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6 " But that wasn't the chief thing that bothered me: I couldn't reconcile myself with that preoccupation with sin that, so far as I could tell, was never entirely absent from the monks' thoughts. I'd known a lot of fellows in the air corps. Of course they got drunk when they got a chance, and had a girl whenever they could and used foul language; we had one or two had hats: one fellow was arrested for passing rubber cheques and was sent to prison for six months; it wasn't altogether his fault; he'd never had any money before, and when he got more than he'd ever dreamt of having, it went to his head. I'd known had men in Paris and when I got back to Chicago I knew more, but for the most part their badness was due to heredity, which they couldn't help, or to their environment, which they didn't choose: I'm not sure that society wasn't more responsible for their crimes than they were. If I'd been God I couldn't have brought myself to condemn one of them, not even the worst, to eternal damnation. Father Esheim was broad-minded; he thought that hell was the deprivation of God's presence, but if that is such an intolerable punishment that it can justly be called hell, can one conceive that a good God can inflict it? After all, he created men, if he so created them that ti was possible for them to sin, it was because he willed it. If I trained a dog to fly at the throat of any stranger who came into by back yard, it wouldn't be fair to beat him when he did so.
If an all-good and all-powerful God created the world, why did he create evil? The monks said, so that man by conquering the wickedness in him, by resisting temptation, by accepting pain and sorrow and misfortune as the trials sent by God to purify him, might at long last be made worthy to receive his grace. It seem to me like sending a fellow with a message to some place and just to make it harder for him you constructed a maze that he had to get through, then dug a moat that he had to swim and finally built a wall that he had to scale. I wasn't prepared to believe in an all-wise God who hadn't common sense. I didn't see why you shouldn't believe in a God who hadn't created the world, buyt had to make the best of the bad job he'd found, a being enormously better, wiser and greater than man, who strove with the evil he hadn't made and who might be hoped in the end to overcome it. But on the other hand I didn't see why you should. "

W. Somerset Maugham , The Razor's Edge

7 " Long before there were effective treatments, physicians dispensed prognoses, hope, and, above all, meaning. When something terrible happens-and serious disease is always terrible-people want to know why. In a pantheistic world, the explanation was simple-one god had caused the problem, another could cure it. In the time since people have been trying to get along with only one God, explaining disease and evil has become more difficult. Generations of theologians have wrestled with the problem of theodicy-how can a good God allow such bad things to happen to good people?

Darwinian medicine can't offer a substitute for such explanations. It can't provide a universe in which events are part of a divine plan, much less one in which individual illness reflects individual sins. It can only show us why we are the way we are, why we are vulnerable to certain diseases. A Darwinian view of medicine simultaneously makes disease less and more meaningful. Diseases do not result from random or malevolent forces, they arise ultimately from past natural selection. Paradoxically, the same capacities that make us vulnerable to disease often confer benefits. The capacity for suffering is a useful defense. Autoimmune disease is a price of our remarkable ability to attack invaders. Cancer is the price of tissues that can repair themselves. Menopause may protect the interests of our genes in existing children. Even senescence and death are not random, but compromises struck by natural selection as it inexorably shaped out bodies to maximize the transmission of our genes. In such paradoxical benefits, some may find a gentle satisfaction, even a bit of meaning-at least the sort of meaning Dobzhansky recognized. After all, nothing in medicine makes sense except in the light of evolution. "

Randolph M. Nesse , Why We Get Sick: The New Science of Darwinian Medicine