We All are Going to Die

Last Friday, my 93-year-old stepmother transitioned peacefully into eternity. She had lived a joy-filled, vibrant life. The past year was challenging for her physically, and she expressed (on a regular basis) that she was ready to get her new body. God mercifully heard her prayer, and she entered her rest. Her funeral will be a celebration of her faith, her zest for living and her impact on the world (literally) through her teaching career and her participation in global missions. Her death will leave a hole for her family, but the loss will be tempered with good memories and a recognition that she was ready to make the transition.

As Nancy Krieger, Social Epidemiologist at the Harvard School of Public Health, noted in the documentary, “Unnatural Causes,”: “It’s not as if we won’t die. We all will die. But the question is: At what age? With what degree of suffering? With what degree of preventable illness?”

Good genes can extend our lives, but there are also social determinants of health–income, educational level, race, zip code, access to food, access to healthcare–that impact life expectancy. Life expectancy can be mapped. The poorer the community, the lower the life-expectancy. In Chicago, residents of Streeterville (aka the Gold Coast) have a life-expectancy of 90 while residents of Englewood (one of the city’s poorest communities) have a life expectancy of 60–a 30-year gap.

To die at age 93 isn’t tragic; it’s a milestone to be recognized and honored. But too many deaths are tragic–happening unexpectedly or prematurely. A death becomes tragic when it could have been, should have been, prevented.

If the proposed cuts to Medicaid, the National Institutes of Health, the Center for Disease Control, Cancer research on University campuses, and the Environmental Protection Agency outlined in the One Big, Beautiful Bill become law, people will die…tragically. They already are. According to a study by Boston University, an estimated 60,000 adults and children have died of AIDS around the world since USAID-supported PEPFAR programs were eliminated.

But some, like Senator Joni Ernst, seem unconcerned. “We all are going to die,” she told a crowd at a Town Hall meeting. Her statement is true, but that does NOT mean that we should minimize the tragedy of childhood death by disease or violence, nor should we coldly accept the inevitability that those without access to healthcare or medication or vaccines will die when we have the resources and knowledge to prevent those deaths.

Death may be our human destiny, but death by cutting the life-preserving programs and services that serve the poorest communities–especially poor children–shouldn’t be. We should be pursuing God’s new heaven and new earth as articulated by the prophet Isaiah where tragic death is a thing of the past. ““Never again will there be in it an infant who lives but a few days, or an old man who does not live out his years.” (Isaiah 65:20). That is a goal worth pursuing.

Breathe… (If You Can)

Over the past three months, I’ve been advised to handle my stress and anxiety by box breathing–the practice of breathing in deeply for 4 counts, holding it for 4 counts, exhaling for 4 counts and holding it for 4 counts–repeat.. I’ve done it and found it to be calming and centering. But, today, I learned that breathing deeply is becoming a challenge for a growing number of people in the US because of air pollution. Particulate matter and ozone in our air are increasing, and nearly half of Americans are breathing unhealthy levels of air pollution according to the American Lung Association’s annual State of the Air report.

Since the passage of the Clean Air Act in 1970, air quality in the US has improved significantly, but It is likely that will change in the coming years. On March 12, 2025, Environmental Protection Agency Administrator Lee Zeldin announced the rollback of environmental regulations, directly impacting the air we rely on to live. Among the proposed changes are relaxing the Mercury and Air Toxics Standards, relaxing the National Emission Standards for hazardous air pollutants for manufacturers and relaxing the Particulate Matter National Ambient Air Quality Standards.

When announcing the rollbacks, Administrator Zeldin said, “Today is the greatest day of deregulation our nation has seen. We are driving a dagger straight into the heart of the climate change religion and ushering in America’s Golden Age.”

It would appear that he is driving a dagger straight into our lungs as well.

Poverty and Segregation Kill

According the most recent statistics compiled by the Chicago Health Atlas, where you live and what you look like makes a difference in your life expectancy. If you live downtown, you are likely to live to the ripe old age of 88. But if you live in West Garfield Park, you’ll be lucky if you live to celebrate your 64th birthday. That’s a gap of 25 years!

Sadly, the life-expectancy gap can be found in most large cities. A pre-pandemic study of the 500 largest cities in the US by the Department of Public Health at NYU school of Medicine revealed similar large gaps in Washington DC, New York City, New Orleans and Buffalo. And the gap is most evident between Black and non-Black residents. In Chicago, the gap is currently 11 years.

So what’s the cause? Before you say, “Gun Violence!”, the largest contributor to the gap is actually chronic disease, which cuts off 4.7 years of life. Diseases such as diabetes and heart disease are the main killers. Dr. Simbo Ige, Chicago’s public health commissioner, isn’t surprised by the link between where a person lives and health outcomes. Maps of Chicago’s household income, demographics, unemployment, infant mortality, and food access consistently overlap with the life-expectancy map. (See the Chicago Health Atlas for access to dozens of maps related to health and wellness.) For the record, gun violence is also a contributing factor for shortened life-expectancy, but it is not enough to explain the 25-year gap between the loop and West Garfield Park. In poor, segregated communities of color, there is less income, less access to medical care, fewer job opportunities, and fewer healthy food options. As a result, people in those communities die younger.

Why should we care about the life-expectancy gap? God’s vision of “shalom” articulated by the prophet Isaiah includes a vision of a complete elimination of infant morality and extended life-expectancy. (See Isaiah 65:20) We often point to individual behaviors as the determinants of health and life-expectancy, but when we look at the data, it goes beyond whether a person choses to eat fruits and vegetables or doesn’t. We need to ask deeper questions about why the maps clearly overlap? And we need to talk about root causes of poverty and segregation and the social determinants of health.

The bottom line is that pre-mature death is preventable, but do we have the social and political will? According to Dr. Ige, it takes a long term commitment. “”Reversing these trends will require consistent, long-term commitment to increase access and uptake of health protective behaviors and resources,” she told Axios. In an interview with the Chicago Sun-Times, she added, “The challenge here is the failure of societal attention for those who are most impacted. There is a zero-sum mindset, like if we try and put additional resources and some support in communities that are more impacted, everybody else feels like it is taking something away from them.”

Unfortunately, reducing the life-expectancy gap also takes resources (ie funding). Since 2022, the city of Chicago has poured resources into long-neglected communities, and it is making a difference. But much of the funding came from Federal pandemic-era programs that have dried up. Proposed cuts to Medicaid and nutrition programs will only make reducing the life-expectancy gap challenging.

When Philip went to the Samaritan city, his proclamation and works of healing brought great joy to the city (Acts 8:5-8). We are called to be bearers of light and life wherever we go. Every act of love and mercy–no matter how small–is life-giving. Even a cup of water given in Jesus’s name makes a difference. Go, make a difference.

Faith, Healing

After President Jimmy Carter left office, he and his wife Roselyn embarked on a mission of humanitarian aid and international peace-making. As you probably know, they also were devout Christians. Jimmy famously taught a Sunday School class at his church each week, and he wrote 30 books–many of them related to faith, morals and ethics. In his book, “Living Faith”, he wrote, “To me, faith is not just a noun, but also a verb.” And he and Roselyn “faithed” well.

The Carters are probably best known for working with Habitat for Humanity, building housing for low-income families. But their mission through the Carter Center has also included health initiatives. In the 1980’s, the Carters took on what most thought was an impossible task: the eradication of neglected tropical diseases. They first set their sights on Guinea Worm Disease—a parasitical infection that afflicted an estimated 3.5 million people in Africa and Asia each year.

I had never heard of the disease until Mike, a member of my congregation, introduced me to both the disease and the work of the Carter Center. Trust me, Guinea Worm Disease is not something anyone would want to contract. According to the Carter Center, Guinea Worm larvae live in stagnant water. When people consume that water, the larvae enter the body. Inside the host’s abdomen, Guinea worm larvae mate and female worms mature and grow. After about a year of incubation, the female Guinea worm–which grows to a length of about 40 inches–creates an exit wound somewhere–anywhere–on the host’s body and begins it’s slow and very painful process of emerging from the body. The worms can take months to fully emerge, completely incapacitating the host. The burning sensation is so intense that only by immersing themselves in water does the host experience relief. However, immersion allows the female worm to release larvae into the water. The cycle begins again.

Undaunted by the immensity of the task, the Carters teamed with infectious disease specialists who discovered that the solution to ending the cycle was simple—a $5 water filter that prevented the larvae from entering the body. Through fundraising, education, and distribution of the filters over the past 35 years, the rates of contracting the disease have fallen dramatic. In 2024, there were just 14 documented cases of Guinea Worm Disease in the world! This is what can happen when people of faith take Christ’s call to be healers seriously.

Though the Carters are no longer with us (Well done, good and faithful servants!), the Carter Center has been working to eradicate another parasitical infection found in Sub-Saharan Africa and Central and South America called “River Blindness”. They are making progress. The disease has been eradicated in Mexico, Guatamala, Columbia and Ecuador. You can learn more about the disease and their progress HERE.

The eradication of River Blindness is progressing, but there is some concern about the future. A portion of the funding for the program came from USAID, the agency that was illegally closed by the new administration—supposedly for its corruption, waste and fraud. The State Department now oversees USAID funds and approves grants that “align with the administration’s goals” on a case-by case basis. Thankfully, the Lion’s Club International Foundation has renewed its partnership with the Carter Center to facilitate continued progress in eliminating River Blindness. Maybe there’s a billionaire that could step up to help too. I’ll believe THAT when I see it.

Waking Up to Affliction and Disease

On the Second Sunday of Lent, March 16, I preached about health and wellbeing. This is an adapted (and a bit expanded) version of the sermon.

Of the 37 miracles performed by Jesus that are recorded in the gospels, 28 of them involved healing people who were afflicted with all kinds of physical and mental illness. That is a full 75%! And that doesn’t begin to count the number of people who were impacted. There are stories of single individuals experiencing healing—like Peter’s mother-in-law. There are also stories of small groups being healed at the same time—like the 10 lepers who were cleansed. And then there are the two healing events that sound very much like the emergency room at Cook County Hospital—dozens of people waiting in line to see Dr. Jesus so he could touch them. Scores of people may have received healing. All of those who came to Jesus were given renewed health. Not once did Jesus ask if they had insurance or if they were documented or what religion they followed or what gender they were. He, in essence, offered free universal healthcare.

All this begs the question. Why? Why was healing illnesses and physical infirmities so central to Jesus’s ministry?

While there may be numerous insightful answers to the question, the Apostle John writes in 1 John 3:8, that Jesus “came to destroy the works of the devil”. Jesus’s mission of the deliverance of humanity from the devil’s realm of disease, death and destruction is central to our understanding of the coming of the Messiah. It is Jesus’s mission—and by extension, it is the mission of the church—to end the works of the devil—which I would define as anything hostile to the abundant life Jesus came to provide (John 10:10). Anything that is opposed to life and human thriving is satanic.

The Apostle Peter adds to our understanding of Jesus’s mission in Acts 10:38: “God anointed Jesus of Nazareth with the Holy Spirit and with power. Then Jesus went around doing good and healing all who were oppressed by the devil, for God was with him.”

God (aka Jehovah Rapha—’God who heals’) was in Christ, proclaiming the in-breaking of God’s realm not just through words, but through the works of healing—the sign of ‘shalom’ and the new creation. God was in Christ, breaking the satanic chains of affliction and setting the oppressed free. And the forces of hell were powerless to stop it. And Christ shared that anointing with his followers.

When Jesus gathered the twelve disciples, the first thing he did was give “them power and authority to drive out all demons and to cure diseases”. He then sent them out to “proclaim the kingdom of God and to heal the sick” (Luke 9:1-2). This was repeated when Jesus sent out another 72 disciples (Luke 10:1, 9). After the Pentecost event, the pattern continued. The followers of Jesus, filled with the Spirit, go out proclaiming the Good News of the kingdom and do the healing works of liberation in the name of Jesus (Acts 2:42-43, Acts 8:5-8, 12)

This is not just a spiritual healing of the soul with no connection to the body. It is liberation from the demonic chains of oppression and affliction that are manifested in the physical realm. Those chains of oppression and affliction present in the systems and policies that allow disease to flourish; and in the structures and programs that deny access to healing. I see those chains of oppression and affliction being re-established in the draconian proposals to dismantle healthcare and eliminate nutrition programs for the poor and vulnerable. Limiting access to these life-giving, life-sustaining services is satanic. Period. And every act that promotes health and wellbeing is of God. Period.

Through this understanding, any threat to eliminating Medicaid for poor people is satanic. Any threat to school lunches for children in need is satanic. Any threat to reductions in SNAP benefits for working families is satanic. Any threat to rollbacks in regulations that protect clean water is satanic.

The church must wake up! It must wake up to the demonic attempts to restore the chains of oppression and affliction and oppose them, but it must also wake up to its divine mandate to proclaim release to the captives, dismantle the structures of oppression and work to preserve and promote public health.

Death and destruction are Satan’s domain. Life and wellbeing are God’s realm. Which side are you on? In Christ, we have been awakened from death into life, and now we “live woke”—creating with God a world where everyone can thrive and flourish.

Those with ears to hear, let them hear.