Can Cancer Be God’s Servant?
Our sovereign God weaves millions of details into our lives. He may have one big reason, or a thousand little ones, for bringing a certain person or success or failure or disease or accident into our lives. His reasons often fall outside our present lines of sight. If God uses cancer or a car accident to conform us to Himself, then regardless of the human, demonic, or natural forces involved, He will be glorified.
In March, my beloved wife, Nanci, lost her four-year battle with colon cancer. All 54 years I’ve known her, Nanci loved Jesus. But from a front-row seat, I watched a wonderful—and supernatural—change in those last four years.
In 2019, Nanci wrote to a friend and fellow cancer sufferer,
The cancer battle has been tough. However, my time with the Ancient of Days (one of my favorite names for God) has been epic! He has met me in ways I never knew were possible. I have experienced His sovereignty, mercy, and steadfast love in tangible ways. I now trust Him at a level I never knew I could.
I saw Nanci meditate on Scripture daily, read great books about God, and journal—writing out verses, powerful quotations from Spurgeon and many others, and personal reflections. One unforgettable morning, after meditating on Psalm 119:91, “All things are your servants,” she shared with me what she’d just written:
My cancer is God’s servant in my life. He is using it in ways He has revealed to me and in many more I have yet to understand. I can rest knowing my cancer is under the control of a sovereign God who is good and does good.
Brokenhearted and Thankful
Nine months later, at Nanci’s request and on short notice, our daughters and their families gathered to hear her speak final words of overflowing love for us and unswerving trust in her sovereign King.
As one of our grandsons sat beside her, listening to her struggling to speak and to me reading powerful words from her journals, he said, “Grams, if you can trust God in this, I know I can trust Him in whatever I’ll go through.” Another grandson told her, “I will never forget what you said to us today.”
Exactly one week later, I held her hand and watched her take her last breath in this world under the curse.
Every day during those four years, I witnessed God’s sanctifying and happy-making work in my wife: “We rejoice in our sufferings, knowing that suffering produces endurance, and endurance produces character, and character produces hope…because God’s love has been poured into our hearts through the Holy Spirit” (Romans 5:3–5).
Nanci and I—and thousands worldwide—prayed daily for her healing. God’s final answer was to rescue her from suffering and bring her into his presence where it’s “better by far” (Philippians 1:23). Through her afflictions, He achieved in her an eternal weight of glory that far outweighs them all (2 Corinthians 4:17). She praised Jesus for it, and I will forever do the same, though I miss her immensely.
Why God Permits What He Does
When our ministry posted Nanci’s words, “My cancer is God’s servant,” someone responded, “WHAT? God does NOT give people cancer. Jesus bore our sicknesses and carried our pains on the cross.”
That reader is not alone in trying to distance God from suffering. But by saying sickness comes only from Satan and the fall, not from God, we disconnect Him from our suffering and His deeper purposes. God is sovereign. He never permits or uses evil arbitrarily; everything He does flows from His wisdom and ultimately serves both His holiness and love.
Joni Eareckson Tada often shares the words of her friend Steve Estes: “God permits what he hates to accomplish what he loves.” God’s “permitting” something is far stronger than it may sound. After all, whatever God permits actually happens; what he doesn’t permit doesn’t happen.
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Why Reformed Churches Need Contextualization
Written by Justin N. Poythress |
Friday, July 7, 2023
Take time to explain unfamiliar movements of Christian worship. Explaining and teaching confession and forgiveness as part of our regular worship will make a striking difference in our churches and in society. When we explain the flow of worship, we also explain patterns that should be part of the rhythm and flow of a Christian’s life.Reformed pastors love the Reformation—the nailing of 95 theses to the door, the “Here I stand” moment, the wonder of one man facing down the corrupt power of a Pharisaical empire. We love the battle cry of semper reformanda (“always reforming”) and our accompanying daydreams of reenacting Luther’s stand in our day. Yet too often we’re oblivious to lurking dangers that make our churches more like 16-century Rome than the reformers.
Translation was a cardinal virtue of the Reformation before it began. Since the time of Wycliffe and Tyndale, faithful saints have worked to put the Bible into the common language, into the vernacular. The goal of these efforts was to get God’s Word out in such accessible terms that, as Tyndale dreamed, the boy who drives the plow would know the Scriptures better than the scholar.
Does a vision of contextual translation fuel our churches today? Do our sermons and worship services translate in such a way that 20-something Starbucks workers feel as at home in our churches as the university professors? Let’s explore why we still need contextualization and some ways we should embrace it in today’s church.
Need for Translation
Reformed worship is Word-filled and Scripture-directed. We worship God as he commands and not according to our own whims. When we come to worship, we don’t ask “How inventive can we be?” but “What is most consistent with God’s Word?” Having set God’s glory and God’s Word as our aim, we then seek to educate and welcome people in ways that will clearly communicate the historic and biblical truths we profess.
But when Reformed churches, who rightly love history and the Word, refuse to do any contextualizing work, they can develop a class problem. Look around your church community. If you see predominantly educated, well-to-do, white-collar professionals, it may be that your church has failed to translate its Reformed heritage into the common tongue. Educated professionals more easily develop a palate for the beauty of antiquity, but most people today find ancient verbiage to be clunky, awkward, foreign, and cumbersome. In a word, it’s a distraction.
What’s our objective as church leaders? It’s not to elevate people’s tastes but to elevate Jesus Christ. That doesn’t mean discarding excellence. It means knowing your context. The church in Yale’s backyard should look and sound different from the one off Road 22 in the Kansas wheat fields.
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Keeper of Our Lists
The same deposit that God gave to Paul has been given to all His children, regardless of the measure of our belief, persuasion and trust. He has “set His seal on us.” In our humanity, I believe that we’ll have periods of doubt, regret, unbelief – but God does not share in those. He is fully confident that He will keep His promise to keep us until we will see Him in all His fullness (1 Corinthians 13:12).
Chronic disease. Depression. Cancer. Self-harm. Anger. Shallow relationships. Destructive patterns of thinking. It saddens me to write these cares as a list, but they are swirling around my little world right now. I almost hesitate to list them collectively, as if The List as a whole may somehow diminish the significance of any one of them. One is enough on its own.
But somehow, by listing them all together, it’s what I need to retreat into a protective cleft hewn from this mountain of hard things and force me to stop and look for perspective. Reflection and perspective are tricky disciplines. I can be guilty of “scanning His work in vain” through “blind unbelief” as the hymn writer poetically tells me.[1] Yet, God-centered self-examination is to soften the soul, not harden it. So I trust God to place me on soft ground for His namesake as I do this hard work.
As I sit in that cleft, I am drawn to Paul’s last words to his dear Timothy. Paul was in prison, awaiting his execution. He had been arrested and sentenced to die because of his faith in and preaching about the Lord Jesus Christ. That jail cell was his cleft of perspective. His List included: loneliness, abandonment, betrayal, and extreme physical suffering, not to mention the mental suffering of waiting for death at the hands of a capricious, viciously evil emperor. Surely, it was an intense season of reflection and perspective.
However, as I read Paul’s words to Timothy, it is clear that Paul saw more than a desolate cell in the haze of his suffering. In his final days of reflection and perspective, he was confident, immovable, assured in Christ. Paul, whose inspired parting words still send sound waves through the ages, declared to Timothy, “I know whom I have believed, and I am persuaded, that He is able to keep that which I’ve committed to Him against that day” (2 Timothy 1:12).
I wonder: What was it about Paul that enabled him to be so confident as he reflected on The List of his life? As a woman, I think of the verse in Proverbs 31:25 which says, “Strength and dignity are her clothing, and she laughs at the days to come.” How then, can I learn to view my List with strength and dignity, with the confidence of a Paul? How do I cultivate confidence during my mid-life, when my list of sorrows seem to only get heavier?
He Knew Whom to Believe
Paul’s confidence is not in what he believed, but in whom he believed. His doctrine, apologetics, and Christian worldview – the “whats” of his belief – were not his Savior, but the very real, incarnate, ever present Almighty God. He says, “I know whom I have believed.” Looking only to “the what” leaves me bereft as I ponder: Why cancer? Why chronic, debilitating disease? Why depression? Being able to articulate the doctrine of God’s sovereignty and man’s sin puts borders around the pain, but it doesn’t sit with you in the crevice and console the heart as does the familiarity of Jesus’ presence. Only Jesus’ presence truly satisfies. Paul drew his confidence from the very real, ever faithful, intimate presence of his living Savior he had come to know through suffering side by side with Him through the Lists of his life. He says this,
“Indeed, I count everything as loss because of the surpassing worth of knowing Christ Jesus my Lord. For his sake I have suffered the loss of all things and count them as rubbish, in order that I may gain Christ and be found in him, not having a righteousness of my own that comes from the law, but that which comes through faith in Christ, the righteousness from God that depends on faith— that I may know him and the power of his resurrection, and may share his sufferings, becoming like him in his death” (Philippians 3:8-10).
He knew Jesus as his Lord, not just as The Lord. He knew Jesus was faithful to him. He knew Jesus was true to him. His List was a proving ground for knowing his Savior. My heart resonates with Paul’s: I want to know Him and be found in Him, not lost in the bewilderment of my List. For me, growing in Christ in my mid-life means pushing through the informing “what” to look for Him, the Incarnate Whom I am to know.
Cultivating an intimate relationship with the Living Savior is a whole other discipline which is foreign and just a bit foolish in this material world. It requires an “other worldly” adjustment. The adjustment takes my relationship with Jesus beyond my intellect and imagination and sits me with Him in quiet expectation that He will meet with me and be near to my soul. This adjustment requires me to tune my spirit to Him in a child-like faith, respond to Him in honest prayer, and listen for His still small voice. It is indeed a strange and uncomfortable posture for someone who looks for the tangible and rational. But, God is a Spirit, and true worshippers must worship Him in spirit and truth (John 4:24). So, as strange as this discipline may seem, this spiritual tuning is central to knowing the Lord and we should not be ashamed of it and we should encourage it, as long as it is grounded and guided by God’s revealed word.
How do we tune our spirit to His as we lay in our beds, unable to sleep because of our Lists? We do what Jesus did: We go to our heavenly Father in prayer. We tune our hearts to believe in the character of our God and how His character is sufficient for each care. Is it sin or sickness? He is the Great Physician (Mark 2:17). Is it depression? He has borne our griefs (Isaiah 53:4). Is it loneliness? He is the God who sees us (Genesis 16:13). Is it a wayward loved one? He leaves the ninety-nine (Luke 15:3-7). Is it fear of death? He leads us through the valley of its shadow (Psalm 23). In all these things, we counsel ourselves to put our faith in God (Psalm 42:5). This is what it means to “preach the gospel to yourself every day.”[2] Belief opens the door of the soul and welcomes us into the entryway of intimacy with, not just knowledge of, our Savior.
He Was Persuaded
When my husband and I took our marriage vows 29 years ago, I gave a reason for my willingness to marry and submit to him: I was persuaded he loved me. Over the course of our friendship, dating, and engagement, he had proven his love and commitment, so much so that I was willing to commit my life to him until my death. I was persuaded that whatever was to be in our future, he would be true to his vow, not to me, but to the Lord. I could trust and submit to that kind of man.
Paul’s confidence came from being persuaded that Jesus was trustworthy for his eternal future. It’s truly an amazing turn around for a man who believed that cultivating his own self-righteousness was his path to heaven. Paul, a violent Christian hater, transferred his trust from himself to trust entirely in Jesus’ goodness imputed to him, purchased for him by His death on the cross. That’s a big step for someone who studied the holiness of God and understood the severity of being wrong about where to put one’s eternal trust. He was persuaded that Jesus’ life, death and resurrection was sufficient for him, and knew his own was not. How does one become persuaded to trust Jesus completely? How did Paul get there?
Humbling and bewildering as it seems, being persuaded doesn’t start with a desire to be persuaded. It starts in eternity, in the heart of God, for His own glory and purposes, not from anything lovely or attractive in any one of us. “He chose us in Him before the foundation of the world, that we should be holy and blameless before him” (Ephesians 1:4). God set His affections on Paul just as He has set His affections on me. How can this be? I honestly don’t know. It’s beyond my scope. But I know that God persuaded me in my college days to put aside my arrogance, to put aside my striving for a goodness that would shake off my shame, to put aside the empty satisfaction of sin, and take up His name and be known as His. This is His work in me, apart from me. The faith I have is a faith given to me, it is not the product of any formula for living or thinking. I’m so very grateful that the trustworthiness of His eternal promises is dependent on Him, not my perfection of being fully persuaded in this earthly life.
But, just like in courtship, persuasion grows. Persuasion in belief grows by seeking out God in His word and getting to know Him there. Recently, I spent many months studying the letter to the Hebrews. Throughout my study, I kept coming back to the question, “How is this text relevant to me, a modern Christian? How do animal sacrifices, the Hebrew temple, or the high priest Melchezedek matter to my List?” I realized that in similar ways, the ancient saints had the same question, “How does God’s 4,000 year old covenant promise of a coming Messiah affect our practical life when all we see is struggle, persecution, captivity, and domination?” The writer of Hebrews gives this answer: We live by faith not by sight. Even as modern Christians, we need to see God’s promises and must welcome them from afar (Hebrews 11:13). Our “afar” is two directional – we look ahead, yes, but we also look back. Part of our sanctification is being persuaded that our life of faith is connected to a larger whole, a spiritual movement that we cannot see with our eyes, that started way before us, and one that we have been invited to join by our Savior.
Paul’s trust came from seeing, through God’s word, the sweeping epic of God’s revealed story. Paul was able to grasp the big picture because he was an ardent student of God’s word. He was persuaded through the testimony of the law and the prophets, through the history of God’s dealings with men, and through the life of Jesus which testified to God’s faithfulness to His promises. His confidence could not have come through casual study that cherry-picked favorite, feel-good verses found in 5 minute, pre-written devotionals, but by meditation on the whole counsel of God over a lifetime. He saw God’s word wholly, historically, and systematically. As modern Christians, we grow in the same way: reading, studying, meditating, applying God’s word until we see the big picture. We grow strong roots when we draw our sustenance from the deep, underground rivers of living water mined out of God’s word instead of thinking a sustaining sustenance comes from nearby surface puddles left over from light, spring rains.
How can we grow to be persuaded that God is trustworthy to transfer everything we hold dear to Him? It almost seems as if trusting Jesus for our eternal state is easier than trusting Him for our temporal cares. That is a challenging thought. Jesus has taken care of the “big thing” but we’re still holding on to the rest. If we can trust Him for the big thing, why not the cares of our Lists?[3] Perhaps they’ve become too dear to us. Perhaps we’ve forgotten our heavenly home. It’s an indication we’ve lost connection with the whole of what God is doing.
Paul encourages me to reflect on God’s larger purposes and trust God’s constant historical presence and faithfulness. A way I can grow to trust Him for my List is to look beyond it and take comfort in the truth that my List is not what God is all about. Yes, He is present here, He cares about the affairs of men. He cares deeply about my personal List. But He is also about so much more. The Hebrews admitted that “they were aliens and strangers on the earth.” Growing in confidence comes from seeking what He has revealed through the whole counsel of His word, and to discover His heart for His people globally, historically, systematically. His heart is here with us, yes, but He is lifting our eyes to trust Him that there is a greater country afar. What we see on our List only lingers; we are to look up and long for that better country just as the ancients did (Hebrews 11:16).
He Entrusted
There was a time in my youth when I challenged myself, “Live with no regrets!” I had a fearlessness (more like hubris) that if I brought my very best to whatever I set my mind and hand to, I could avoid sadness and feelings of guilt I saw in many older women. I was determined to not be a sad old lady! How foolish of me. The idea that we can live with no regrets distorts the reality of sin and our need for a Savior who has come to redeem them. Those “sad old ladies” were closer to understanding the gospel in their reflections than I did in my gumption.
Paul, in his last days, gives us no indication that he became a sad, old man, defeated and cynical. As he reflected on his List – the unseen sacrifices, the costly investments, the physical sufferings, broken relationships, the unrealized expectations and unanswered prayers– he entrusted them to Jesus in escrow until He made all things new. He acknowledged those earthly realities, but because he knew they were safe with Jesus, he could press on “forgetting what is behind and straining toward what is ahead…all of us who are mature should take such a view of things” (Philippians 3:13,15). He demonstrated this by spending his final days encouraging, equipping, and admonishing Timothy to “fan into the flame the gift of God which is in you” and to not fear or be ashamed of what lay ahead.
And, yet, here I am, writing these words to try to make sense of The List and at the same time longing for maturity. As I look at my List, I ask myself dangerous questions like, “What could I have done differently? Did I truly “do my best” in my most important roles of wife and mother? Did I love well? Did I invest wisely in the right things?” The empty encouragement I often give myself is, “Girl, give yourself grace. Don’t be too hard on yourself.” But that is not the counsel of the Scriptures.
The counsel of the Scriptures is to confess and repent; believe and trust. Many women seek and offer easy solace in pithy self-statements, but what a soul needs is an assurance in the beautiful, bloody beams of the cross of Christ. We confess our regrets and unbelief in God’s goodness because Jesus died to redeem our regrets and unbelief. We confess and repent of our sinfulness because He died to forgive us of our sinfulness. Jesus condescended to us so we would know how far His love would go. He rose from the dead to prove He is able to do all that He promised. Our Lists are the representations of why He came. Therefore, a mature view of our Lists is to humbly accept them and to see them not as representations of regrets or broken pieces that can weigh us down by sadness, but as reminders to cling to Him. Paul encourages us to embrace our Lists: “For where I am weak, He is strong, for God’s power is made manifest in weakness. So, I will boast in my weakness (2 Cor. 12:9-10).” As a Christian woman, I am to regard my List as a symbol of why He came and a rallying point for me to trust and rest in Him.
But, I can’t mistake or confuse the conclusion here: Paul’s ability to ultimately trust God with his List did not come from his strength of his belief or the power of a supreme intellect able to understand deep theological arguments, or simply from thinking clearly on days that are hard and overwhelming. His ability to trust God was because of God’s promise:
“Now it is God who makes both us and you stand firm in Christ. He anointed us, set his seal of ownership on us, and put His Spirit in our hearts as a deposit, guaranteeing what is to come” (2 Corinthians 1:21-22).
The same deposit that God gave to Paul has been given to all His children, regardless of the measure of our belief, persuasion and trust. He has “set His seal on us.” In our humanity, I believe that we’ll have periods of doubt, regret, unbelief – but God does not share in those. He is fully confident that He will keep His promise to keep us until we will see Him in all His fullness (1 Corinthians 13:12). And, if God is fully assured in His own trustworthiness towards us, we can entrust Him with our Lists. This is what His stewardship of our Lists looks like: King David pens this beautiful lyric: “You number and record my wanderings; put my tears into Your bottle—are they not in Your book?” (Psalm 56:8). He catches, records, and keeps them all. Our heavenly Father is the ultimate steward of our Lists.
I honestly don’t know if I will ever be mature enough on this side of heaven to embrace my List with joy. But I can aim for contentment. I can aim to be more fully persuaded that God has a plan for it. I can aim to more fully entrust my List into the rugged, pierced hands of Jesus. I can aim to be more confident in His promise that He will keep in a bottle all that I’ve entrusted to Him – my heart, my prayers, my loved ones, my hopes and dreams, my tears, my cares – until that day when He welcomes me home and I see Him face-to-face, and He wipes every tear from my eyes.
Sharon Smith Leaman is a member of New Life in Christ Presbyterian Church (PCA) in Fredericksburg, Va.
[1] Cowper, William. God Moves in a Mysterious Way. 1774.
[2] Bridges, Jerry. The Discipline of Grace : God’s Role and Our Role in the Pursuit of Holiness. Colorado Springs, Colo., Navpress, 2006.
[3] I give credit for this statement to Rev. Douglas Kittredge, my pastor and mentor for 35 years. He was the founding pastor of New Life in Christ Church, Fredericksburg, Virginia.
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Reorienting Evangelicalism to Christian Life Distinct from the World
The early church was radically different from the pagan world around it. Having a community which is strong and markedly distinct from the world he believes…will be “attractive to people in a world where there’s so much darkness and pain and suffering.”
Aaron Renn, whose new book Life in the Negative World was reviewed in an earlier article discussed the need for a re-orientation of the Evangelical world from a strategy of relevance and transformation of society “to being a counterculture” at the Philadelphia Conference on Reformed Theology on Apr. 27. He proposed to do this using Tim Keller’s revision of H. Richard Niebuhr’s “Christ and Culture” model (1950), which Keller provided in his 2012 book Center Church (which concerned church planting). Keller’s revision suggested four approaches of relating the church to the world: “relevance,” “transformation,” “counterculture,” and “two kingdoms.” The two kingdoms approach, distinguishing between a Christian’s duty to the church and to the state, is most identified with Lutheranism, and did not characterize Evangelicalism to a great degree in the twentieth century. It is relevance and transformation that have been the principal Evangelical approaches to American society in the contemporary world.
Relating the Gospel to the Wider World
Relevance, Renn said, “seeks to bring the Kingdom of God, the message of the church, to the affairs of men in their daily life.” Keller found mainline Protestantism to be a relevance strategy, but the seeker sensitive movement also focused on relevance. A megachurch sermon might be concerned with social media use, taking a passage of Scripture or a Biblical principle and applying it to social media. Renn believes that the strategy of cultural engagement (noted in the earlier article on Renn’s book and developed in fair measure by Keller himself) is also basically a relevance strategy. Transformationalism on the other hand seeks to expand the Kingdom of God in the world and thereby transform it into a godly civilization. Renn calls it a “de-facto postmillennial sensibility.” Keller considered the “culture war” or “Religious Right” strategy to be transformationalist. Involvement in politics would be used “to transform the laws and the culture of society to align with God’s law.” He conceded, however, that the cultural engagement strategy sometimes “had some transformationalist aspirations.” These strategies have characterized Evangelicalism in the late twentieth and early twenty-first centuries.
In contrast to these outwardly focused strategies, the Christian counterculture strategy focuses on separation from the world. This strategy is characteristic of Anabaptists, with the Amish as the most extreme example. But monastic life is another example. This writer would add that early twentieth century Protestant fundamentalism had countercultural aspects, especially in its doctrines of separatism. The fundamentalist rejection of vice is another separatist characteristic, discussed by Renn below.
While Renn said he does not believe Evangelicalism should become a “strict counterculture,” it nevertheless needs to “adjust the balance” in the direction of counterculture. This is the reasonable move for a religious group that has become a “moral minority.” He observed that minorities “always have to self-consciously steward the strength and identity of their own community,” and gave early twentieth century Catholicism as an example. Roman Catholicism faced much hostility before the middle of the twentieth century, and public institutions, including especially public schools, where the King James Bible was read, were pervaded by Protestantism. Parish schools, Catholic universities, fraternal societies, and other “infrastructure” was established to sustain Catholic life. While to some extent Protestant fundamentalists created a subculture at the same time, the overculture of elite universities, government, and business remained “basically Protestant.” Liberals and conservatives might disagree on particular Christian doctrines, such as the virgin birth of Christ, but they were agreed on Christian morality.
The Alienation of Mainstream Culture
In this regard, Renn observed that a patriarch of contemporary conservatism, William F. Buckley, caused a scandal in 1950 with his publication of God and Man at Yale, which criticized the university for having abandoning Christianity without acknowledging this. He was attacked as a Catholic who didn’t understand the Protestant institution that he had attended.
At this point in the twenty-first century however, Protestants, and certainly Evangelicals, have lost the nation’s cultural institutions, and are left with “big gap.” On the other hand, Catholics have maintained their institutions (although dissent from Catholic teaching varies since Vatican II), and Catholic intellectual life is maintained in fair measure by lay intellectuals. Evangelical Protestants by contrast take their leading ideas in response to the wider society from pastors and theologians, and today in some measure from Catholic thinkers. But Renn believes that the Evangelical mind continues to be a scandal, without the nourishment that institutions in a strong counterculture would give it.
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