God's Purpose in Painful Diseases and Suffering
Scripture presents suffering and disease as realities woven into the fabric of a fallen world, yet consistently affirms God's sovereign involvement in permitting, sending, or using them for purposes that transcend immediate human understanding. The biblical witness refuses to reduce suffering to a single cause or explanation, instead holding together divine sovereignty, human responsibility, and spiritual warfare in tension.
Biblical Foundations
The Old Testament explicitly names God as the one who sends sickness, sometimes as direct judgment for sin. Deuteronomy and 2 Samuel record instances where disease functions as covenant curse or punishment [4]. Leprosy itself was "regarded as a direct providential infliction" in ancient Israel [8]. Yet this punitive framework does not exhaust the biblical testimony. Job's afflictions came through Satan's agency, though only by divine permission [4, 6], establishing that God may allow suffering without directly causing it. The New Testament continues this complexity: Paul's companion Epaphroditus fell gravely ill, and God's mercy is noted in his recovery—not in preventing the illness [3].
Redemptive Purposes
Peter's epistles reframe suffering as a context for demonstrating faithfulness. Enduring pain unjustly "because of consciousness of God" finds divine favor [2, 5], and suffering for well-doing surpasses suffering for evil when "it is God's purpose for you to undergo pain" [1]. This language assumes God's purposeful involvement without specifying whether He initiates or permits the suffering. The prophetic tradition adds another layer: Isaiah 53 portrays the Suffering Servant as one who "hath borne our griefs, and carried our sorrows," taking on human infirmity vicariously [13, 14]. Matthew applies this text to Jesus' healing ministry, suggesting that Christ's compassion for the diseased flows from His identification with human suffering [7, 13].
Divine Character and Human Response
God's long-suffering toward sinners—His delay in executing judgment—aims at repentance, not complacency [9]. The wicked may prosper temporarily, but this reflects divine patience rather than indifference [10]. Scripture consistently presents God as both healer and the one who permits disease, exhibiting mercy, power, and love in restoration [4]. Affliction serves as a call to remembrance, awakening conscience and prompting self-examination [12]. Trials should not surprise believers; hostility and suffering mark the path of godliness in a fallen world [11].
Sources
- I Peter “I Peter 3:17 (BBE) — Because if it is God's purpose for you to undergo pain, it is better to do so for well-doing than for evil-doing.”
- I Peter “I Peter 2:19 (LEB) — For this finds favor, if because of consciousness of God someone endures sorrows while suffering unjustly.”
- Philippians “For indeed he was sick, nearly to death, but God had mercy on him; and not on him only, but on me also, that I might not have sorrow on sorrow. -- Philippians 2:27”
- Torrey's Topical Textbook “Torrey's Topical Textbook: Sickness — Sent by God -- De 28:59-61; 32:39; 2Sa 12:15; Ac 12:23. The devil sometimes permitted to inflict -- Job 2:6,7; Lu 9:39; 13:16. Often brought on by intemperance -- Ho 7:5. Often sent as a punishment of sin -- Le 26:14-16; 2Ch 21:12-15; 1Co 11:30. One of God's four sore judgments on a guilty land -- Eze 14:19-21. God Promises to heal. -- Ex 23:25; 2Ki 20:5. Heals. -- De 32:39; Ps 103:3; Isa 38:5,9. Exhibits his mercy in healing. -- Php 2:27. Exhibits his power in healing. -- Lu 5:17. Exhibits his love in healing. -- Isa 38:17. Often manifests saving grace to”
- 1 Peter “For it is commendable if someone endures pain, suffering unjustly, because of conscience toward God. -- 1 Peter 2:19”
- Torrey's Topical Textbook “Torrey's Topical Textbook: Diseases — Often sent as punishment -- De 28:21; Joh 5:14. Often brought from other countries -- De 7:15. Often through Satan -- 1Sa 16:14-16; Job 2:7. Regarded as visitations -- Job 2:7-10; Ps 38:2,7. Intemperance a cause of -- Ho 7:5. Sins of youth a cause of -- Job 20:11. Over-excitement a cause of -- Da 8:27. Were many and divers -- Mt 4:24. Mentioned in scripture Ague. -- Le 26:16. Abscess. -- 2Ki 20:7. Atrophy. -- Job 16:8; 19:20. Blindness. -- Job 29:15; Mt 9:27. Boils and blains. -- Ex 9:10. Consumption. -- Le 26:16; De 28:22. Demoniacal possession. -- Mt 15:”
- Torrey's Topical Textbook “Torrey's Topical Textbook: Compassion and Sympathy of Christ, The — Necessary to his priestly office -- Heb 5:2,7. Manifested for the Weary and heavy-laden. -- Mt 11:28-30. Weak in faith. -- Isa 40:11; 42:3; Mt 12:20. Tempted. -- Heb 2:18. Afflicted. -- Lu 7:13; Joh 11:33,35. Diseased. -- Mt 14:14; Mr 1:41. Poor. -- Mr 8:2. Perishing sinners. -- Mt 9:36; Lu 19:41; Joh 3:16. An encouragement to prayer -- Heb 4:15.”
- Easton's Bible Dictionary “Easton's Bible Dictionary: Leprosy — (Heb. tsara'ath, a "smiting," a "stroke," because the disease was regarded as a direct providential infliction). This name is from the Greek lepra, by which the Greek physicians designated the disease from its scaliness. We have the description of the disease, as well as the regulations connected with it, in Lev. 13; 14; Num. 12:10-15, etc. There were reckoned six different circumstances under which it might develop itself, (1) without any apparent cause (Lev. 13:2-8); (2) its reappearance (9-17); (3) from an inflammation (18-28); (4) on the head or chin (2”
- Torrey's Topical Textbook “Torrey's Topical Textbook: Long-Suffering of God, The — Is part of his character -- Ex 34:6; Nu 14:18; Ps 86:15. Salvation, the object of -- 2Pe 3:15. Through Christ's intercession -- Lu 13:8. Should lead to repentance -- Ro 2:4; 2Pe 3:9. An encouragement to repent -- Joe 2:13. Exhibited in forgiving sins -- Ro 3:25. Exercised toward His people. -- Isa 30:18; Eze 20:17. The wicked. -- Ro 9:22; 1Pe 3:20. Plead in prayer -- Jer 15:15. Limits set to -- Ge 6:3; Jer 44:22. The wicked Abuse. -- Ec 8:11; Mt 24:48,49. Despise. -- Ro 2:4. Punished for despising. -- Ne 9:30; Mt 24:48-51; Ro 2:5. Illustr”
- Job (Presbyterian) “Jamieson, Fausset & Brown on Job 21:7: The answer is Rom 2:4; Ti1 1:16; Psa 73:18; Ecc 8:11-13; Luk 2:35-end; Pro 16:4; Rom 9:22. old--in opposition to the friends who asserted that sinners are "cut off" early (Job 8:12, Job 8:14).”
- 1 Peter (Protestant academic) “Tyndale House on 1 Peter 4:12: 4:12-19 Peter instructs Christians one last time about the way to face the trials that will inevitably come. 4:12 don’t be surprised: Christians, especially those seeking to lead godly lives, can expect to face the hostility of a sinful world (see John 16:33; Acts 14:22; Rom 8:17; Phil 1:29).”
- Psalms (Nonconformist/Puritan) “Matthew Henry on Psalms 38:1: The title of this psalm is very observable; it is a psalm to bring to remembrance; the 70th psalm, which was likewise penned in a day of affliction, is so entitled. It is designed, 1. To bring to his own remembrance. We will suppose it penned when he was sick and in pain, and then it teaches us that times of sickness are times to bring to remembrance, to bring the sin to remembrance, for which God contended with us, to awaken our consciences to deal faithfully and plainly with us, and set our sins in order before us, for our humiliation. In a day of adversity cons”
- Isaiah (Presbyterian) “Jamieson, Fausset & Brown on Isaiah 53:4: Surely . . . our griefs--literally, "But yet He hath taken (or borne) our sicknesses," that is, they who despised Him because of His human infirmities ought rather to have esteemed Him on account of them; for thereby "Himself took OUR infirmities" (bodily diseases). So Mat 8:17 quotes it. In the Hebrew for "borne," or took, there is probably the double notion, He took on Himself vicariously (so Isa 53:5-6, Isa 53:8, Isa 53:12), and so He took away; His perfect humanity whereby He was bodily afflicted for us, and in all our afflictions (Isa 63:9; Heb 4:”
- Isaiah (Baptist/Reformed) “John Gill on Isaiah 53:4: Surely he hath borne our griefs, and carried our sorrows,.... Or "nevertheless", as Gussetius (k); notwithstanding the above usage of him; though it is a certain and undoubted truth, that Christ not only assumed a true human nature, capable of sorrow and grief, but he took all the natural sinless infirmities of it; or his human nature was subject to such, as hunger, thirst, weariness, &c.; and to all the sorrow and pain arising from them; the same sorrows and griefs he was liable to as we are, and therefore called ours and hence he had a sympathy with men under afflic”