Did we help? Did we have an impact? We are never the best judges of the effectiveness or ultimate meaning of our service. We must simply follow where God leads, through good report and bad, trusting him to use what He chooses for His glory.

In 1987 I was serving as minister of a Presbyterian church in Dunblane, Scotland. The country had been my home since 1972. One evening the news reported the emergence of a new and fatal disease in the United States that was affecting primarily gay men. Accompanying the reportage was a clip from a televised sermon in which the preacher affirmed that this illness was a judgment from God on gays. The manner of delivery was harsh and hateful, and I remember thinking this was not necessarily the best response of the Evangelical Church to an emerging problem.

Sometime later, while reading the Scriptures, the words “you will work with AIDS patients” came to mind. The impression was so strong and overwhelming, I actually said aloud, “No!” What followed was a remarkable series of coordinated events that made it abundantly clear that the words I heard in my mind were a call from God.

Sometime after the strong sense of call I experienced to work with AIDS patients, I was at a minister’s conference in London. In the course of a conversation with another pastor, he suddenly said that I should be working with AIDS patients. Another man who had just come back from America said he had recently worshiped at Tenth Presbyterian Church in Philadelphia, and at the morning service, an announcement was made about a collection being taken to start an outreach in the city to minister to those with AIDS. Shortly after this, I was invited to the Shetland Islands to address a medical conference on the subject of terminal care. As part of my research connected to this talk, I wrote to Tenth Presbyterian Church to find out what they were doing regarding the AIDS crisis. Sometime later, John Freeman answered and told me about the project. That began the process which ended in an invitation to return to the United States.

Harvest USA, in conjunction with Tenth, had gathered enough money to begin an outreach to people with AIDS in the Philadelphia area. There was funding for one year, but still it was unimaginably difficult to take my wife and family away from all that was dear to us in Scotland.

The beginning of what became known as Hope was extremely difficult. The gay community did not welcome the involvement of Christians in what was regarded as their issue, and we had to endure a measure of protest and hateful behaviors that were distressing and discouraging.

Everyone we served knew us as a Christian ministry, but the point of contact was not evangelism or Bible study; it was the illness.

At the time Hope began its work, the gay community was deeply committed to serving its dying members. When word of Hope’s existence spread, there was concern regarding the presence of Christians in this field. On one occasion a protest was staged outside the offices of Tenth Presbyterian Church. I was not present at that time, and the situation was defused by a pastoral staff person. But angry activists continued spreading the word to beware of anyone from Hope visiting sick patients. Occasionally our paths would cross in hospital rooms of individuals who had asked me to visit, and it was difficult to endure snide remarks and hostile looks. Eventually, however, through our relationship with a patient from Tenth, the secular AIDS agencies were told about the good work being done, and the hostility evaporated.

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