Shall save the sick, and the Lord shall raise him up - This must be understood, as such promises are everywhere, with this restriction, that they will be restored to health if it shall be the will of God; if he shall deem it for the best. It cannot be taken in the absolute and unconditional sense, for then, if these means were used, the sick person would always recover, no matter how often he might be sick, and he need never die. The design is to encourage them to the use of these means with a strong hope that it would be effectual. It may fairly be inferred from this statement:
(1) that there would be cases in large numbers where these means would be attended with this happy result; and,
(2) that there was so much encouragement to do it that it would be proper in any case of sickness so make use of these means.
It may be added, that no one can demonstrate that this promise has not been in numerous instances fulfilled. There are instances, not a few, where recovery from sickness seems to be in direct answer to prayer, and no one can prove that it is not so. Compare the case of Hezekiah, in Isaiah 38:1-5.
And if he have committed sins, they shall be forgiven him - Perhaps there may be a particular allusion here to sins which may have brought on the sickness as a punishment. In that case the removal of the disease in answer to prayer would be an evidence that the sin was pardoned. Compare Matthew 9:2. But the promise may be understood in a more general sense as denoting that such sickness would be the means of bringing the sins of the past life to remembrance, especially if the one who was sick had been unfaithful to his Christian vows; and that the sickness in connection with the prayers offered would bring him to true repentance, and would recover him from his wanderings. On backsliding and erring Christians sickness often has this effect; and the subsequent life is so devoted and consistent as to show that the past unfaithfulness of him who has been afflicted is forgiven.
This passage James 5:14-15 is important, not only for the counsel which it gives to the sick, but because it has been employed by the Roman Catholic communion as almost the only portion of the Bible referred to to sustain one of the peculiar rites of their religion - that of "extreme unction" - a "sacrament," as they suppose, to be administered to those who are dying. It is of importance, therefore, to inquire more particularly into its meaning. There can be but three views taken of the passage:
I. That it refers to a miraculous healing by the apostles, or by other early ministers of religion who were endowed with the power of healing diseases in this manner. This is the interpretation of Doddridge, Macknight, Benson, and others. But to this view the objections seem to me to be insuperable.
(a) Nothing of this kind is said by the apostle, and this is not necessary to be supposed in order to a fair interpretation of the passage.
(b) The reference, as already observed, is clearly not to the apostles, but to the ordinary officers of the church - for such a reference would be naturally understood by the word presbyters; and to suppose that this refers to miracles, would be to suppose that this was a common endowment of the ordinary ministers of religion. But there was no promise of this, and there is no evidence that they possessed it. In regard to the extent of the promise, "they shall lay hands on the sick, and they shall recover," see the notes at Mark 16:17-18.
(c) If this referred to the power of working miracles, and if the promise was absolute, then death would not have occurred at all among the early disciples. It would have been easy to secure a restoration to health in any instance where a minister of religion was at hand,
II. It is supposed by the Roman Catholics to give sanction to the practice of "extreme unction," and to prove that this was practiced in the primitive church. But the objections to this are still more obvious.
(a) It was not to be performed at death, or in the immediate prospect of death, but in sickness at any time. There is no hint that it was to be only when the patient was past all hope of recovery, or in view of the fact that he was to die. But "extreme unction," from its very nature, is to be practiced only where the patient is past all hope of recovery.
(b) It was not with a view to his death, but to his living, that it was to be practiced at all. It was not that he might be prepared to die, but that he might be restored to health - "and the prayer of faith shall save the sick, and the Lord shall raise him up." But "extreme unction" can be with no such reference, and no such hope. It is only with the expectation that the patient is about to die; and if there were any expectation that he would be raised up even by this ordinance, it could not be administered as "extreme unction."
15. prayer—He does not say the oil shall save: it is but the symbol.save—plainly not as Rome says, "save" the soul. but heal "the sick": as the words, "the Lord shall raise him up," prove. So the same Greek is translated, "made (thee) whole," Mt 9:21, 22.
and if … sins—for not all who are sick are so because of some special sins. Here a case is supposed of one visited with sickness for special sins.
have committed—literally, "be in a state of having committed sins," that is, be under the consequences of sins committed.
they—rather, "it": his having committed sins shall be forgiven him. The connection of sin and sickness is implied in Isa 33:24; Mt 9:2-5; Joh 5:14. The absolution of the sick, retained in the Church of England, refers to the sins which the sick man confesses (Jas 5:16) and repents of, whereby outward scandal has been given to the Church and the cause of religion; not to sins in their relation to God, the only Judge.
And the prayer of faith; i.e. proceeding from faith; the cure is ascribed to prayer, the moral means, and standing ordinance, not to the anointing, which was but ceremonial and temporary; and to faith in prayer, to show that this remedy was effectual only when faith (requisite to the working of miracles) was active, viz. in a certain persuasion that the sick person should be healed.and the Lord shall raise him up; from his bed of sickness, on which he is laid, and bring him forth to praise his name, and to fear and glorify him.
And if he have committed sins; not that it is a question whether he has or not, for no man lives without sin, nor the commission of it; but the sense is, if he has been guilty of any sins, which God in particular has taken notice of, and on account of which he has laid his chastising hand upon him, in order to bring him to a sense of them, and to acknowledge them; which is sometimes the case, though not always, at the same time that his bodily health is restored:
they shall be forgiven him; he shall have a discovery, and an application of pardoning grace to him: and indeed the removing the sickness or disease may be called the forgiveness of his sins, which is sometimes the sense of this phrase in Scripture, as in 1 Kings 8:34.
And the prayer of faith shall save the sick, and the Lord shall raise him up; and if he have committed {i} sins, they shall be forgiven him.(i) He has reason in making mention of sins, for diseases are often sent because of sins.
Rev. gives, better, the participial force, him that is sick. The word originally means to work. Hence, "him that is laboring under disease."
And if he have committed sins (κἃν ἁμαρτίας ᾖ πεποιηκώς)
The Greek gives a shade of meaning which can hardly be transferred neatly into English, representing not merely the fact that the man has sinned, but his condition as a sinner. Literally the words read, if he be having committed sins; i.e., in a state of having committed, and under the moral or physical consequences of transgression.
They shall be forgiven (ἀφεθήσεται)
Better, Rev., "it shall be forgiven," supplying the commission as a subject. The verb means to send forth or discharge, and is the standard New-Testament word for forgiving. Forgiveness (ἄφεσις) is a putting or sending away of sins, with a consequent discharge of the sinner; thus differing from τάρεσις (Romans 3:25), which is a passing by of sin, a pretermission as distinguished from a remission. See, farther, on Romans 3:25.