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i understand that this isn't everybody's view, but i thought it was a neat perspective.
[Editor's Note: Our friend, David Powlison, of the Christian Counseling and Education Foundation, who also was recently diagnosed with prostate cancer, has added some helpful expansions to John Pipers ten points. Indented paragraphs beginning with "DP:" are written by David Powlison.]
I write this on the eve of prostate surgery. I believe in Gods power to healby miracle and by medicine. I believe it is right and good to pray for both kinds of healing. Cancer is not wasted when it is healed by God. He gets the glory and that is why cancer exists. So not to pray for healing may waste your cancer. But healing is not Gods plan for everyone. And there are many other ways to waste your cancer. I am praying for myself and for you that we will not waste this pain.
It will not do to say that God only uses our cancer but does not design it. What God permits, he permits for a reason. And that reason is his design. If God foresees molecular developments becoming cancer, he can stop it or not. If he does not, he has a purpose. Since he is infinitely wise, it is right to call this purpose a design. Satan is real and causes many pleasures and pains. But he is not ultimate. So when he strikes Job with boils (Job 2:7), Job attributes it ultimately to God (2:10) and the inspired writer agrees: They . . . comforted him for all the evil that the Lord had brought upon him (Job 42:11). If you dont believe your cancer is designed for you by God, you will waste it.
There is therefore now no condemnation for those who are in Christ Jesus (Romans 8:1). Christ redeemed us from the curse of the law by becoming a curse for us (Galatians 3:13). There is no enchantment against Jacob, no divination against Israel (Numbers 23:23). The Lord God is a sun and shield; the Lord bestows favor and honor. No good thing does he withhold from those who walk uprightly (Psalm 84:11).
The design of God in your cancer is not to train you in the rationalistic, human calculation of odds. The world gets comfort from their odds. Not Christians. Some count their chariots (percentages of survival) and some count their horses (side effects of treatment), but we trust in the name of the Lord our God (Psalm 20:7). Gods design is clear from 2 Corinthians 1:9, We felt that we had received the sentence of death. But that was to make us rely not on ourselves but on God who raises the dead. The aim of God in your cancer (among a thousand other good things) is to knock props out from under our hearts so that we rely utterly on him.
We will all die, if Jesus postpones his return. Not to think about what it will be like to leave this life and meet God is folly. Ecclesiastes 7:2 says, It is better to go to the house of mourning [a funeral] than to go to the house of feasting, for this is the end of all mankind, and the living will lay it to heart. How can you lay it to heart if you wont think about it? Psalm 90:12 says, Teach us to number our days that we may get a heart of wisdom. Numbering your days means thinking about how few there are and that they will end. How will you get a heart of wisdom if you refuse to think about this? What a waste, if we do not think about death.
Satans and Gods designs in your cancer are not the same. Satan designs to destroy your love for Christ. God designs to deepen your love for Christ. Cancer does not win if you die. It wins if you fail to cherish Christ. Gods design is to wean you off the breast of the world and feast you on the sufficiency of Christ. It is meant to help you say and feel, I count everything as loss because of the surpassing worth of knowing Christ Jesus my Lord. And to know that therefore, To live is Christ, and to die is gain (Philippians 3:8; 1:21).
It is not wrong to know about cancer. Ignorance is not a virtue. But the lure to know more and more and the lack of zeal to know God more and more is symptomatic of unbelief. Cancer is meant to waken us to the reality of God. It is meant to put feeling and force behind the command, Let us know; let us press on to know the Lord (Hosea 6:3). It is meant to waken us to the truth of Daniel 11:32, The people who know their God shall stand firm and take action. It is meant to make unshakable, indestructible oak trees out of us: His delight is in the law of the Lord, and on his law he meditates day and night. He is like a tree planted by streams of water that yields its fruit in its season, and its leaf does not wither. In all that he does, he prospers (Psalm 1:2). What a waste of cancer if we read day and night about cancer and not about God.
[Editor's Note: Our friend, David Powlison, of the Christian Counseling and Education Foundation, who also was recently diagnosed with prostate cancer, has added some helpful expansions to John Pipers ten points. Indented paragraphs beginning with "DP:" are written by David Powlison.]
I write this on the eve of prostate surgery. I believe in Gods power to healby miracle and by medicine. I believe it is right and good to pray for both kinds of healing. Cancer is not wasted when it is healed by God. He gets the glory and that is why cancer exists. So not to pray for healing may waste your cancer. But healing is not Gods plan for everyone. And there are many other ways to waste your cancer. I am praying for myself and for you that we will not waste this pain.
DP: I (David Powlison) add these reflections on John Pipers words the morning after receiving news that I have been diagnosed with prostate cancer (March 3, 2006). The ten main points and first paragraphs are his; the second paragraphs are mine.
1. You will waste your cancer if you do not believe it is designed for you by God.
It will not do to say that God only uses our cancer but does not design it. What God permits, he permits for a reason. And that reason is his design. If God foresees molecular developments becoming cancer, he can stop it or not. If he does not, he has a purpose. Since he is infinitely wise, it is right to call this purpose a design. Satan is real and causes many pleasures and pains. But he is not ultimate. So when he strikes Job with boils (Job 2:7), Job attributes it ultimately to God (2:10) and the inspired writer agrees: They . . . comforted him for all the evil that the Lord had brought upon him (Job 42:11). If you dont believe your cancer is designed for you by God, you will waste it.
DP: Recognizing his designing hand does not make you stoic or dishonest or artificially buoyant. Instead, the reality of Gods design elicits and channels your honest outcry to your one true Savior. Gods design invites honest speech, rather than silencing us into resignation. Consider the honesty of the Psalms, of King Hezekiah (Isaiah 38), of Habakkuk 3. These people are bluntly, believingly honest because they know that God is God and set their hopes in him. Psalm 28 teaches you passionate, direct prayer to God. He must hear you. He will hear you. He will continue to work in you and your situation. This outcry comes from your sense of need for help (28:1-2). Then name your particular troubles to God (28:3-5). You are free to personalize with your own particulars. Often in lifes various trials (James 1:2), what you face does not exactly map on to the particulars that David or Jesus faced but the dynamic of faith is the same. Having cast your cares on him who cares for you, then voice your joy (28:6-7): the God-given peace that is beyond understanding. Finally, because faith always works out into love, your personal need and joy will branch out into loving concern for others (28:8-9). Illness can sharpen your awareness of how thoroughly God has already and always been at work in every detail of your life.
2. You will waste your cancer if you believe it is a curse and not a gift.
There is therefore now no condemnation for those who are in Christ Jesus (Romans 8:1). Christ redeemed us from the curse of the law by becoming a curse for us (Galatians 3:13). There is no enchantment against Jacob, no divination against Israel (Numbers 23:23). The Lord God is a sun and shield; the Lord bestows favor and honor. No good thing does he withhold from those who walk uprightly (Psalm 84:11).
DP: The blessing comes in what God does for us, with us, through us. He brings his great and merciful redemption onto the stage of the curse. Your cancer, in itself, is one of those 10,000 shadows of death (Psalm 23:4) that come upon each of us: all the threats, losses, pains, incompletion, disappointment, evils. But in his beloved children, our Father works a most kind good through our most grievous losses: sometimes healing and restoring the body (temporarily, until the resurrection of the dead to eternal life), always sustaining and teaching us that we might know and love him more simply. In the testing ground of evils, your faith becomes deep and real, and your love becomes purposeful and wise: James 1:2-5, 1 Peter 1:3-9, Romans 5:1-5, Romans 8:18-39.
3. You will waste your cancer if you seek comfort from your odds rather than from God.
The design of God in your cancer is not to train you in the rationalistic, human calculation of odds. The world gets comfort from their odds. Not Christians. Some count their chariots (percentages of survival) and some count their horses (side effects of treatment), but we trust in the name of the Lord our God (Psalm 20:7). Gods design is clear from 2 Corinthians 1:9, We felt that we had received the sentence of death. But that was to make us rely not on ourselves but on God who raises the dead. The aim of God in your cancer (among a thousand other good things) is to knock props out from under our hearts so that we rely utterly on him.
DP: God himself is your comfort. He gives himself. The hymn Be Still My Soul (by Katerina von Schlegel) reckons the odds the right way: we are 100% certain to suffer, and Christ is 100% certain to meet us, to come for us, comfort us, and restore loves purest joys. The hymn How Firm a Foundation reckons the odds the same way: you are 100% certain to pass through grave distresses, and your Savior is 100% certain to be with you, your troubles to bless, and sanctify to you your deepest distress. With God, you arent playing percentages, but living within certainties.
4. You will waste your cancer if you refuse to think about death.
We will all die, if Jesus postpones his return. Not to think about what it will be like to leave this life and meet God is folly. Ecclesiastes 7:2 says, It is better to go to the house of mourning [a funeral] than to go to the house of feasting, for this is the end of all mankind, and the living will lay it to heart. How can you lay it to heart if you wont think about it? Psalm 90:12 says, Teach us to number our days that we may get a heart of wisdom. Numbering your days means thinking about how few there are and that they will end. How will you get a heart of wisdom if you refuse to think about this? What a waste, if we do not think about death.
DP: Paul describes the Holy Spirit is the unseen, inner downpayment on the certainty of life. By faith, the Lord gives a sweet taste of the face-to-face reality of eternal life in the presence of our God and Christ. We might also say that cancer is one downpayment on inevitable death, giving one bad taste of the reality of of our mortality. Cancer is a signpost pointing to something far bigger: the last enemy that you must face. But Christ has defeated this last enemy: 1 Corinthians 15. Death is swallowed up in victory. Cancer is merely one of the enemys scouting parties, out on patrol. It has no final power if you are a child of the resurrection, so you can look it in the eye.
5. You will waste your cancer if you think that beating cancer means staying alive rather than cherishing Christ.
Satans and Gods designs in your cancer are not the same. Satan designs to destroy your love for Christ. God designs to deepen your love for Christ. Cancer does not win if you die. It wins if you fail to cherish Christ. Gods design is to wean you off the breast of the world and feast you on the sufficiency of Christ. It is meant to help you say and feel, I count everything as loss because of the surpassing worth of knowing Christ Jesus my Lord. And to know that therefore, To live is Christ, and to die is gain (Philippians 3:8; 1:21).
DP: Cherishing Christ expresses the two core activities of faith: dire need and utter joy. Many psalms cry out in a minor key: we cherish our Savior by needing him to save us from real troubles, real sins, real sufferings, real anguish. Many psalms sing out in a major key: we cherish our Savior by delighting in him, loving him, thanking him for all his benefits to us, rejoicing that his salvation is the weightiest thing in the world and that he gets last say. And many psalms start out in one key and end up in the other. Cherishing Christ is not monochromatic; you live the whole spectrum of human experience with him. To beat cancer is to live knowing how your Father has compassion on his beloved child, because he knows your frame, that you are but dust. Jesus Christ is the way, the truth, and the life. To live is to know him, whom to know is to love.
6. You will waste your cancer if you spend too much time reading about cancer and not enough time reading about God.
It is not wrong to know about cancer. Ignorance is not a virtue. But the lure to know more and more and the lack of zeal to know God more and more is symptomatic of unbelief. Cancer is meant to waken us to the reality of God. It is meant to put feeling and force behind the command, Let us know; let us press on to know the Lord (Hosea 6:3). It is meant to waken us to the truth of Daniel 11:32, The people who know their God shall stand firm and take action. It is meant to make unshakable, indestructible oak trees out of us: His delight is in the law of the Lord, and on his law he meditates day and night. He is like a tree planted by streams of water that yields its fruit in its season, and its leaf does not wither. In all that he does, he prospers (Psalm 1:2). What a waste of cancer if we read day and night about cancer and not about God.
DP: What is so for your reading is also true for your conversations with others. Other people will often express their care and concern by inquiring about your health. Thats good, but the conversation easily gets stuck there. So tell them openly about your sickness, seeking their prayers and counsel, but then change the direction of the conversation by telling them what your God is doing to faithfully sustain you with 10,000 mercies. Robert Murray McCheyne wisely said, For every one look at your sins, take ten looks at Christ. He was countering our tendency to reverse that 10:1 ratio by brooding over our failings and forgetting the Lord of mercy. What McCheyne says about our sins we can also apply to our sufferings. For every one sentence you say to others about your cancer, say ten sentences about your God, and your hope, and what he is teaching you, and the small blessings of each day. For every hour you spend researching or discussing your cancer, spend 10 hours researching and discussing and serving your Lord. Relate all that you are learning about cancer back to him and his purposes, and you wont become obsessed.