Prophesy, Preach, and Proclaim: Homily for the 11th Sunday in Ordinary Time

Jesus sent His apostles on mission with power over unclean spirits and the mandate to ‘cure every disease and every illness.’ It is a powerful mandate that includes an important distinction. Giving the apostle the instruction to cure disease AND illness might strike some as redundant. However, the distinction is important to understanding the mission of the Church that heals illness but rarely cures disease. Disease and illness are not synonymous. Few physicians are able to cure disease. True, surgeons can remove a diseased organ and effect a cure. Internists are able to cure some diseases but more often we stabilize them. Think diabetes or high blood pressure. Psychiatrists? I’m still not sure after thirty five years. However, despite the limitations all have the mandate to heal illness. Disease is a biomedical affliction with identifiable pathological changes in an organ or organ system at some level. While a disease affects only the patient, illness is a sociocultural perspective that includes how the individual and others understand and experience certain disvalued and feared states caused by disease. Illness affects not only the individual but the family, the community, and at times all of society, in ever widening circles. The dichotomy is apparent in scripture when we consider leprosy. Leprosy as described in both Old and New Testaments never had anything to do with what is now known as Hansen’s disease. Leprosy was a catch-all term for visible scaly lesions including vitiligo, psoriasis, and blemishes. Jesus cured the disease of leprosy in those afflicted but more significantly He cured the illness and thus returned the sufferers to themselves and to society. There are many modern illustrations of the difference between disease and illness. AIDS as disease was first described in June 1981. By 1990 almost 101,000 Americans had died of the disease with 1/3 of those deaths reported in 1990. The toll of AIDS as illness, a toll exerted on family, friends, community, society, and the world of medicine, was, is, and will remain beyond accounting. Thanks to covid we had a refresher course on the difference between disease and illness. The disease, which affected only individuals, killed the elderly age 65 and above in disproportionate fashion. The illness was an even greater disaster. Many of those elderly, as well as patients hospitalized for other reasons were forced to suffer and die in anguished solitude. Many perceived abandonment by their families and friends who were prevented from visiting. And no, a computer is not a good substitute for someone dealing with cognitive impairment. They were bereft of the sacraments as well. The illnesses: loneliness, depression, anxiety, fear, and for many, cognitive decline came from a combination of government fiat, irrational fears of administrators, lack of compassion, and generalized stupidity on the part of too many who should have known better. The slogan, “Follow the science” was a dismissive cudgel used to beat others into submission regarding vaccination. Many lives were destroyed. As with AIDS the impact of the illnesses of covid can never be estimated, particularly when one factors in the disastrous impact of school closures. The disease has faded. The illness will echo for decades to come. How did the twelve apostles perceive Jesus’ mandate to cure disease and illness? How did they feel when it was given to them? How did they feel when the going got rough or when they realized the risks? Ideally they did not respond in the same way as a young physician who wrote an op-ed column in response to covid titled, “I Didn’t Sign Up For This,” an extended whine about having to work under the conditions and risks of covid. It might be best for this young doc to hang up the stethoscope now and seek a different line of work. Apparently he or she likes the title but not the obligations that come with it. Mandate derives from the Latin mandatum: manus (hand) and dare (to put) thus ‘to put into one’s hands.’ The foot washing of Holy Thursday is referred to as the mandatum, from Jesus’ words at the Last Supper “I have given you an example, so that as I have done for you, you should also do.” The histories of AIDS and covid as diseases AND illnesses have a shameful element in common. That shame was, and is, the refusal of too many with training and ability to treat patients because of the diagnosis. The stories of refusing to allow patients with AIDS to even enter a medical office were many during the early years. During covid, Arthur Caplan, a so-called medical ethicist in New York published a column on Medscape titled, “It’s Okay for Docs to Refuse to Treat Unvaccinated Patients.” The good news is that Caplan is not physician. He cannot treat patients. The over 700 responses to his column from physicians were overwhelmingly negative, angry, or both. It is never OK to cherry pick who or what is treated based on diagnosis or social agenda. I suspect had Dr. Caplan written that it was OK to refuse puberty blockers for so-called transexual children he would have been fired right quick. It is not easy to treat disease. Sometimes the best we can do is keep it at bay for a little while. “A cure for cancer in our lifetime.”? Nothing more than a moronic bumper sticker reflecting no knowledge of the thousands if disease that fall under the umbrella term cancer. Treating the illnesses of modern times is even more difficult. That is a separate homily. We have all been given the same mandate as that given to the apostles. That is to treat illnesses and proclaim the Kingdom of Heaven through our words and the example of our lives. _____________________________________ Will try to post photos next week. This is truly a miserable web site.