27 July, 2026
God's Sovereignty and the Myth of Spiritual Formulas
There is a particular kind of grief that visits the Christian who has prayed for healing, done everything he was told to do, and remained sick. He has confessed every sin he can remember. He has forgiven every person who ever wronged him, real or imagined. He has spoken the words of faith rather than the words of doubt. He has claimed the promise, resisted the spirit of infirmity, and refused to “make room for unbelief.” And still, the disease progresses. Still, the pain remains. Still, the body he prayed over is buried.
What happens next is often worse than the suffering itself. He begins to search for the reason the formula failed. Was there a root of bitterness he missed? A generational curse unaddressed? A measure of faith too small? The theology he was given left him only one place to put the blame: himself.
This article is written against that theology — not against the desire for healing, which is good and biblical, but against the idea that healing operates by a discoverable, repeatable spiritual mechanism. The thesis is simple and, I think, unassailable from Scripture: God heals because He is sovereign, not because we have discovered a spiritual formula. He may heal miraculously today, and Christians should pray boldly and expectantly that He will. But healing is never owed, never mechanical, and never guaranteed by any combination of forgiveness, confession, spoken words, or ritual. It is, every time, an act of unmerited sovereign mercy.
The God Who Does Whatever He Pleases
Any doctrine of healing must begin, as all Christian doctrine must begin, with the character of God. Isaiah 46 gives us one of the most direct statements of divine sovereignty in the whole of Scripture. The prophet contrasts the idols of Babylon — carried, carted, and set in place by their own worshipers because they cannot move themselves — with the living God who carries His people. Then comes the declaration: “Remember this and stand firm… I am God, and there is no other; I am God, and there is none like me, declaring the end from the beginning and from ancient times things not yet done, saying, ‘My counsel shall stand, and I will accomplish all my purpose’” (Isaiah 46:9–10).
Notice what is being claimed. Not merely that God can do what He wills, but that His purpose will stand — it cannot be thwarted, negotiated, or triggered into motion by human technique. The chapter is not about healing specifically; it is about the entire scope of God’s rule over history, nations, and idols. But that is precisely the point. Healing is not a special category exempt from this sovereignty. It falls under the same “counsel of his will” that governs empires. If God’s purposes for the rise and fall of Babylon are not subject to human manipulation, neither are His purposes for a diagnosis.
Daniel 4 makes the same point from a different angle — not the sovereignty of God in the abstract, but the sovereignty of God demonstrated against a proud king who had to be personally, painfully humbled to learn it. Nebuchadnezzar’s madness and eventual restoration culminate in his own confession: “He does according to his will among the host of heaven and among the inhabitants of the earth; and none can stay his hand or say to him, ‘What have you done?’” (Daniel 4:35). Paul crystallizes both texts into a single doctrinal statement in Ephesians 1:11, describing believers as those “predestined according to the purpose of him who works all things according to the counsel of his will.” This is the theological bedrock beneath everything that follows: healing, when it happens, happens because God wills it, not because a person has assembled the right combination of inputs.
What James 5 Actually Says — and Does Not Say
No text is more frequently pressed into service as a healing formula than James 5:14–15: “Is anyone among you sick? Let him call for the elders of the church, and let them pray over him, anointing him with oil in the name of the Lord. And the prayer of faith will save the one who is sick, and the Lord will raise him up. And if he has committed sins, he will be forgiven.” Read carefully, in context, this passage does not teach a formula. It teaches a pattern of pastoral care and prayer offered to a sovereign Lord, not imposed upon Him.
Several details matter. The healing itself is explicitly attributed to the Lord, not to the ritual that accompanies the prayer — it is the Lord who raises the sick person up, not the oil or the elders’ presence considered as a mechanism. James adds the qualifier “if he has committed sins,” which shows he refuses to assume that sickness always results from some specific personal sin needing to be located and confessed. And the letter as a whole is built around submission to God’s will rather than presumption upon it, as James makes explicit a chapter earlier when he insists that every plan a believer makes should be held loosely, subject to “if the Lord wills” (James 4:15). Taken together, James 5 calls the church to pray confidently while leaving the outcome, as it must, in the hands of God.
When the Answer Is No
The New Testament also gives us explicit examples of faithful believers who were not healed. Paul’s thorn in the flesh (2 Corinthians 12:7–9) stands as the clearest example. Three times Paul pleaded for its removal, yet God’s answer was, “My grace is sufficient for you, for my power is made perfect in weakness.” Paul cannot be accused of insufficient faith, hidden sin, or poor technique — he was the apostle who wrote most of the New Testament’s theology of grace and who performed genuine miracles of healing elsewhere in his ministry. And yet, in this case, God’s refusal served a gracious purpose of its own. The pattern is not confined to Paul’s own body, either. He left Trophimus sick at Miletus rather than healing him (2 Timothy 4:20), and he advised Timothy to use ordinary wine for his stomach ailments and frequent illnesses rather than expecting a miraculous cure (1 Timothy 5:23). Even the apostles, who unquestionably possessed genuine gifts of healing, did not treat healing as something available on demand.
The Refusal of Jesus to Standardize His Own Miracles
If healing followed a formula, we would expect Jesus to model it consistently, performing the same action in the same way to produce the same result. Instead, the Gospels show remarkable variety in how He healed. Sometimes He healed with a word alone, and sometimes by touch. On one occasion He used mud made from His own saliva; on another, He healed from a distance without ever meeting the person involved. Sometimes the healing was immediate, and once, with the blind man at Bethsaida, it came in two distinct stages. Sometimes Jesus healed in response to another person’s faith rather than the sick person’s own, and sometimes no faith at all is mentioned in the account. He even performed healings in His hometown amid widespread unbelief, though Mark tells us He could do no mighty work there because of it. The diversity of method, occasion, and circumstance appears intentional. Jesus refused to reduce divine healing to a reproducible technique that could be extracted from His ministry and applied mechanically by anyone who learned the steps.
Testimonies Encourage; They Do Not Legislate
None of this denies that God still heals. He does, and Christians should pray boldly and confidently for healing when it is needed. But testimonies are not doctrine. A testimony tells us what God did in a particular case; it cannot tell us why He did it, and it cannot be turned into a universal rule for what He must do the next time someone prays the same prayer. Scripture, not experience, remains the church’s final authority. This is why formula theology becomes so dangerous: it quietly elevates one person’s experience into something functioning as binding revelation, and it inevitably leads suffering believers to wonder what they did wrong when healing does not come on the same terms someone else’s testimony described. Job’s friends made precisely this mistake, working backward from Job’s suffering to a hidden sin that had to explain it, and God rebuked them for it.
Resting in Sovereignty While Praying with Boldness
So what should Christians do? Pray, and pray boldly. Call the elders, as James instructs, and ask God plainly and expectantly for healing. Use ordinary means such as physicians and medicine without embarrassment, following Paul’s own counsel to Timothy, and trust God’s wisdom whether He chooses to heal immediately, gradually, through the ordinary means of medical care, or not until the resurrection of the body. Most importantly, believers should refuse the temptation to audit their own faith, combing back through their prayers and their sins looking for the hidden reason healing did not come.
Sometimes suffering remains. When it does, Scripture teaches us not to search for a missing formula, but to rest in the God who works all things according to the counsel of His will. The God who declared the end from the beginning, humbled kings, and governs every detail of history is the same God who hears every prayer for healing. He does not owe us a formula. He has given us Himself.