Medicine used to be about caring for a person; now it is about curing a disease. According to this new philosophy, when someone is faced with a medical problem, everything that can be done ought to be done, no matter what – they are treated as an object to be fixed, rather than a person to be helped.
Within a short time span hospitals and medical care have greatly changed. In fact, today a man of seventy can justly claim that more medical progress has been made in his lifetime than in all of previous history.
This medical progress forces us to cope with issues our forefathers never faced. The most common and most pervasive issue is how new medical science has transformed medicine: it used to be about caring for a person; now it is about curing a disease. According to this new philosophy, when someone is faced with a medical problem, everything that can be done ought to be done, no matter what – they are treated as an object to be fixed, rather than a person to be helped.
That’s why it is important to understand the Christian origin of hospitals, and the Christian view on healthcare. We have an important message to share with the world. We can show them what true compassion is about.
Healthcare Mentioned in the Bible
The medical profession is an old one and physicians were unquestionably a visible part of society in Bible times.
Scripture refers to the medical practice both favorably and disdainfully. Job gives a passing reference to doctors when he refers to his comforters as “worthless physicians” (Job 13:4). Charlatans, magicians, and witchdoctors were to be driven from society and avoided at all costs (Lev. 19:31; Deut. 18:10). However, doctors like Luke (the author of Luke and Acts) were respected men (Col. 4:14).
In the New Testament Jesus is the Great Physician. He was concerned not only with humanity’s spiritual condition but also with its physical state. He did not teach that we should accept suffering stoically; He saw it as an enemy which must be fought.
He was also involved in the lives of people who were in a situation of distress. All four Gospels reveal that along with his teaching, He healed many. He showed compassion to the multitudes (Mark 8:2) healing the sick, opening the eyes of the blind, and making the lame walk, and the deaf to hear. When Jesus healed a woman on the Sabbath, his reply to the criticism was: “Should this woman… not be set free in the Sabbath day from what bound her?” (Luke 13:16).
Jesus expected his disciples, along with their teaching, to also heal: “He sent them [the twelve disciples] out to preach the kingdom of God and to heal the sick” (Luke 9:2). He told his disciples when they looked after the sick, they were caring for Him (Matt. 25:36).
Healthcare in the Early Church
This exhortation of our Lord did not go unheeded. And as the early Christians were dispersed throughout Asia Minor, largely as a result of being persecuted, we find them engaged in healing in addition to their preaching and teaching. History shows that these early Christians did not only oppose abortion, infanticide, and the abandonment of infants, but they also nurtured and cared for the sick, regardless of who they were. Christian or pagan, it made no difference to them.
Bishop Dionysius (approximately 200-265 AD) tells us that Christians, when it came to caring for the sick and dying, ignored danger to themselves:
“Very many of our brethren, while in their exceeding love and brotherly kindness, did not spare themselves, but… visited the sick without thought of their own peril… drawing upon themselves their neighbors’ diseases, and willingly taking over to their own persons the burden of the sufferings around them.”
Healthcare in Pagan Greece and Rome
The world the Christians entered during the Greco-Roman era had a colossal void with respect to caring for the sick and dying. The Greeks built large temples in honor of their numerous gods and goddesses, fashioned statues of all sorts, and wrote a wide variety of illuminating literature but never built any hospitals.
The Romans were subject to most of the same illnesses and ailments which afflict us today but diseases which are minor problems today were often life-threatening then. Because cure rates were low, they distrusted doctors or even scorned them. And their skepticism is easily understood. Anyone could call himself a doctor – there were no licensing boards and no formal requirements for entrance to the profession. The Roman scholar Pliny the Elder (23-79 AD) said:
“Medicine is the only profession, by Jove, where any man of the street gains our immediate trust if he professes to be a doctor; and yet surely no lie would be more dangerous. But we don’t worry about that; each one is lulled by the sweet hope of being healed.”
The key difference between the early Christians’ attitude toward the sick and the Greco-Roman attitude is their conflicting worldviews. The American church historian Philip Schaff summed it up well when he said, “The old Roman world was a world without charity.”
Dionysius vividly described the behavior of non-Christians toward their fellow sick human beings in an Alexandrian plague in about AD 250. The pagans he said,
“thrust aside anyone who began to be sick, and kept aloof even from their dearest friends, and cast the sufferers out upon the public roads half dead, and left them unburied, and treated them with utter contempt when they died.”
No wonder the pagan world took note when the early Christians appeared on the scene and started caring for the sick and dying.
The History of Hospitals
Hospitals in the Western world owe their existence to Christian teachings and Christian culture. Charity hospitals for the poor did not exist until Christians founded them – these Christian hospitals were the world’s first voluntary charitable institutions. Out of compassion for the sick and suffering, Christians felt that something ought to be done.
It is very important that we should keep this point before us. Secularism, which has such a negative and condescending attitude toward Christianity, should be reminded of this history.
The first ecumenical council of Nicea in 325 AD directed bishops to establish hospices/hospitals. Although their most important function was to nurse and heal the sick, they also provided shelter for the poor and lodging for Christian pilgrims. They were prompted by the early apostolic admonition by Christ’s command that Christians be hospitable to strangers and travelers (1 Pet. 4:9).
The first hospital was built by St. Basil in Caesarea on Cappadocia about 369 AD. It was one of a “large number of buildings with houses for physicians and nurses, workshops, and industrial schools.” The rehabilitation units gave those with no occupational skills opportunity to learn a trade while recuperating. Deaconesses worked as nurses, visited the sick and the poor, and contacted pastors for spiritual care when deemed necessary. Christians searched for the sick in the city, and the latter were brought to the hospital.
In about 390, Fabiola, a wealthy widow and associate of St. Jerome (347-419 AD), built the first hospital in Western Europe, in the city of Rome.
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