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Biblical Ethics: An Overview

Biblical Ethics: An Introduction

From the beginning of the Bible to the end, God gives people specific instructions about how he wants them to conduct their lives. The study of these instructions and their wise application to life is known as the discipline of biblical ethics. These instructions from God about ethical living involve many commands, laws, moral standards, ideals, prohibitions, and principles of wisdom relating to moral judgment. They also concern matters of moral accountability, including rewards and punishments that provide incentives for pleasing God and avoiding what he abhors. From start to finish, ethical understanding in the Bible is about applying the holiness of God to human life on earth (Lev. 11:44–45; 19:2; 20:7; 1 Pet. 1:14–16). This article offers an overview of such biblical ethics as based on the totality of moral revelation in the Word of God, and several articles that follow it show the application of Christian ethics to specific moral issues.


An Overview of Ethical Instruction and Example in the Bible

The first example of ethical instruction in the Bible is seen when God gave Adam and Eve commands, both positively, “Be fruitful and multiply and fill the earth and subdue it” (Gen. 1:28), and negatively, “of the tree of the knowledge of good and evil you shall not eat” (Gen. 2:17). Later in the Bible God gave his people the foundational guidelines set forth in the Ten Commandments (Ex. 20:1–17; cf. Deut. 5:6–21), and then he added the numerous, even more detailed laws that are found in large portions of Exodus, Leviticus, Numbers, and Deuteronomy. These laws not only prescribed and prohibited certain actions but also taught people about right attitudes of heart: “You shall love the LORD your God with all your heart” (Deut. 6:5; cf. Lev. 19:18; Ps. 40:8; 119:16). In addition to direct commands, the Bible also teaches about moral living through narrative literature (revealing what pleases or displeases God), wisdom literature (revealing characteristics of good judgment), and prophetic words (revealing how people and nations are accountable to God), all of which indicate the kinds of conduct, character, and goals that God either approves or disapproves.


When Jesus came, he lived a life of perfect obedience to God, for he said, “I always do the things that are pleasing to him” (John 8:29), and many passages affirm that Jesus’ life was completely free of sin: He was “one who in every respect has been tempted as we are, yet without sin” (Heb. 4:15), and he was “obedient to the point of death, even death on a cross” (Phil. 2:8; cf. John 15:10; Acts 3:14; 2 Cor. 5:21; Heb. 7:26; 1 Pet. 1:19; 1 John 2:1; 3:5). Jesus employed three characteristic motifs in his ethical teaching. First, he often described moral living in terms of God reigning as a king and his people’s duty as citizens to obey the rules of his kingdom (cf. esp. Matt. 5:3, 10, 19–20; 6:10, 33; 13:37–43, 47–50; 18:23–35; 21:31–32, 43). Second, he frequently described moral living in terms of the obligations, loyalties, and privileges of children in a family headed by God as a loving Father (cf. esp. Matt. 5:9, 16, 43–48; 6:1–4, 14–15; 12:50; 23:9; Mark 3:35; John 12:36). Third, Jesus taught in terms of disciples following, imitating, and obeying him as a beloved teacher, mentor, and role model (cf. esp. Matt. 10:24–25; 16:24; Mark 10:43–45; Luke 6:40; John 13:15–17; 14:15, 21, 23–24; 15:10, 12). And at the end of his ministry he commissioned his followers to teach other disciples from all nations “to observe all that I have commanded you” (Matt. 28:20). In addition to his teaching, Jesus’ life is also a pattern for believers to imitate, for “whoever says he abides in him ought to walk in the same way in which he walked” (1 John 2:6).


The Bible ends with a picture of the new Jerusalem, a city in which the only residents are those who obey God’s moral standards, for “nothing unclean will ever enter it, nor anyone who does what is detestable or false” (Rev. 21:27), and those who are kept “outside” are “sorcerers and the sexually immoral and murderers and idolaters, and everyone who loves and practices falsehood” (Rev. 22:15). Obedience to God’s ethical standards brings him glory (Matt. 5:16; 1 Cor. 6:20) and is also best for his people (Ps. 1:1; John 14:21; Rom. 12:2; Heb. 12:10).


Justification by Faith and the Importance of Moral Obedience

The NT clearly teaches that justification, that is, pardon and acceptance with God, comes to people only through faith in Christ alone, who is offered to sinful humanity as Savior by God’s grace alone: “by grace you have been saved through faith” and “this is not your own doing; it is the gift of God, not a result of works” (Eph. 2:8–9). But then Paul immediately says that God wants Christians to live in obedience to him: “For we are his workmanship, created in Christ Jesus for good works, which God prepared beforehand, that we should walk in them” (Eph. 2:10). It is impossible to read the NT epistles, or to listen to the teachings of Jesus in the Gospels, without hearing dozens upon dozens of moral commands, standards, warnings, and promises telling Christians how they should live in order to please God in their daily conduct. Therefore it must be seen as a matter of great importance to God that his people, who have been justified by faith alone, live every day of their lives walking in obedience to God’s moral standards (Heb. 12:14). In fact, in John 14, Jesus four times stresses the essential connection between loving him and obeying what he commands (John 14:15, 21, 23, 24). Empowered by the Holy Spirit, daily obedience expressing faith, loyalty, and love toward Christ will have a transforming effect. The conscience will be clear (1 Tim. 3:9; cf. 1:5); the heart will know great peace (Phil. 4:9); joy will abound (Rom. 14:17); assurance will be strong (2 Pet. 1:5–10); and distressing experiences will be taken in stride (1 Pet. 2:18–24).


God’s Holy Character as the Source of His Moral Standards

God’s moral standards are never arbitrary or capricious, but are all consistent with and derived from his own moral character. This is why Paul can say, “be imitators of God, as beloved children” (Eph. 5:1). This theme of imitating God’s moral character is found throughout the Bible: “we love because he first loved us” (1 John 4:19). “Be merciful, even as your Father is merciful” (Luke 6:36). “You shall be holy, for I am holy” (1 Pet. 1:15, quoting Lev. 11:44). The commands not to lie but to speak truthfully are grounded in the imperative that believers should increasingly live out the image of their Creator, who does not lie (Col. 3:9–10).


Other commands also reflect the pattern of imitation of God. “Honor your father and your mother” (Ex. 20:12) is a reflection of the Son honoring the Father and being obedient to the Father’s will within the counsels of the Trinity (cf. John 4:34; 5:30; 6:38). The command not to murder (Ex. 20:13) is grounded in the fact that God is the Creator and sustainer of life and places immense value on the lives of human beings created in his image (Gen. 9:6). The command “You shall not commit adultery” (Ex. 20:14) is a command to be faithful in marriage relationships, based on imitating God’s faithfulness in all his covenant commitments. The command not to steal (Ex. 20:15) is grounded in a respect for the fact that a sovereign God has entrusted stewardship of possessions to various individuals, and people should respect that stewardship. The command not to covet (Ex. 20:17) is based on imitation of the fact that God himself delights in the excellence of his holy character and his providential arranging of things; therefore, we too should delight in his arrangements and never be discontented with them.


But if all God’s moral standards are grounded in his unchanging moral character, it follows that he could not have given commands that were substantially different from these. He could not have commanded people, e.g., to be unfaithful, or to lie, or to murder others. Why? Because such commands would be contrary to the moral character of God himself, or would suggest that God’s moral character changes so that he is sometimes actually unfaithful, or tells lies, or unjustly hates and destroys human lives. Anything contrary to the holiness of God is abhorrent and dishonoring to God because it violates his moral character (cf. Prov. 30:9). God cannot issue, and could never have issued, moral standards in contradiction to those he gave, not because God’s sovereignty is limited by anything or anyone other than himself, but only because God can never be other than he is. He can never cease to be God. And he can never be untrue to his unchanging moral character.


If one understands the ethical system found in the Bible to be grounded in the moral character of God, this also provides an answer to the age-old philosophical question, “How can one ever reason from what is (a description of reality) to what ought to be (a prescription of right and wrong)?” If what is (that is, what exists in the universe) begins with God himself and his moral character, then God’s very being determines the nature of the things that are right and wrong, and thus God’s being determines, in an ultimate sense, what ought to be.


This understanding of the Bible’s ethical system also implies that God’s moral standards (when rightly understood and applied) are for all people and all cultures throughout all history, because they are the moral standards of the eternal Creator of the universe.


It may at first seem overwhelming when someone is told, “Just obey the entire Bible as it applies to your situation in life.” The Bible is a large and diverse book and contains some stipulations (esp. in the OT) that hardly seem to apply today. Must all biblical commands be treated the same, or does the Bible itself provide reasons for classifying various commands in different categories? To address this, most Christian interpreters have agreed to some broad principles for determining how various biblical commands apply today. These principles of interpretation include the following:


1. The NT is written directly for followers of Christ living under the new covenant. Though “all Scripture” (including all of the OT) is “profitable” for the Christian (2 Tim. 3:16), immediate application to life is clearer when reading the NT, for these books were written to Christian believers who were in the same situation as Christians are today with respect to God’s overall plan for the history of salvation; they were living in the new covenant age, and so are God’s people today. Searching the NT is a good “first step” in resolving an ethical question.


2. Many details of the Mosaic law are either no longer binding or were never meant for everyone. While some aspects of God’s law delivered to Moses reflected God’s standards of moral holiness for all time, many other aspects did not deal directly with morality but with procedures for conducting the Levitical worship system under the old covenant, or with ceremonies and rituals that showed Israel to be a distinct nation, or with administrating the civil government of Israel upon entering the Promised Land. Most interpreters agree, therefore, that what God ordered for the civil government of Israel (though wise) was never meant for other nations and other governments, and that the ceremonial requirements of the old covenant are not applicable today. Thus, e.g., laws concerning circumcision, sacrifices, unclean foods, and clothing are part of the “ceremonial” regulations that set Israel apart from other nations but are no longer binding today, in the NT (or new covenant) age (cf. Heb. 9:1–10:18). Similarly, many of the laws and penalties in the Mosaic law code were intended only for the civil government of the nation of Israel at that period of time (such as laws in Israel that applied the death penalty to the serving of other gods, witchcraft, persistently disobedient children, adultery, and homosexual behavior). But many other sections of the OT (e.g., Proverbs, but also other parts of the OT including many Mosaic laws) contain teaching that conveys God’s wisdom regarding human conduct in general. (A detailed solution to the question of which, and in what way, OT laws apply to NT believers is beyond the scope of this article.)


3. Some general principles must be applied with wisdom from the rest of the Bible. There are some passages, especially in Jesus’ earthly teaching, that are difficult to understand in terms of how broadly they should be taken and to whom they should apply. Passages like “Do not refuse the one who would borrow from you” (Matt. 5:42) are generalizations that powerfully address attitudes of the heart. But like every command, applying them to specific situations requires interpreting them in light of the whole of Scripture, including passages that command wisdom and good stewardship. Similarly, “Judge not, that you be not judged” (Matt. 7:1) must be interpreted in light of Jesus’ other command to “judge with right judgment” (John 7:24).


4. Where it is necessary to apply a command under far different cultural circumstances, there is usually enough similarity between the biblical context and present circumstances for Christian readers to make an appropriate connection. For example, it is not difficult to move from “the wages of the laborers who mowed your fields, which you kept back by fraud” (James 5:4) to “the wages of the employees who work in your factory, which you kept back by fraud.” It is not difficult to move from “honor the emperor” (1 Pet. 2:17) to “honor government officials.” And it is not difficult to move from “You shall not covet your neighbor’s … ox” (Ex. 20:17) to “You shall not covet you neighbor’s car or boat.”


Similarly adjusted application seems to be required in the case of certain NT commands dealing with physical actions that carried symbolic meaning, when the meaning of the same action would be different today. In such cases, Christians should not apply the commands as first expressed unless situated in a similar cultural circumstance where the physical action would have the same meaning. Such physical actions with culturally-variable symbolic meaning include at least these:


(1) Greeting one another with a holy kiss (Rom. 16:16; 1 Cor. 16:20; 2 Cor. 13:12; 1 Thess. 5:26; 1 Pet. 5:14) simply conveyed the idea of a welcoming greeting, and other actions (such as shaking hands, or bowing, or hugging) symbolize the same thing in different cultures.


(2) Washing one another’s feet (John 13:14) symbolized taking a servant-like attitude that can be expressed in other ways in settings where it is not customary for people to take off their shoes and wash their feet on coming in from the outside.


3) Women or wives wearing head coverings in worship (1 Cor. 11:4–16) apparently symbolized that a woman was married (see notes on 1 Corinthians 11), which is similar to what a wedding band symbolizes in many cultures today. But while a few such physical actions, by their symbolic nature, are culturally relative, readers should understand that the number of commands in this category is really quite small, and that it would be a mistake to exaggerate their significance and begin to wonder if vast sections of the ethical teachings of the Bible are culturally relative. The vast majority of NT ethical teachings, together with those OT teachings that apply to NT believers, require the direct obedience of Christians today just as in the first century.


Developing a Framework for Ethical Decision Making

The overall goal for making ethical decisions should be to understand and then obey the teaching of the entire Bible with regard to any particular situation. Here are some steps readers should follow when having to make important ethical decisions:



(1) Pray. All decisions should rely on praying for God’s wisdom at the beginning and throughout the process (James 1:5).


(2) Study the Bible. Search for and seek understanding of all biblical passages and their principles that have relevance for the situation under consideration.


(3) Study the situation. Understand the situation by gathering and assessing relevant information (it is often impossible to make a wise decision until the facts become more clear).


(4) Study the people involved. Try to understand the character, motives, and values of the people involved or affected by the decision to be made, including any relevant background, personal habits and characteristics, motivations, and relationships, as well as special interests that may be influencing the reactions of each relevant party.


(5) The goal. Understand that the glory of God and the good of others are ever the twin purposes of moral action, and that the merely good or permissible must never be allowed to obstruct the quest for the best.


Wisdom is the skill of combining these factors so as to rightly apply the teachings of the Bible to real people in real-life situations, in such a way that one is truly thinking God’s thoughts after him. Such wisdom is a skill that can be improved over time through repeated practice and nearness to God (Heb. 5:14; James 1:5–8). Mature Christians who have grown through testing (James 1:2–4; 2 Pet. 1:5–9), pastors, and pastoral counselors are often especially skilled in doing this.


A good answer to an ethical question will not limit itself to a discussion of right and wrong actions, for good moral conduct in any situation will involve

(1) good ends (that is, the results sought or achieved),

(2) good motives (the desires and attitudes that people have in the situation), and

(3) good means (the actions that are taken to achieve the ends). The Bible itself requires people to consider all three of these factors, for good ends are mentioned (see 1 Cor. 10:31; 14:26), good motives are required (see Ex. 20:17 and Matt. 5:28), and good means or actions are commanded while bad ones are prohibited (Ex. 20:12–15). A life fully pleasing to God will conform to each of these three standards set by Scripture.


The Beginning of Life and Abortion

The Image of God

The ethics of abortion, embryonic stem cell research, fetal tissue transplantation, and other issues at the beginning of life will not be fully and rightly understood apart from God’s revelation about the origin and sanctity of human life. At the zenith of God’s creative activity, he made man (as male and female) in his own image and likeness (Gen. 1:26–27). From the “dust from the ground” God made a “living creature,” Adam (Gen. 2:7), whose material body was absolutely earthly (cf. Ps. 90:3 and 103:14) but whose source of life was decidedly divine. Therefore, any view of origins that does not affirm that humanity began through a special creative act of God is sub-biblical.


Since God is the Creator of human life, all human beings belong to God. As the apostle Paul would later declare before the philosophers in Athens, “In [God] we live and move and have our being; as even some of your own poets have said, Thus, being created by God both elevates human beings in that they are not accidents of history and humbles them because God is gracious and sovereign over them.


Although God’s words when he first created human beings were, “Let us make man in our image, after our likeness” (Gen. 1:26), the Bible nowhere explains precisely what constitutes the image of God (Latin, imago Dei). Interpreters have suggested that it includes:

(1) humankind’s upright bodily form,

(2) human dominion over nature,

(3) human reason,

(4) human pre-fallen righteousness,

(5) human capacities,

(6) the juxtaposition between man and woman,

(7) responsible creaturehood and moral conformity to God,

(8) personhood, and

(9) various composites of the above views. Because the Hebrew words for “image” (tselem) and “likeness” (demut) are used for things that are similar to, and representative of, something else, a combination of the above views is best: the image of God means that human beings are like God (in several ways) and represent God on the earth. The image of God is a rich relational and functional status that human beings enjoy by virtue of being God’s creation.


It is clear from Scripture that only human beings are said to bear the image of God. Humans are unique. In fact, the covenant with Noah specifies that while humans may kill animals for food, “Whoever sheds the blood of man, by man shall his blood be shed, for God made man in his own image” (Gen. 9:6). Animals may be killed for human sustenance, but human beings may not murder other human beings. Thus the entire human race is morally distinguishable from other living species. Even before homicide was forbidden by a direct command not to murder (Ex. 20:13), unjustifiable killing was a violation of the special dignity vested in human beings by God himself (cf. Gen. 4:8–16). This is the foundation of the doctrine of the sanctity, or sacredness, of every human life.


When the second person of the Trinity, God the Son, took on human flesh through the incarnation, God sanctified humanity. In Jesus we see both perfect God and real humanity, and in his incarnation and resurrection we see the importance of the physical aspect of human nature. The affirmation of the Apostles’ Creed that Jesus was “born of the Virgin Mary” entails that, like every other member of the human race, Jesus was once a human embryo. The creedal affirmations of “the resurrection of the body; and the life everlasting” mean that the body is a constituent aspect of humanity from the beginning of life throughout eternity. Thus every human life—from conception to natural death—is to be received as a gift from the sovereign Creator, is to be treated with reverence and respect, and is not to be harmed without biblical justification.


Old Testament (OT) Texts

God’s people were warned not to imitate their neighbors who committed infanticide through child sacrifice. The law strictly instructed them to “not give any of your children to offer them to Molech” (Lev. 18:21), prescribing the death penalty for violating this command (Lev. 20:2–5). Child sacrifice was also known during Solomon’s reign (1 Kings 11:7). The brutal practice spread to Moab (2 Kings 3:27), Judah (2 Kings 16:3), and the northern kingdom of Israel (2 Kings 17:17). But Isaiah, Jeremiah, and Ezekiel condemned the practice, calling on God’s people to repent of it (Isa. 57:5; Jer. 7:31; Ezek. 16:20–21).


It is in this context that the ethics of abortion should be determined. Like infanticide, abortion was not unknown in the ancient world. The most common means were mechanical methods and drugs delivered through pessaries (devices placed in the vagina).


OT Judaism always forbade abortion. Only one biblical text has been used to argue to the contrary (Ex. 21:22–25), and its interpretation is disputed. The text says, “When men strive together and hit a pregnant woman, so that her children come out, but there is no harm, the one who hit her shall surely be fined” (Ex. 21:22). Some interpret “that her children come out” as a miscarriage (“so that there is a miscarriage, but there is no further harm”). According to this interpretation, unborn human life does not have the same value as someone already born, because the normal penalty for causing death is a capital sentence (a life for a life), and yet, in this passage, the one causing the injury is merely fined.


There are good textual reasons, however, for another interpretation, namely, that the Bible is describing a premature live birth (“so that she gives birth prematurely, but there is no injury”). First, the Hebrew word yeled is used for what comes from the womb in this case. This word is never used for anything other than for a child who can live outside the womb. Another Hebrew word, golem, means “fetus” and is used only one time in the OT (Ps. 139:16, “unformed substance”). Furthermore, yatsa’, the verb that refers to what happened to the child, ordinarily refers to live births (Gen. 25:26; 38:28–30; Job 3:11; 10:18; Jer. 1:5; 20:18). The word normally used for miscarriage, shakal, is not used here (cf. Gen. 31:38; Ex. 23:26; Job 21:10; Hos. 9:14). Finally, even if the text were referring to a miscarriage, it would not indicate that an unborn child is valued less than one who is already born, for this hypothetical situation refers to an accidental occurrence. Most societies, including ancient Israel, recognized that unintentional manslaughter should be distinguished from premeditated killing. In the latter case, the death penalty was imposed. In the former, cities of refuge were established (cf. Num. 35:6). Thus, more literal translations render Exodus 21:22, “When men strive together and hit a pregnant woman, so that her children come out, but there is no harm, the one who hit her shall surely be fined” (ESV). This text then places great protection on the unborn child, for “if there is harm, then you shall pay life for life” (Ex. 21:23). The death of the baby is at least judged according to the same principles that apply to the taking of other human life (e.g., the death of the mother); see note on Exodus 21:22–25.


Psalm 139 speaks powerfully to the nature of unborn human life. David exults in God’s omniscience and his omnipresence (Ps. 139:1–12). In verse 13 he celebrates God’s intricate involvement in his own fetal development: “For you formed my inward parts; you knitted me together in my mother’s womb.” The word kilyah is used to refer to the “inward parts” (lit., kidneys). In Hebrew poetry the inward parts were typically the seat of the affections, the hidden part of a person where grief may be experienced (Job 16:13), where the conscience exists (Ps. 16:7), and where deep spiritual distress can be felt (Ps. 73:21). God formed David’s deepest being. He wove him, or colorfully embroidered him, in his mother’s womb, so that he was “fearfully and wonderfully made” (Ps. 139:14). In verse 16 the psalmist refers to his “unformed substance” being observed by God. David suggests that God’s knowledge of him reached even to his earliest development in utero (in the uterus). No wonder the Hebrews found abortion and infanticide morally blameworthy. In addition, David’s confession that he was a sinner from conception (Ps. 51:5) further testifies to his belief in personhood from conception, since only persons can be considered sinners.


God’s judgment fell on those who killed the unborn. Elisha wept when he foresaw the crimes of the king of Syria, who would “kill their young men with the sword and dash in pieces their little ones and rip open their pregnant women” (2 Kings 8:12). Amos prophesied against the Ammonites because they “have ripped open pregnant women in Gilead, that they might enlarge their border” (Amos 1:13).


Extrabiblical Jewish Literature

The noncanonical Jewish wisdom literature further clarifies first-century Judaism’s view of abortion. For example, the Sentences of Pseudo-Phocylides 184–186 (c. 50 B.C.–A.D. 50) says that “a woman should not destroy the unborn in her belly, nor after its birth throw it before the dogs and vultures as a prey.” Included among those who do evil in the apocalyptic Sibylline Oracles were women who “aborted what they carried in the womb” (2.281–282). Similarly, the apocryphal book 1 Enoch (2nd or 1st century B.C.) declares that an evil angel taught humans how to “smash the embryo in the womb” (69.12). Finally, the first-century Jewish historian Josephus wrote that “the law orders all the offspring to be brought up, and forbids women either to cause abortion or to make away with the fetus” (Against Apion 2.202).


Contrast these injunctions with the barbarism of Roman culture. Cicero (106–43 B.C.) records that according to the Twelve Tables of Roman Law, “deformed infants shall be killed” (De Legibus 3.8). Plutarch (c. A.D. 46–120) spoke of those who he said “offered up their own children, and those who had no children would buy little ones from poor people and cut their throats as if they were so many lambs or young birds; meanwhile the mother stood by without a tear or moan” (Moralia 2.171D).


Early Christian Literature

Against the bleak backdrop of Roman culture, the Hebrew “sanctity of human life” ethic provided the moral framework for early Christian condemnation of abortion and infanticide. For instance, the Didache 2.2 (c. A.D. 85–110) commands, “thou shalt not murder a child by abortion nor kill them when born.” Another noncanonical early Christian text, the Letter of Barnabas 19.5 (c. A.D. 130), said: “You shall not abort a child nor, again, commit infanticide.” There are numerous other examples of Christian condemnation of both infanticide and abortion. In fact, some biblical scholars have argued that the silence of the NT on abortion per se is due to the fact that it was simply assumed to be beyond the pale of early Christian practice. Nevertheless, Luke (a physician) points to fetal personhood when he observes that the unborn John the Baptist “leaped for joy” in his mother’s womb when Elizabeth came into the presence of Mary, who was pregnant with Jesus at the time (Luke 1:44).


More than merely condemning abortion and infanticide, however, early Christians provided alternatives by rescuing and adopting children who were abandoned. For instance, Callistus (d. c. A.D. 223) provided refuge to abandoned children by placing them in Christian homes, and Benignus of Dijon (3rd century) offered nourishment and protection to abandoned children, including some with disabilities caused by unsuccessful abortions.


Ethical Conclusions

Based on the consistent testimony of Scripture, the early Jewish and Christian tradition, and what can be known of God’s moral law through natural revelation (Rom. 2:15), the unborn child should be protected as a person from the moment of conception. A strong argument can in fact be made for this even apart from biblical revelation, for the only differences between babies in utero and babies that are born are: (1) their location; (2) their size; (3) their level of dependence; and (4) their level of development—but these are not morally relevant factors that would allow death for one set of babies (the preborn) and life for the other (those who have been born).


What then of the “hard cases” concerning pregnancy resulting from rape or incest? Christians should give compassionate care to those affected by such sins—including both the mother and the unborn child. But if it is wrong to put such a child to death after it is born (and surely this is wrong), then surely it is wrong to put that same child to death before it is born. The preborn baby should be treated as a person in the image of God.


For this reason, embryonic stem cell research, which involves the creation of human embryos in order to harvest their stem cells for medical uses, should be viewed as the intentional creation and destruction of distinct, individual, tiny human lives. Other sources of stem cells should be used instead, where the removal of the cells does not harm a human being.


What if abortion is necessary to save the life of the mother? Here it is necessary to recognize that removing the unborn child (e.g., from the fallopian tube) is done with the direct intention of saving the life of the mother, not with the direct intention of taking the child’s life (which, if the medical technology exists, should also be preserved). Nevertheless, in such a rare and tragic case the choice would be between the loss of one life (the baby’s) and the loss of two lives (both the baby’s and the mother’s). This is the only type of situation in which abortion would be morally justified, as making the best of an extremely difficult situation.


The witness of Scripture, as confirmed by the testimony of the early church, is that every human being, from conception through natural death, is to be respected as a person created in the image of God, whose life has special dignity by virtue of his or her relationship to the Creator. Like the early church, Christians should be known as a people who protect, nurture, and cherish children as gifts from the Lord (Ps. 127:3).


Bioethics

Bioethics is a relatively new term that literally means “life ethics.” The umbrella category of bioethics generally includes the ethics of human medicine, the biosciences, and biotechnology.


The Ethics of Western Medicine and the Hippocratic Oath

Medicine has a long and laudable history. Western scientific medicine began with the Greeks, who developed much of the early knowledge of anatomy, physiology, and even modern symbols of medicine. From the start, both Jews and Christians have had a positive view of medicine. The healing ministry of Jesus, the Great Physician (Matt. 4:23; 9:35; Luke 9:6), did much to provide the warrant for medicine among Christians.


The ethics of Western medicine reaches back to the Greek physician Hippocrates (460–370 B.C.). The son of a physician himself, Hippocrates practiced as an itinerant doctor in Thrace, Thessaly, and Macedonia. The philosopher Plato referred to Hippocrates as “a professional trainer of students” (Phaedrus 270C–D). The medical oath that bears his name was probably formulated by the Hippocratic school after his death. Jewish and Christian versions of the oath were produced after that time.


Over against the charlatans of the day, a Hippocratic physician could be counted on as someone who had mastered a particular set of skills and whose ethical standards were reflected in the oath he swore. Those who took the Hippocratic Oath promised to use their skills to help the sick and pledged not to euthanize a patient, perform abortions, prescribe abortifacient drugs, or have a sexual relationship with a patient, among other things. They also promised to teach their skills to worthy apprentices. The so-called Hippocratic consensus dominated medicine for nearly 2,500 years. Jews and Christians rejected the polytheism of the Hippocratic school but affirmed its ethical and professional ideals. Medical historian Albert Jonsen writes in The Birth of Bioethics: “The Judeo-Christian religious tradition, with its strong emphasis on divine commands that enforce respect for the sanctity of life, enhanced the prohibitions of abortion and euthanasia that are obscurely expressed in the Oath and prescribed caring compassion for the poor and even enemies. The literature of medical duty is profoundly marked by these moral traditions” (p. 7).

Only a very few medical schools still require that graduating physicians affirm the original oath. In a recent survey of the schools that used some form of the oath, only 8 percent of the oaths forbade abortion and only 14 percent prohibited euthanasia. Thus, Christians today have the opportunity to revive life-affirming ethics amid a very pluralistic medical and scientific culture in which affirmation of life is frequently downplayed.


Contemporary Medical Ethics

Current discussions of medical ethics have arisen in large part from the Nuremberg Trials in post-World War II Germany (1945–1949), which focused on the way human subjects were abused in medical research, and from debates in the 1960s over the allocation of scarce medical resources, like kidney dialysis. Early ethics committees serving medical treatment centers were disparaged in the media as “God squads” because they determined who did and did not receive life-sustaining treatment. Today, hospital ethics committees meet regularly to consult on difficult moral questions that arise in patient care and to help fashion hospital policies that enhance overall medical care.


Increasingly, emerging biotechnologies are coming under the scrutiny of the bioethics community. Genetic engineering, human stem cell research, human and animal cloning, artificial intelligence, cybernetics, nanotechnology, robotics, and an ever-expanding array of technologies require wise ethical reflection and careful policy recommendations.


Theologian Nigel Cameron has helpfully categorized the issues in bioethics under the rubric of “taking life,” “making life,” and “remaking life.”


Taking Life

While Christians differ on the issues of euthanasia, assisted suicide, and abortion, which have long been within the realm of bioethics, it is accurate to say that in general Christians are life-affirming. In fact, as the article on The End of Life argues in more detail, the vast majority of Christians agree, for various reasons, that euthanasia and assisted suicide are not consistent with the biblical witness concerning the sanctity of human life (cf. Ex. 20:13) and the role of others in providing compassionate care. Likewise, most Christians believe that inducing abortion is wrong, except to save a mother’s life (see The Beginning of Life and Abortion).


Christians are often at the forefront of alternatives to medicalized forms of killing. The early church, e.g., rescued children from infanticide by providing homes and building orphanages. Many contemporary Christians support pregnancy care centers that provide alternatives to abortion by offering pregnant mothers education, resources, and shelter as they await the delivery of their children. The hospice and palliative care movement was begun by a Christian nurse and physician, Dame Cicely Saunders (1918–2005), as a means of caring compassionately for the terminally ill.


Making Life

The range of ethical issues surrounding procreation and contraception fall under the category of “making life.” Contraception has been debated since ancient times. Christians generally divide into two camps. Those who affirm so-called natural family planning believe that every act of sexual union should be open to the possibility of procreation. From this viewpoint, no method of birth control is allowed that either presents a barrier to fertilization or introduces hormones that make the uterus inhospitable to a maturing embryo. Other Christians believe that contraception may be used to limit the number of children born to a family as long as the method is not abortifacient (i.e., something that causes an abortion).


Assisted reproductive technologies (ARTs) pose significant moral questions for Bible believers. Louise Brown, the world’s first “test tube” baby, was born in 1978. Since then, in vitro fertilization (IVF, the fertilization of egg cells by sperm outside the woman’s womb) has been quite controversial. Typically, IVF involves the fertilization of about a dozen ova in a medical laboratory. Only two or three ova are transferred to a woman’s uterus, leaving the others to be cryopreserved (frozen) for later use. Given that the embryo is a human person with a right to life, many Christians have repudiated the practice due to the fact that 25 percent of these human embryos often die in the thawing process and many are likely to be discarded or used for research purposes. (However, it is possible that newer technology will allow the fertilization of only one or two ova that will actually be implanted in the woman’s womb.)


Additional reproductive arrangements—like surrogate motherhood, artificial insemination using donor sperm, and sperm or egg donation—introduce third parties or their gametes into the reproductive relationship. The biblical ideal, however, is for procreation to take place within the context of a one-man, one-woman union (see Marriage and Sexual Morality). Intentionally causing conception outside of that framework and introducing third parties into the procreative relationship raises significant ethical, legal, social, psychological, and familial concerns. The intrusion of the sperm of a man other than a woman’s husband into the intimate process of pregnancy and birth, e.g., can introduce significant difficulties into a marriage relationship. The relationship of Abraham, Sarah, and Hagar in the OT illustrates the tensions that may be present in even “low-tech” reproductive relationships (Genesis 16).


Even more ethical objections arise when a human embryo is conceived and allowed to develop for a short time solely for the purpose of harvesting its stem cells for the purpose of scientific research. In such cases, a new human life is created (see The Beginning of Life and Abortion) solely so that it would be destroyed for research purposes. This is inconsistent with the Bible’s view of the sanctity of human life (cf. Ex. 20:13). Other sources of stem cells (such as those taken from adults or from umbilical cord blood) can be used in medical research without destroying a human life.


Adoption has always been commended as an ethical option for Christian couples facing infertility, and is a practical way to care for orphans (cf. James 1:27) and to provide a living parable of the Christian’s spiritual adoption by God. A particular form of adoption seems morally commendable for Christians, in which a husband and wife decide to adopt a so-called “snowflake baby” (a previously frozen embryo that would otherwise have been discarded). The embryo is implanted in the adopting wife’s womb, develops as a normal baby, and is born as a normal, healthy child. In this case, conception of the baby had already occurred as a result of the decision of others, and the couple who adopts such a baby is actually saving a life. (However, the potential “third-party” difficulties mentioned in the previous paragraph should be fully taken into account.)


Remaking Life

Researchers are increasing exploration into new ways to either repeat or reconstruct God’s fundamental design for human life. These new scientific technologies are laudable when used for healing purposes. Thus, e.g., Christians should affirm the use of implantable computer chips to assist the blind to see, and the development of high-tech prostheses to replace limbs lost in accidents or war. But using these technologies for reasons beyond healing to allegedly “enhance” human capacities is problematic.


Using pharmaceuticals (such as steroids) or genetic engineering to create higher-than-normal IQs or faster-than-normal athletes not only raises profound ethical questions about justice in academics or sports respectively but also challenges the understanding of what it means to be human and who has the authority to alter the human species.


Some suggest that life-prolonging technologies might enable people to live forever, either in their physical bodies or in some other way. Again, while few question the morality of using technology for therapeutic purposes, many worry that enhancement technologies entail a sort of hubris, sometimes described as “playing God.” The Bible warns against the sin of questioning the Creator. “Will what is molded say to its molder, ‘Why have you made me like this?’” (Rom. 9:20). After all, Christians know that they are already guaranteed immortality through the resurrection of Jesus Christ (1 Cor. 15:12–20) and that physical death will be followed by a resurrection to a renewed, eternally healthy physical body freed from the ravages of disease and death. This hope does not totally nullify health-enhancing and life-prolonging technologies, but it does mean that they should never be the believer’s ultimate hope (1 Cor. 15:51–54; Rev. 21:4). The wise use or nonuse of new technologies—medical or otherwise—must be seen as part of Christian discipleship.


Science and Ethics within a Christian Worldview

Christians have often been at the cutting edge of science, medicine, and compassionate care. Because they believe that all truth is God’s truth, there is no arena excluded from the lordship of Christ, including the biological sciences. At the same time, Christians are “people of the Book” and bring a Christian world- and life-view—including ethical perspectives—into their thinking about science. The world cannot afford the development of science without ethical reflection. Ethical reflection must be developed in the context of accurate information. Therefore, Christians should see it as an expression of their discipleship to celebrate biological sciences that enable them to better understand just how fearfully and wonderfully made humans are (Ps. 139:14). Christians should seek to be good stewards over the opportunities that these developments offer (Gen. 1:28; 1 Cor. 4:2; 1 Pet. 4:10). At the same time, Christians should affirm that science is to serve the glory of God and the good of his creatures (1 Chron. 16:24; Ps. 96:3; Isa. 6:3), not to provide yet another opportunity for the self-aggrandizement that constitutes idolatry. Finally, Christians must continue to demonstrate love for God and neighbor that extends itself in compassionate care of those who are suffering (Luke 10:33–37).


The End of Life


The Origin of Death

God did not originally create human beings to be subject to death, but “sin came into the world through one man, and death through sin, and so death spread to all men because all sinned” (Rom. 5:12). This refers to the sin of Adam recorded in Genesis 3.


God had previously instructed Adam, “of the tree of the knowledge of good and evil you shall not eat, for in the day that you eat of it you shall surely die” (Gen. 2:17). Therefore when Adam and Eve sinned, they immediately experienced spiritual “death,” that is, a separation from God. In addition, the just sentence of physical death began to be gradually imposed on them in that they experienced aging, leading eventually to death. God told Adam, “By the sweat of your face you shall eat bread, till you return to the ground, for out of it you were taken; for you are dust, and to dust you shall return” (Gen. 3:19). Since the time of Adam, all human beings have been subject to aging and inevitable physical death (except Enoch in Gen. 5:24; cf. Heb. 11:5; and Elijah in 2 Kings 2:11–12).


Why Do Christians Die?

Although Christians have been forgiven of their sins and are no longer under sentence to suffer the penalty of death for those sins (Rom. 6:23; 8:1; 1 Cor. 15:3), they are still subject to physical death because God has not yet applied to their lives all of the benefits that were earned by Christ for his people. In fact, Paul says that death will be the “last enemy to be destroyed” (1 Cor. 15:26). For this reason, believers today, living in a fallen world, are still subject to aging and death.


Yet death does not come to believers because God is punishing them, for, “There is therefore now no condemnation for those who are in Christ Jesus” (Rom. 8:1). Rather, death is the final outcome of living in a fallen world. Just as Christians are not kept from all sicknesses, floods, and earthquakes, etc., and just as the agricultural fields of Christians still grow as many weeds as the fields of non-Christians, so Christians will experience death as well.


However, Christians should have confidence that God will use even the experience of final illness and death as one of those events that “work together for good” for those who “love God and are called according to his purpose” (Rom. 8:28). Jesus Christ, who himself experienced physical death as a human being, often seems particularly near to Christians as they die, for they “suffer with him” (Rom. 8:17; cf. Phil. 3:10; 1 Pet. 4:13). Paul hoped to honor Christ in his death as he had in his life: “it is my eager expectation and hope that with full courage now as always Christ will be honored in my body, whether by life or by death” (Phil. 1:20). The risen Lord Jesus encouraged Christians in Smyrna, “Be faithful unto death, and I will give you the crown of life” (Rev. 2:10; cf. Heb. 11:35; Rev. 12:11).


What Happens When People Die?

When Christians die, their physical bodies are buried in the earth, but their spirits (or souls) go immediately into the Lord’s presence in heaven. Paul said, “My desire is to depart and be with Christ” (Phil. 1:23), and “we would rather be away from the body and at home with the Lord” (2 Cor. 5:8). When Stephen was dying, he cried out, “Lord Jesus, receive my spirit” (Acts 7:59; cf. Gen. 35:18; Eccles. 12:7; Luke 23:43; Heb. 12:23; Rev. 6:9). Then at Christ’s second coming, when he returns to the earth, believers’ bodies will be raised from the dead, made perfect, and reunited with their spirits (1 Cor. 15:23, 51–52; 1 Thess. 4:16–17).


When unbelievers die, their bodies also are buried in the earth, but their spirits go immediately to experience separation from God and punishment for their sins. “It is appointed for man to die once, and after that comes judgment” (Heb. 9:27; cf. Luke 16:24–26; see also notes on 1 Pet. 3:18; 4:6).


Funerals and Burial

It is not wrong for Christians to grieve deeply over the loss of fellowship with those who have died, even if the deceased were believers and there is great confidence that they are with the Lord in heaven. Grief at loss of any sort is natural. Although the apostles themselves were present in the early church in Jerusalem, and the believers in Jerusalem were sure that Stephen was in heaven with Christ (cf. Acts 7:59), they still expressed profound grief: “Devout men buried Stephen and made great lamentation over him” (Acts 8:2). Although Jesus knew he would raise Lazarus from the dead, when he came to the tomb of Lazarus, “Jesus wept” (John 11:35). These examples indicate that it is right and proper to grieve at the death of a Christian loved one. But Christians should not “grieve as others do who have no hope” (1 Thess. 4:13), that is, their grief should not be the grief of despair, but grief mixed with joy and hope for future reunion (see 1 Cor. 15:55–57; Rev. 14:13).


When unbelievers die, if there has been no indication of saving faith in the person’s life, it would not be right to give the person’s loved ones assurance that the one who has died is in heaven. But it is still right to recall and speak of pleasant memories, and to remember the good things that the person did in his or her lifetime, much as David did after hearing that Saul had died (see 2 Sam. 1:19–25).


The Bible does not give any direct commands about how to treat the body of a person who has died, but there are recurring instances in Scripture of treating a person’s body with dignity and respect, up to and including the time of burial (cf. 1 Sam. 31:11–12; 1 Kings 13:29–30; Mark 6:29; Luke 23:56; John 19:38–42). This can be done in a variety of ways according to what is understood in each culture as signifying respect and honor to the memory of the person who has died.


Regarding cremation, Christians have held differing views. Some object that cremation (which entails destroying the physical body) undermines the expectation of a future resurrection of the body when Christ returns. (When Jesus rose from the dead, it was his same body that was raised and made perfect, and so it will be with Christian believers; see 1 Cor. 15:35–45.) Others, however, think cremation is sometimes the wisest choice, perhaps for economic reasons, because burial land is scarce, or for other reasons. The body is eventually going to die and disintegrate in any case, and God will raise it from the dead and re-create it in its more perfect condition (i.e., in its glorified prime), no matter how scattered it is. If cremation is chosen for a Christian who has died, care should be taken to make clear that the family still should expect a future resurrection of the very same body that has died and now returns “to dust” (Gen. 3:19). But many Christians still prefer a simple and dignified burial of the person’s body in the ground, in part because this gives a clear picture of awaiting the resurrection on the day Christ returns.


Euthanasia

The sixth commandment, “You shall not murder” (Ex. 20:13), prohibits any act that would intentionally, or through carelessness, take the life of another human being (see note on Deut. 5:17; the exceptions of capital punishment, killing in war, and self-defense are not in view here, nor are they implied by the meaning of the Hebrew terminology in the passage). The expression most frequently used for violating the sixth commandment is “shedding innocent blood” (cf. Ex. 23:7; Deut. 19:10, 13; Ps. 10:8; Prov. 6:17).


This prohibition against murder applies to all human beings, including: the elderly, those who are terminally ill, and those who wish to die. Intentionally taking the life of any of these people would break the commandment, “You shall not murder” (cf. also 2 Sam. 1:10, 14–15). Nations that have allowed for physician-assisted suicide find that a society can quickly move from merely allowing “the right to die” to the belief that there is “an obligation to die” on the part of the elderly and the very ill people who are “draining resources” from the society. In such situations it becomes likely that a number of elderly people will be put to death against their will.


It is important, however, to maintain a clear distinction between killing a person and letting someone die. Killing in the wrongful sense of murder, as prohibited in Exodus 20:13, means actively doing something to a patient that hastens or causes his or her death. But “letting someone die” means allowing someone to die without interfering with the process that is already taking place. In cases where it is clearly known to be the patient’s wish to be allowed to die, and when there is no reasonable human hope of recovery, and where death seems imminent—then it does not seem wrong to allow such a person to die, rather than either to initiate an artificial life support system or to prolong the natural dying process by artificial means. For such situations, nothing in Scripture would prohibit a dying person from praying for God to take his life. On the other hand, where there is a reasonable human hope of recovery, and where there is a realistic, practical ability to help, the obligation to “love your neighbor as yourself” (Matt. 22:39) implies that active measures should be taken to save the person’s life. In the parable of the good Samaritan, Jesus indicated that the priest and the Levite were both wrong for neglecting to do what could be done to save a badly injured man, who with care was able to recover (Luke 10:30–37).


The hardest end-of-life decisions are often related to removing a dying patient from artificial life support, which can involve various measures from an artificial lung to simply providing artificial hydration and nutrition. Christians hold different positions over exactly when in such cases the moral line is crossed from letting someone die to killing. When considering the proper course of action, Christians should remember that while death is an enemy to resist (1 Cor. 15:26), natural mortality is still part of living in a fallen world (cf. Gen. 2:17; Rom. 5:12; Heb. 9:27). There is therefore nothing wrong with accepting natural mortality by removing a dying patient from artificial means that are only slowing the natural death process.


There are more complex cases where medication given to alleviate a patient’s pain may also have a secondary effect of hastening a person’s death. In such cases, some Christian ethicists say that the two most important considerations are: (1) the primary purpose for giving the medication and (2) the patient’s own wishes regarding the alleviation of pain. Other Christian ethicists claim that, in such cases, the moral value of improving life quality is always less than the moral value of honoring the sanctity of human life, and, while doing what they can to alleviate pain, Christians should never give higher priority to improving the quality of life (reducing pain) over honoring the sanctity of life (not killing a person).


Wherever possible, it is both wise and loving for people who are still in good health to complete the appropriate legal and medical forms to make known their wishes regarding medical care at the end of life. These decisions should also be verbally communicated to those who will likely have to make end-of-life decisions about each person.


Suicide

Suicide is murder of oneself, and it is prohibited by the command, “You shall not murder” (Ex. 20:13). It is a serious sin against God and brings immense, lifelong grief to loved ones who are left, but the Bible nowhere teaches that suicide is a unique and unforgiveable sin that prevents a person who has lived by faith in Christ from being saved.


Christ’s Victory over Death

Finally, Christians need have no fear of death: “O death, where is your victory? O death, where is your sting?” The verse continues, “The sting of death is sin, and the power of sin is the law. But thanks be to God, who gives us the victory through our Lord Jesus Christ” (1 Cor. 15:55–57).



 

References:

All contents are reposted from ESV.org.





“Scripture quotations are from The ESV® Bible (The Holy Bible, English Standard Version®), copyright © 2001 by Crossway, a publishing ministry of Good News Publishers. Used by permission. All rights reserved.”

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