Healings and Health Care
Sermon for Sunday, June 28, 2009 — Year B, Proper 8
Then one of the leaders of the synagogue named Jairus came, and when he saw [Jesus], fell at his feet and begged him repeatedly, “My little daughter is at the point of death. Come and lay your hands on her, so that she may be made well, and live.” (Mark 5:22-23)
This morning’s gospel includes reports of two healings: of Jairus’ daughter, and of a woman with a hemorrhage. In both cases Jesus violates the conventional wisdom of his community in order to bring health and meaning to people in need.
No doubt you’ve heard the saying, “Cleanliness is next to godliness.” Among our foremothers and forefathers in the faith, that was considered true — although that saying is not from the Bible. The laws about purity, found mostly in Leviticus and Deuteronomy, were intended to make Israel a fit partner for God’s covenant with his people. God had brought his people up from slavery in Egypt, and demanded that his people be holy, as God himself was holy. Therefore, whatever detracted from this essential holiness was deemed offensive to God.
From this perspective, then, uncleanness consisted of any physical, ritual, or moral impurity which might be found in a person, object, or place. To be unclean meant to be contaminated, in much the same way a piece of cloth may be stained. Persons could be rendered unclean by contact with something dead, by a discharge of bodily fluids, by eating prohibited foods, or by disease.
For example, the Book of Leviticus goes into great detail identifying which animals are clean and therefore suitable for eating, and which, if eaten, will render a person unclean. Accordingly, pigs, camels, and rabbits are prohibited, but lamb is perfectly acceptable (Lev. 11:4, 6, 7); among the birds, quail is fine, but ravens and sea gulls are not (Lev. 11:15-16); winged insects with jointed legs above their feet are suitable for eating, but other insects are not (Lev. 11:21); and fish with fins and scales are allowed, but oysters, clams, shrimp, and lobsters (some of my favorite foods!) are considered detestable. (Lev. 11:9-10)
Moreover, impurity was understood to be contagious. Thus contact with something unclean — the carcass of a dead animal, for instance — made a person unclean. Purity, on the other hand, was not contagious. To have contact with something clean did not render a person clean. Rather, to be cleansed, a person had to wait a certain period of time — usually one, seven, or more days — and then undergo a cleansing ritual, often involving water. Finally, the offering of a sacrifice for sin was frequently required.
With this as background, perhaps we can understand why these two healings places Jesus at odds with the conventional wisdom of his faith community, for each involves contact with something deemed ritually impure. For a Jewish rabbi — a teacher — to intentionally have contact with something impure is unthinkable.
Consider, first, the woman who steals up behind Jesus as he walks along toward Jairus’ home. Mark tells us that this woman had suffered from hemorrhages for twelve years. Ancient peoples, the Jews among them, found all discharge of bodily fluids disturbing, because it seemed so disorderly. Menstruation — perhaps because it was associated with reproduction — was considered an especially potent source of uncleanness, and a persistent discharge of blood was even worse. A woman in this state could not touch anything deemed holy, and as we have noted, she could not be touched by any other person without that person becoming ritually impure. So, from a practical standpoint, this woman is an outcast. For that reason she sneaks up to Jesus, saying to herself, “If I but touch his clothes, I will be made well.” She does so, and her hemorrhage is cured. (Mark 5:25-28)
Now note how Jesus responds. From the standpoint of the law, he has been rendered ritually unclean by this woman’s touch. Jesus is aware that power had gone forth from him, and asks who touched him. The woman comes forward “in fear and trembling,” (Mark 5:33) expecting, I suppose, to receive a beating. Instead, Jesus hears her out and then says, “Daughter, your faith has made you well; go in peace, and be healed of your disease.” (Mark 5:34) He requires nothing more of her — no waiting period, no water ritual, no sin offering. Nor, as far as I can see, does he consider himself contaminated.
A similar, if more extreme, example is Jairus’ daughter. While Jesus is dealing with the woman, people from Jairus’ house come and tell the poor man that his daughter has died. (Mark 5:35) And, indeed, when they arrive at Jairus’ house, people are “weeping and wailing loudly,” already mourning the girl’s death. (Mark 5:38) Jesus asks, “Why do you make a commotion and weep? The child is not dead but sleeping.” The mourners laugh at Jesus — and yet the Greek word Jesus uses may be translated as either sleep or death. (Mark 5:39) Jesus goes into the house and, with the father and mother and three of his disciples watching, takes the girl’s hand and commands her to rise. She gets up immediately. (Mark 5:40-42)
Here again Jesus has violated the norms of his religious community. To have contact with anything dead, especially a human corpse, was a major violation of the rules of purity. We assume that is why in the parable of the Good Samaritan the priest passes by the injured man: he assume the man is dead, and any contact with a dead body would render the priest unclean and unfit for service in the temple. (Luke 10:31) Yet Jesus has no such qualms. He takes the little girl’s hand without a second thought.
In both these cases, Jesus’ concern is for the people who are ill — the woman and the little girl — not for himself, and indeed, not for the fears of the community of which he and they are a part. Conventional wisdom says he should consider both these people unclean and offensive to God. Instead, Jesus enacts God’s compassion upon those in need. His focus is on health and life, not rules and regulations.
That, I suggest, is a point of view which ought to inform our current national debate over health care. It appears to me that Jesus felt that healing — health care, if you will — was not a privilege reserved to the few, but the hope of all, regardless of their station in life. The woman with the hemorrhage seems to be a member of the lower class. There is no indication that she has a family, so it is possible that she is a female alone in the world, and sick, too — in that culture the very definition of being marginalized. In contrast, the young girl is quite possibly a child of privilege. Jairus is called a leader of the synagogue. He is most likely a Pharisee and probably a man of some means. Thus these women appear to come from different social strata, but are alike in their need for a restoration to health. And Jesus treats them alike, the one receiving no less than the other.
Now, I am no expert on health care. And I freely admit that, by virtue of your kind and generous support of St. John’s Church, I have an excellent health insurance benefit, one which I would not wish to lose. At the same time, I am aware that there are members of this congregation and of the community in which we live who do not have health insurance, and who therefore — unlike most of us — do not have regular, affordable access to health care services. That state of affairs is profoundly unjust. To be without health insurance in the United States today entails greater risk of serious ill health, the likelihood that accident or illness will result in financial ruin, and it also penalizes those who do have insurance.
The greater risk of ill health results from not being able to see a doctor when doing so could resolve a health problem at an earlier, more easily treatable stage. A person without insurance generally doesn’t see a doctor until his or her situation has deteriorated, and getting that person sorted out will be more expensive. The person also knows that if he or she does seek medical treatment when seriously ill, the cost could force them into bankruptcy.
At the same time the uninsured penalize the insured because their clinic-of-choice — or rather, their clinic-of-necessity — is the emergency room. I contend that the United States already has a national health care program. It’s the emergency room, where by law you have to be treated. As health care programs go, it’s about as inefficient and expensive a system as anyone could devise. To cite just one example, some of you get AARP’s monthly Bulletin, so you may already have seen the report on a study in central Texas which “found that in the last six years, just nine residents accounted for a whopping 2,678 visits [to the emergency room]. One of the nine was in the emergency room more than 100 times a year for four years.” The AARP articles goes on to note that “[t]he average cost of an emergency room visit in the United States is about $1,000. At that rate, the nine Texans likely racked up more than $2.7 million in charges.” (AARP Bulletin, June 2009, p. 6) At least some of this unreimbursed hospital expense gets spread to those who do have insurance, which helps explain why health care costs increase so rapidly.
We are told that some 47 million Americans — representing 16% of the population — currently lack health insurance. With more and more workers losing their jobs, and with employers shedding their health insurance programs or shifting the financial burden to workers, it seems to me that before long, the uninsured could make up 20% or more of the population. And we already know that when these people or their children fall ill, they will have no alternative except to show up at the ER, regardless of the cost.
Faced with such a relentless and increasingly dire reality, I find it difficult to give much credence to the argument that anything we might do to fix health care will be too expensive. The fact is, everything about health care is expensive, and more so every day! Just putting the problem aside for another 10 or 20 years is no solution. Worse, putting the problem aside says, in effect, that those with jobs and income deserve good health care, while those without jobs or income do not. This morning’s stories from Mark’s gospel — about the unnamed woman with a hemorrhage and the unnamed daughter of Jairus — make that a completely unacceptable alternative. In his role as health care provider, Jesus treated everyone alike — because the sick are alike in their need for care.
What is needed now is a good faith effort to find some plan, or combination of plans, which will deliver high quality health care to everyone at a reasonable cost. I don’t pretend to know what that system will look like, but I do know that if this new plan excludes the poor, the unemployed, and the uninsured as less-than-deserving, then we will be in the same fix we are now — and not by neglect, but by intention. We can, and must, find a better solution. Our representatives in Washington must do this for us. That’s why they were elected. That’s why they are so well compensated, including, I should note, a gold-plated health insurance program of their own. In short, the time for excuses is past, the time for decision has come. Amen.
— The Rev. John E. Laycock, Interim Pastor
Readings for Year B, Proper 8: Lesson — Wisdom of Solomon 1:13-15; 2:23-24. Gradual — Psalm 30. Epistle — 2 Corinthians 8:7-15. Gospel — Mark 5:21-43.
Collect for Proper 8:
Almighty God, you have built your Church upon the foundation of the apostles and prophets, Jesus Christ himself being the chief cornerstone: Grant us so to be joined together in unity of spirit by their teaching, that we may be made a holy temple acceptable to you; through Jesus Christ our Lord, who lives and reigns with you and the Holy Spirit, one God, for ever and ever. Amen.