Imagine a scenario where a loved one is suffering from an incurable condition and unimaginable pain.  And yet, antiquated laws have prevented her from finding peace once and for all. Shouldn’t they be changed to allow a medical professional to compassionately put her out of her misery?

This is the argument posed by physician-assisted suicide (PAS) advocates, and it has successfully changed numerous laws in the United States. But is death the only way to end pain? And do laws which allow PAS affect others in unexpected ways as well? Furthermore, could the legalization of PAS be abused?

First, let’s examine the facts. PAS is legal in many westernized countries today, such as Canada, the U.K., and Japan. But the country with the most PAS data is the Netherlands–one of the first countries to legalize the practice. Shockingly, PAS accounts for over four percent of all deaths in the Netherlands today, and the percentage is probably larger, since many such deaths go unreported. Furthermore, many euthanized were either unaware or incompetent to make this decision for themselves. Even children as young as twelve can be euthanized under the law. People can also be euthanized for depression in the Netherlands; eighty-three people were put to death for psychiatric conditions in 2017. Because of these facts, many Dutch citizens worry about being euthanized against their wishes. In fact, it is estimated that 10,000 Dutch citizens carry a “do not euthanize me” card just in case they become incapacitated.

Sadly, the United States is following in Holland’s footsteps. Already ten states and the District of Columbia have legalized the practice of PAS and the number of states which will legalize PAS in the future is expected to grow.

But what are the risks of legalizing PAS? Physician bias is always an issue. One only needs to find one doctor who is willing to approve nearly any request for euthanasia, and numerous unneeded deaths will be the result. Furthermore, as the price of health care increases, the possibility for coercion grows. Families will decide, often for economic reasons, that it’s best to end a loved one’s life rather than pay for long-term treatments which might result in financial collapse.

Is PAS even needed to control pain? One of the positive movements in recent decades has been the growth of the hospice movement and its effort to provide palliative pain care. The truth is that most pain conditions caused by life-threatening diseases can be alleviated using analgesic medications, including opioids. Indeed, proper hospice care has been able to extend life in many cases, even above the expected longevity of undergoing additional treatment.

Ultimately, as Christians, we need to understand how PAS does, or does not, fit into God’s plan for our lives. And as with any moral issue, Gods’ Word has to be our final guide.

One of the problems with today’s society is that there is no perceived value in suffering. Everything is solved with a pill. But God’s Word tells us otherwise. In 2 Corinthians 12:9-10, Paul reflects on how the Lord told him that, “My grace is sufficient for you, for power is perfected in weakness.” Paul writes, “Most gladly, therefore, I will rather boast about my weaknesses, so that the power of Christ may dwell in me. Therefore, I am well content with weaknesses, with insults, with distresses, with persecutions, with difficulties, for Christ’s sake; for when I am weak, then I am strong.” Our illnesses teach us about the kind of humility we need in order to have an honest relationship with the living God.

We must leave the power of life and death in the Lord’s hands. After his entire family was killed, Job wrote, “The Lord gave and the Lord has taken away; may the name of the Lord be praised.” We need to leave our mortality in the hands of God because we have a bright and shining future waiting for us – even after we die. At the end of time, “[God] will wipe away every tear from [our] eyes; and there will no longer be any death; there will no longer be any mourning, or crying, or pain; the first things have passed away” (Rev. 21:4).

Rev. Dr. Dennis Di Mauro is pastor of Trinity Lutheran Church (NALC) in Warrenton, VA. He also teaches at St. Paul Lutheran Seminary and the North American Lutheran Seminary.

I admit my tendency to often base my columns on the insights and observations of other writers.  No doubt some of you question whether I have any original thoughts, opinions and ideas.  The answer is yes I do; on occasion.

However, sometimes I come across an article that I’m convinced needs to be brought to your attention; and the sooner the better.  That’s definitely the case with the article, in the November, 2021, issue of Christianity Today, entitled “Empty Pews Are an American Public Health Crisis.”   The authors of this article are Tyler Vanderweele and Brenden Case.  Vanderweele is director of the Human Flourishing Project at Harvard University, and Case is the associate director of that same program.

The “public health crisis” they are bringing to our attention is the toll decreased in-person worship attendance is taking on American public health.  This crisis has been developing over many years.  However, the Covid pandemic has, to an alarming degree, contributed, since early 2020, to the severity of this crisis.  And it is a crisis in terms of not only mental, emotional and spiritual health; but physical health as well.

One sentence from this article expresses the authors’ theme succinctly: “People find their social and personal lives improved — sometimes their lives are even physically saved — when they go to church often.”

This article cites recent Barna Group surveys.  In 2011, 43% of Americans stated that they attended church weekly.  In 2020, this had declined to 29%.

Another quote from the article: “A number of large, well-designed research studies have found that religious service attendance is associated with greater longevity, less depression, less suicide, less smoking, less substance abuse, better cancer and cardiovascular-disease survival, less divorce, greater social support, greater meaning in life, greater life satisfaction, more volunteering, and greater civic engagement.”

And more specific to worship attendance: “Our research (at the Harvard University Human Flourishing Project) suggests that religious service attendance specifically, rather than private practices or self-assessed religiosity or spirituality, most powerfully predicts health.”

And this: “Our own research indicates that declining religious service attendance accounts for about 40 percent of the rise in (national) suicide rates over the past 15 years.  If the declines in attendance could have been prevented, how many lives could have been saved?”

Another quote: “In sum, there are a number of ways in which religious service attendance might positively influence a person’s mental and physical well-being, including providing a network of social support, offering clear moral guidance, and creating relationships of accountability to reinforce positive behavior.”

One more recent Barna Group survey indicates the even more immediate crisis that has developed due to the pandemic’s impact on worship attendance.  They found that about a third of “practicing Christians” have stopped joining in-person worship completely due to the pandemic.  And “this group reported higher levels of anxiety and depression than those still worshiping…”

So are there any helpful suggestions for our congregations after reading these demoralizing revelations?  Absolutely.  Here are three mentioned in this article.

1. “When the present pandemic has passed, it will be important to reestablish face-to-face meetings and services, rather than relying entirely on remote alternatives.”

2. “This research should challenge the growing number of Americans who self-identify as “spiritual but not religious,” or who harbor doubts about organized religion, to consider whether their own spiritual journeys might be better undertaken in a community of like-minded seekers and under the discipline of a tried and tested tradition of belief and practice.”

3. “Finally, this research has implications on a more individual level.  For the roughly half of all Americans who do believe in God but do not regularly attend services, the relationship between service attendance and health may constitute an invitation back to communal religious life.”

And my suggestion?  Perhaps read this article again, and while doing so ask yourself how these insights can guide your congregation’s ministry planning for 2022.

“And let us consider how to stir up one another to love and good works, not neglecting to meet together, as is the habit of some, but encouraging one another, and all the more as you see the Day drawing near.” (Hebrews 10:24-25, ESV)