“Gender-Affirming Care” Is Not a Right
Written by Daniel R. Suhr |
Saturday, July 6, 2024
The Biden administration and some parents of the children who wish to continue their gender transition are making a bold claim: that the U.S. Constitution prohibits the states of Tennessee and Kentucky from regulating medical practice—on children—in an area of uncertain science.
With the Supreme Court’s annual term reaching an end, and so many decisions coming out in these final two weeks of June, the court is also leaving us with a cliff-hanger for next year. In one of its final orders before beginning its summer recess, the court agreed to hear the case of United States v. Skrmetti next fall, setting up a showdown over a state’s right to regulate transgender medical interventions for children.
The Biden administration and some parents of the children who wish to continue their gender transition are making a bold claim: that the U.S. Constitution prohibits the states of Tennessee and Kentucky from regulating medical practice—on children—in an area of uncertain science. That is an uphill claim on any of the three points.
First, states have long regulated medical practice. All doctors in the United States must hold a license from a state medical board in order to practice medicine, and they can lose that license for unprofessional or unethical conduct.
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How Should Christians Think about History?
The Bible tells us about the beginning of history by giving an account of the creation of the world (Gen. 1–2). It tells us about the goal of history by telling us about the new heaven and the new earth to come (Rev. 21:1–22:5). We ourselves, and all the things and events around us, dwell in the time in between. The events in the in-between times have significance. That significance comes from God. Events unfold from an origin shaped by God. And they all have purposes, because they lead forward to a goal shaped by God. Each event happens in accord with God’s plan (Isa. 46:9–10; Lam. 3:37–38; Eph. 1:11). Each event is known by God from all eternity, because it is planned by him.
Is there a distinctively Christian approach to history? And if so, what does it look like in practice? How should we think about history? How should we write about history? How should we read critically the historical accounts of the past? How should each of us think about his own personal history and the history of relatives and friends?
Everyone participates in a single large historical stream of events, traveling from past to future. So does it make any difference what one believes about the events? As we read the Bible, we find that there are several ways in which God guides us to think in a distinct way about history.
Meaning
Our beliefs about history make a difference because everyone wants to find meaning in history. If there is no God, if each of us is just atoms in motion, there is no overall meaning. All of it is “sound and fury, signifying nothing.”1[1] Out of his own mind, each person can still try to invent his own personal meaning for himself and for his surroundings. But deep down he is aware that it is his invention. It signifies nothing, ultimately, because in the end we are all dead. Such a picture is bleak.
By contrast, the Bible indicates that events have meaning, given by God. We ourselves are human beings created in the image of God (Gen. 1:26–27). We have significance as persons. God is personal, and he has created us as persons. We are to live in fellowship with him.
The Bible tells us about the beginning of history by giving an account of the creation of the world (Gen. 1–2). It tells us about the goal of history by telling us about the new heaven and the new earth to come (Rev. 21:1–22:5). We ourselves, and all the things and events around us, dwell in the time in between. The events in the in-between times have significance. That significance comes from God. Events unfold from an origin shaped by God. And they all have purposes, because they lead forward to a goal shaped by God. Each event happens in accord with God’s plan (Isa. 46:9–10; Lam. 3:37–38; Eph. 1:11). Each event is known by God from all eternity, because it is planned by him.
In sum, we can have meaning in our lives because God gives meaning. Christians, unlike many other people with different views, believe in a God of meaning. This is important even when we cannot presently discern the meaning.
God’s Control
One primary principle is that God is in charge of events, both big and small.
[God] removes kings and sets up kings.—Dan. 2:21
Are not two sparrows sold for a penny? And not one of them will fall to the ground apart from your Father. But even the hairs of your head are all numbered.—Matt. 10:29–30
His rule is comprehensive:
Who has spoken and it came to pass,unless the Lord has commanded it?Is it not from the mouth of the Most Highthat good and bad come?—Lam. 3:37–38
As a result, Christians have a source of security. The universe is under the control of our loving Father. His control is thorough and meticulous. We need to acknowledge his sovereignty and to give him thanks: “give thanks in all circumstances” (1 Thess. 5:18).
History involves events, persons, and the meanings that belong to them. All three—the events, the persons, and the meaning—come from God. All fit together into a coherent whole, because there is only one God who rules over all (Ps. 103:19).
God’s Purposes
If God is involved in everyone’s life, in all circumstances, what are the implications? The first implication is to acknowledge his presence and to be aware of his presence. But how? There are two extremes to avoid.
Overconfidence about Purposes
One extreme is to be overconfident that we can know and discern God’s purposes in the details of events. The Bible tells us about God’s overall goal and his overall purpose, to “unite all things in him [Christ], things in heaven and things on earth” (Eph. 1:10). It also indicates that a prime means for moving toward that goal is the spread of the gospel: “Go therefore and make disciples of all nations. . . . ”(Matt. 28:19). But what about the particulars? People sometimes make confident pronouncements. For example, Job’s friends—Eliphaz, Bildad, and Zophar—thought that they knew the reason for the disasters that befell Job. They said that the disasters showed that God was punishing Job for some particular sins for which he needed to repent. But the book of Job as a whole shows that they were wrong in their supposition. Likewise, when the disciples inquired in John 9:2 about the man born blind, they supposed that either he or his parents had sinned and that the calamity was the result of the sin. But Jesus answered that it was “that the works of God might be displayed in him” (Job 9:3).
God’s purposes are deep. We are not God. We need to recognize that, although God always has his purposes, many of those purposes in their details are hidden from us.
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Pandering to Sacred Cows
As Christians, we need to learn to identify cultural idols when we see them, and unequivocally refuse to bend the knee. We must refuse the temptation to use them as occasions to polish our reputations or to appear respectable in the eyes of our families and peers. Instead, we should remember that Babylon is a place brimming with idols — some of them sixty cubits tall (Dan. 3:1) — and that though they are exalted among men, in the eyes of God they are worthless abominations.
The Pharisees, who were lovers of money, heard all these things, and they ridiculed him. And he said to them, ‘You are those who justify yourselves before men, but God knows your hearts. For what is exalted among men is an abomination in the sight of God.’ (Luke 16:14–15)
A very real danger faced by sinners in every age is that of seeking to be man-righteous rather than God-righteous — that is, of being tempted to curate a persona that will gain the approval of men, but not the approval of God. For the Pharisees, this looked like tithing mint and cumin while at the same time craving money like a pack of half-starved coyotes. It looked like straining gnats and swallowing camels, carefully washing the outside of the cup and leaving the inside untouched.
The Pharisees, in other words, were masters at putting their fingers in the air to determine which way the winds of cultural approval were blowing, and then tailoring their words and deeds in such a way as to win the admiration of all who might be watching.
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Basic Axioms on The Holy Spirit
Given that the Spirit is one with the Father and the Son from eternity, he is to be worshiped with them in one united act of adoration. We were all baptized into the one name of the Father, the Son, and the Holy Spirit. Since God is one indivisible being, it is inconceivable that the Spirit could be anything less than the full unqualified God and so worthy of our worship and service. The Holy Spirit is one being (homoousios) with the Father and the Son, one in wisdom, power, and glory.
The Niceno-Constantinopolitan Creed (C), composed in A.D. 381, sums up the considered biblical exegesis and doctrinal commitments of the church at the time. It has been recognized as authoritative through the centuries in both East and West.
We Believe in the Holy Spirit, the Lord and Giver of Life
Creator and Sustainer of the Universe
The Spirit, together with the Father and the Son, is confessed as the Creator of all contingent life. The one holy, catholic, and apostolic church acknowledges that the Father Almighty is the Creator of heaven and earth, that Jesus Christ is the one by whom all things were made, and that the Holy Spirit is the author and giver of life. In short, all three persons work together inseparably according to their distinct hypostatic particularities. In the case of the creation, the Spirit of God was hovering over the waters of creation (Gen. 1:2) and the created entities were brought forth by the breath of God’s mouth (Ps. 33:6–9). This mirrors the Trinitarian structure of C, with sections devoted to each hypostasis, demonstrating an awareness of their indivisibility.
This entails that the Spirit pervades the entire creation, inseparably from the Father and the Son. It demonstrates that all life is sacred insofar as it ultimately stems from God, who brought all entities other than himself into existence and continues to sustain them by his almighty power. I recall making vacation trips on a number of occasions to see family members in the USA from our home in Britain. Away for three weeks, we left in spring as the leaves were appearing on the trees and the stems were poking through the soil. What a change there was upon our return! The garden was now ablaze with color, vegetation having sprung up seemingly from nowhere. What power there was in the life force that animated each plant, shrub, and tree! It was the Holy Spirit that did it, giving vibrant life and exquisite beauty to each part, a sumptuous feast for the eyes. He also allowed a goodly number of weeds! These we were responsible to eliminate.
We cannot identify this beautiful and infinitely varied scene with the divine; that would be pantheism. Gustav Mahler gave a title to the first movement of his vast Third Symphony, “Pan awakes: summer marches in.” While we may appreciate his love of nature, such a sentiment fails to reckon with the distinction between Creator and creature. Nor, for the same reasons, can we accept the panentheist notion that creation and Creator are mutually dependent. On the other hand, it is all too easy to assume that the created order—my garden being part of it—develops simply of itself, independent of its Creator; that is deism and, I fear, is more common than we might suppose. No, the Holy Spirit gives life to the vegetation, the trees and plants around us, and sustains it by his mighty power, in accordance with his immanent causes, such as sunshine and rainfall. This helps us to appreciate how agricultural fruitfulness was listed as one of the blessings Yahweh promised to Israel in his covenant, upon the people’s faithful fulfillment of their obligations. All contingent life owes its existence to the Holy Spirit, not to innate powers of “Mother Nature.” It commits us to nurture, cultivate, and preserve the environment.
He sends the snow in winter, the warmth to swell the grain, The breezes and the sunshine, and soft, refreshing rain.1
Source of Eternal Life
This leads on to the reality that the Spirit is the source of the new creation (2 Cor. 5:17). He transforms us into the image of God (2 Cor. 3:18; 2 Peter 1:4). It was the Spirit of the Father that raised Christ, the Son, from the dead and will raise us too in union with the Son (Rom. 8:10–11; 1 Cor. 15:35–58; Phil. 3:20–21). He is the guarantee of the final renewal of the entire cosmos, concurrent with the redemption of the church (Rom. 8:18–23). In all these great works, all three Trinitarian persons work together without separation. Thus, not only is the Spirit the giver of life (Ps. 104:29–30), but behind that he is the Lord of life, since he is life itself.
Who Proceeds from the Father and the Son
Processions
The internal relations of the Trinity exhibit an order. While a range of orders are presented in the New Testament, indicating the equality of all three persons and their identical being, nevertheless there is a recurrent pattern throughout the Bible in creation, providence, and grace. This pattern reflects who God is in himself.
This internal order is from the Father through or in the Son and by the Holy Spirit. As Basil argued, we should not be too insistent on the prepositions, since what is most significant is what is intended. All three are one identical being, equal in status and in possession of all divine attributes. The order does not affect these realities, but is the way in which the three subsistent hypostases relate to one another. Thus, the Father generates the Son, spirates the Spirit, and is neither begotten nor proceeds; the Son is begotten and does not proceed; and the Spirit does not beget nor is begotten, but proceeds from the Father in and through the Son.
Missions
These processions are reflected in the external works of God in creation, providence, and grace. In the case of the Spirit, he proceeds from the Father in and through the Son, while in relation to the creation he is sent by the Father and the Son. We can see this at the Jordan when Jesus was baptized. There the Spirit descended from the Father, not as a dove but “like a dove” (Mark 1:10), and came to rest on the Son. That was for the purpose that the Son would bestow him on his people. This pattern is evident in the missions as recorded in the Bible and in the ongoing work of God thereafter. In John Owen’s words, “the order of operation among the distinct persons depends on the order of their subsistence” in the Trinity. The missions reflect the processions. In every work of God, however, “the concluding, completing, perfecting acts are ascribed unto the Holy Ghost.”2 Or as Abraham Kuyper put it, “in every work effected by Father, Son, and Holy Ghost in common, the power to bring forth proceeds from the Father, the power to arrange from the Son; the power to perfect from the Holy Spirit.”3 Both echo John Calvin, who wrote that to the Father “is attributed the beginning of activity, and the fountain and wellspring of all things; to the Son, wisdom, counsel, and the ordered disposition of all things; but to the Spirit is assigned the power and efficacy of that activity.”4 Yet there is a difference. The processions are necessary acts, inherent in the nature of God. The missions are the consequences of his will. They might not have been, without any detriment to God’s own being or to the processions themselves. Owen describes them as voluntary acts and not necessary properties.5
Who Together with the Father and the Son Is Worshiped and Adored
Given that the Spirit is one with the Father and the Son from eternity, he is to be worshiped with them in one united act of adoration. We were all baptized into the one name of the Father, the Son, and the Holy Spirit. Since God is one indivisible being, it is inconceivable that the Spirit could be anything less than the full unqualified God and so worthy of our worship and service. The Holy Spirit is one being (homoousios) with the Father and the Son, one in wisdom, power, and glory.
While there are no explicit statements to this effect in the New Testament, all that the New Testament teaches demands it. In consequence, we can see the threefold patterns in the letters of Paul and Peter, the baptismal formula, the apostolic benedictions in that light.6 While there is no express example of prayer being specifically offered to the Spirit, as there is to the Father and the Son, it is because our prayers are offered in the Spirit (Rom. 8:26–27; Jude 20). Moreover, since the three are indivisible, where the Father or the Son is mentioned, all three are entailed. That is why it is by the Holy Spirit that we have access through Christ, the Son, to the Father (Eph. 2:18). From this, it is clear that the Spirit is “in himself a distinct, living, powerful, intelligent divine person; for none other can be the author of those internal and external divine acts and operations which are ascribed unto him.”7
Who Spoke by the Prophets
The Bible itself is the result of the work of the Holy Spirit. As the breath of God, he inspired the Old Testament prophets and the biblical authors. Paul teaches that “all Scripture is breathed out by God” (2 Tim. 3:16). This is a reference to the Spirit. As we will see, pneuma means “wind,” “breath,” or “spirit,” according to the context. There is a frequent overlap in usage, and the Spirit is compared to the wind or the breath of God on more than one occasion (Pss. 33:6–9; 104:29–30; Ezek. 37:1–14; John 3:5–14).
Moreover, in 2 Peter 1:20–21, Peter describes the Spirit’s work in the production of Scripture: “Men spoke from God as they were carried along by the Holy Spirit.” The Spirit was the primary author who supervened, directing the thoughts and words of the human writers in such a way that they themselves were fully responsible and wrote according to their own particular character and inclinations.
Excerpt taken from Chapter 4: Basic Axioms, The Holy Spirit by Robert Letham, published by P&R. Used with permission.From Matthias Claudius, “We Plow the Fields and Scatter” (1782), trans. Jane M. Campbell (1861).
John Owen, A Discourse concerning the Holy Spirit (1674), in The Works of John Owen, ed. William H. Goold (London: Banner of Truth, 1965–68), 3:94.
Abraham Kuyper, The Work of the Holy Spirit, trans. Henri De Vries (Grand Rapids: Eerdmans, 1900), 19.
John Calvin, Institutes, 1.13.18.
Owen, Holy Spirit, in Works, 3:117. This is correct, as long as one understands, as Owen does, that these are not three separate wills but rather one indivisible will express in its hypostatic distinctions.
Robert Letham, The Holy Trinity: In Scripture, History, Theology, and Worship, rev. and expanded ed. (Phillipsburg, NJ: P&R Publishing, 2019), 47–69.
Owen, Holy Spirit, in Works, 3:67–68.Related Posts: