How Christianity Invented the Hospital
John Stonestreet and Glenn Sunshine
, Far from being an
otherworldly religion,
Christianity teaches both
the
importance and goodness
of life in this world. In
fact, from Jesus’
healing ministry to the
work of modern missionary
doctors, a
consistent feature of the
work of the Church in the
world has been to
care for the sick and
needy, and not just point
them to the life to
come.
The early Church
understood Jesus’
ministry to be a paradigm
for their
own work. So, just as
Jesus set believers free
from their bondage to
sin, early Christians
purchased slaves
specifically to free
them.
Whereas Jesus used
miraculous power to heal
people from physical
effects of the Fall,
Christians used more
ordinary tools to care
for
the sick and disabled.
These activities are not
merely good deeds in
themselves but serve to
advance the Kingdom.
Though the Gospel is a
message and must be
proclaimed, the early
Church saw works of mercy
and preaching of the
Gospel as two sides of
the same coin.
The first major epidemic
faced by the Church was
the Antonine Plague
(A.D. 166-189). In fear
of their lives, the
Romans threw the sick out
of their homes to die in
the streets. Galen, the
most prominent
physician of the age,
knew he could neither
heal its victims nor
protect himself. So, he
fled Rome to stay at his
country estate.
Recognizing that all
persons were made in the
image of God and that
Jesus came to make all
things new, body and
soul, many Christians ran
the other direction. They
fought the Fall by
tending to the sick, at
risk (and often at the
cost) of their own lives.
Since even basic nursing
care can make a
significant difference
during
an epidemic, Christian
action saved lives. Their
courage and self-
sacrifice contributed to
the rapid growth of
Christianity. For
example, when Irenaeus
arrived in Lyon from Asia
Minor, there were
very few Christians. By
the time the plague
ended, there were 200,000
believers in Lyon.
The Plague of Cyprian,
which took place the
following century, was
named after the bishop of
Carthage who documented
the epidemic.
Dionysius of Alexandria,
also a bishop, described
what happened this
way:
At the first onset of the
disease, they pushed the
sufferers away and
fled from their dearest,
throwing them into the
roads before they were
dead and treating
unburied corpses as dirt…
But, he continued…
Most of our brother
Christians showed
unbounded love and
loyalty,
never sparing themselves
and thinking only of one
another. Heedless of
danger, they took charge
of the sick, attending to
their every need
and ministering to them
in Christ.
From the earliest
centuries, Christians
embraced the medical
theories
and practices of the day.
Contrary to stereotypes,
the early Church
did not attribute illness
to demons, though they
did recognize
demonization as a real
phenomenon. The real
difference between
Christians and physicians
of the day was the
willingness to risk death
in order to treat the
sick, convinced that if
they died it would only
mean a transition to a
better life. The
physicians, on the other
hand,
fled.
Christians also founded
the first hospitals in
history. By the late
fourth century, there
were hospitals in both
the eastern and western
halves of the empire. By
the Central Middle Ages,
hospitals and
leprosaria (leprosy
hospitals) could be found
throughout most of the
Christian world. When
universities began
granting medical degrees
during the period,
church-affiliated
institutions continued to
provide
much of the care.
By the 18th century, the
medical field had become
increasingly
professionalized and
separate from the clergy.
Though monasteries
still provided care for
the poor, and nursing was
almost entirely in
the hands of sisters and
nuns, professional
physicians increasingly
handled medical issues
for those who could
afford to pay. Clergy
attended to the dying and
contributed to
discussions of medical
ethics
but had few other
responsibilities for the
sick.
However, medicine was an
integral part of the
modern mission movement
of the 19th century.
Because Christianity has
always affirmed the
importance of the body,
hospitals soon followed
wherever missionaries
went. This is another way
the Church has been
essential throughout
history.
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