life expectancy, based on these factors, so if one weighs the allocation models to provide support for healthier patients, they will disadvantage people of color in distribution of ventilators, ICU beds and hospital admissions. Similar claims are made regarding people from other minority groups based on religion, gender, socio-economic class, educational attainment, etc.

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There is a Better Way

“For the wisdom of this world is foolishness in God’s sight” (1 Corinthians 3:19a, NIV 1984).

We have seen the devastation, societal decay and moral rot caused by the perpetuation of human wisdom and reasoning. Many in the world call what is “evil, good” and what is “good, evil.” Such reasoning creates a propensity for lawlessness and disintegration. People reject the truth and divine guidance, while also truly casting off restraint (Proverbs 29:18). If such actions lead to decay, what then leads to life?

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Part 2: Answering Contemporary Challenges to Christian Sexual Morality

In Part 1 of this series , we looked at two common objections to a traditional Christian view of sexuality: “What about other Old Testament rules we don’t keep?” and “The New Testament teaching on sexuality was socially constructed and not intended for universal application.” In this second part, we will examine two more recent arguments that have become quite popular and, to some, deceptively persuasive.

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Part 1: Is Christian Sexual Morality a Matter of Ancient Cultural Bias?

What is the foundation of your moral principles?

If you consider that a simple question, you’ve never really thought about it much.

The gut reaction of most Protestants would be “Scripture”—certainly a fitting place to begin—but when one drills down into the details, things get complicated rather quickly. For decades, theological liberals have dismissed biblical teaching on sexuality because they dismiss the Bible. In more recent years, a newer contingent rejects traditional Christian teaching on sexuality arguing that “the Bible never taught it in the first place.”

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Addressing Race in Healthcare Through the Faith and Through the Law

Christian Medical & Dental Associations (CMDA) has tackled race issues in healthcare proactively, gathering members together for prayer and fasting, webinars, public policy statements, articles, discussions, video presentations and more while pledging to “continue seeking to oppose racism in healthcare and society and pursuing justice in access to healthcare and equitable outcomes.”

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The New Subjective Reality of Transgenderism

Is reality subjective or objective?

A new hermeneutic of reality is arising: converting objective physical reality into subjective reality.

The rapid rise of the transgender movement and the denunciation of physical reality inherent in that movement has stunned countless conservatives and especially evangelical Christians. Transgender ideologues are not interested in prioritizing one aspect of physical reality over another. Instead, they want to subvert objective reality to a new subjective reality defined by the individual and the movement.

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Virtual Doctoring, Virtual Church, Virtual Life

When this pandemic started, I, at least, had heard of Zoom. My husband Don, also a family physician, had no clue. We’re both in our 60s and feel simultaneously confused and outdated whenever a new form of technology emerges. Picture a donkey leaning back on the rope held by someone trying to drag it forward. You get the idea.

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Being Refined After the Fire

I love the opportunity to write for CMDA on a regular basis. I always sit down at the computer and words flow out of my heart and out of whatever I am experiencing at that point in time. It has been a new experience to struggle so much with my blog entry this month. I have written four or five entries—and every single one of them is depressing and discouraging, and also very similar to the one I wrote on my last assigned blog date. I keep trying, and I keep coming up pretty empty. It’s only after attempt number four or five that it occurred to me to think about the emptiness itself.

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HHS Addresses “Transgender Mandate” in New Rule…but Supreme Court Redefines “Sex Discrimination”

The U.S. Department of Health and Human Services (HHS) announced on June 12 that it had “finalized a rule under Section 1557 of the Affordable Care Act (ACA) that maintains vigorous enforcement of federal civil rights laws on the basis of race, color, national origin, disability, age, and sex, and restores the rule of law by revising certain provisions that go beyond the plain meaning of the law as enacted by Congress.”

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Medical Conscience Rights, Part II: Sexual Minority Conflicts

Conscience rights are constitutional priorities as well as professional and personal necessities for free people, and these enjoy strong and historic support from the legislature, executive branch and judiciary. They are worth defending, especially when misrepresented and misunderstood.

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Stand in the Gap: A Summons to Healthcare Professionals

OK. The ad is hypothetical, I’ll admit. But only a little. A just-released report on human sexuality issued a clarion call for Christian apologists to step up and counter the increasingly toxic cultural narrative on human sexuality. That narrative—or perhaps narratives, since some are severely at odds—has led to increasing radicalism and polarization, leaving a tide of refugees in its wake.

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Heroes, Wistfulness, Roles and Faithfulness

The viral attack hit especially in the major metropolitan epicenters, and many doctors, nurses, respiratory therapists and other healthcare professionals stayed at work in the trenches, came out of retirement or traveled long distances to volunteer their services to aid those in distress.

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Responding to Anti-Christian Animus Revealed in the Pandemic

In New York City, pronouncements against the volunteer work of the Christian relief group Samaritan’s Purse revealed venomous anti-Christian attitudes. Because Samaritan’s Purse, led by Franklin Graham, the son of the late evangelist Billy Graham, adheres to a biblical view of marriage, some New Yorkers would have had the group kicked out of the city rather than allowed to help save lives.

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Thinking of Ultimate Things

After 10 weeks of avoiding people, I realize how much I miss them. People, that is. I always thought I disliked crowds, but now I find myself missing crowds also. People bring me pleasure. People are precious.

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The Polarizing Pandemic

We are living in a highly polarized society. Disagreeing opinions have very little overlap, making compromise difficult. People talk more than they hear, and they hear more than they listen. People rally and argue and protest, but they rarely build bridges across the divides. Political candidates represent the extreme ends of their party’s platform, and those in the middle are accused of being weak on issues. Opinions on social media are strongly worded and leave no room for useful discussion. Family members have broken fellowship over the Trump v. Clinton election. Friendships are strained over differing definitions of social distancing. The world we live in is broken, and people are afraid. Fear, in fact, is the most insidious form of brokenness. It penetrates the very marrow of our character and changes our motivations. The values and ideals we hold dear are corrupted by fear such that we no longer act based on what we believe, but rather out of avoidance of what we fear.

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Immunizing Conscience

Ethical considerations should have a priority place in science and medicine. Promoting sound bioethics promotes confidence in doctors and scientists and their work, among peers, the public and policymakers. This is certainly seen in the recent ethically-guided decisions around federal funding of research with fetal tissue from elective abortions. Ethical guardrails help focus precious research funds on projects with best chance of success and benefit for all. Even in a crisis such as the current COVID-19 pandemic, illumination of the ethical vs. unethical proposals can educate and serve to focus attention and resources on the paths that will benefit all.

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Downcast: Do Real Christians Get Depressed?

Since the time of Job, people have struggled with depression. Depression isolates, as it causes sufferers to withdraw from others. Unfortunately, the stigma surrounding depression often reinforces the isolation. Not only do others stigmatize those who are depressed, but depressed individuals often believe these misunderstandings about themselves and experience shame. This shame arises from ignorance and misunderstanding about the nature of depression.

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Medical Conscience Rights, Part 1

Per Alliance Defending Freedom: “Freedom of conscience means you are free to carry out your moral duty without fear of government coercion or punishment.”

Also, it need not be faith-based to count. Conscience is conscience, and these rights protect our atheist colleagues as they do us. Canadian philosopher Edward Tingley explains that conscience rights protect those who object to the norm of what even a majority thinks is right, and they apply when (1) a cogent claim can be made that (2) grave wrong is done. The claim of wrong needs only to be serious and defensible.

Conscience rights exist precisely to protect someone who disagrees with majority consensus. They specifically protect unpopular opinions. The objection needs only to be serious and defensible.

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COVID-19 Ramblings and Reflections

The world is caught up in the COVID-19 pandemic. This virus has changed our lives, and it will continue to change the lives of people all over the world for years to come. Schools, churches, businesses, restaurants, sporting events and entire countries are closed or are placed under lockdown. Shelter-in-place, an old term, unknown to most, is now widely used, and it affects, by some estimates, more than half the country. At any hour of the day or night, one can find the most up-to-date tallies for morbidity and mortality in the U.S. and around the world. This led me to three observations.

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CPR in the Times of COVID-19

Cardiopulmonary resuscitation (CPR) is universally applied in cardiac standstill, unless a physician order is given to Do Not Resuscitate (DNR). CPR is the only procedure that can be performed without a physician order; a nurse cannot give aspirin, start an IV or feed a patient without an order. However, CPR is the automatic default when the heart stops. This universal application has created several ethical issues, and the current pandemic now has us questioning if CPR should be the automatic default.

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Coronavirus Response Reveals Character of Governments

American novelist James Lane Allen wrote, “Adversity does not build character; it reveals it.” The response by the governments of countries around the world to the COVID-19 Coronavirus is revealing the fundamental character of those governments.

As the U.S., state and local governments and healthcare professionals labor tirelessly in compassionate and effective efforts to protect American citizens from the spreading COVID-19 Coronavirus, governments in certain countries instead are reportedly exposing persecuted religious groups to the threat.

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Anxious? Me, Too. How To Lean On God When Feelings Don’t Cooperate

I’ve been a family doctor in the same location for 30 years, so many of my patients have been with me a decade…or two…or three. Following people through their life stages has been a joy. We’ve grown older together. I’ve been acutely aware of this in the last two weeks as I’ve called patients to reschedule them. I’ve wanted to call them myself to make sure they don’t need anything, because I’d rather they avoid any medical facility for the next six months.

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A Guide in the Middle of COVID-19

My 21-year-old son attends university in Scotland. Scotland is a beautiful country filled with some of the loveliest people I have met in my travels. They are warm, friendly and willing to help a stranger, even if you can’t always understand what they are saying to you. Those thick Scottish brogues can be difficult! Just sayin’.

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Ethics, Science and Ethical Science

Should ethical considerations have a place in science and medicine? Should ethics reviews be a standard part of science proposal reviews? Some scientists have said one reason they don’t consult ethicists or think about the ethical implications of their research is because ethicists usually say “no” to new technologies or because ethics is arbitrary. But what they are really avoiding is the necessity of setting rational limits on science, thinking they can thereby avoid any limits on their work. Limits that protect all human beings—even nascent human life—are neither arbitrary nor irrational. Such limits offer essential protections against abuses that could actually tarnish the image and standing of science, and limits also provide us opportunities to appreciate our shared humanity. These limits are not barriers but rather channels to move the scientific endeavor onto more productive ground. Science and ethics are not diametrically opposed approaches. In fact, in most cases the two walk hand in hand, enjoying each other’s company and benefitting from the shared journey.

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