In a world filled with uncertainty, illness, and suffering, where do we turn for true healing? As believers, the Bible offers profound guidance on this very question, particularly in the book of James. This epistle, written by James, the brother of Jesus, is a practical guide for Christian living, emphasizing the importance of faith in action. Today, we're delving into James 5:14-16 from the English Standard Version (ESV), examining the role of church elders in praying for the sick and what we should do when we need healing. This passage isn't just ancient wisdom; it's a blueprint for spiritual community, mutual care, and divine intervention.
James 5:13-16 sets the stage for how Christians should respond to various life circumstances, from suffering to joy to sickness. While our focus is on verses 14-16, we'll include verse 13 for context, as it flows seamlessly into the instructions on healing. Let's exegete this passage step by step, highlighting key Greek words and phrases to uncover the richness of the original text. Through this, we'll see how God calls us to a vibrant, interconnected faith where prayer isn't a last resort but a first response.
Responding to Life's Ups and Downs (James 5:13)
Before jumping into the specifics of sickness and healing, James addresses the broader spectrum of human experience: "Is anyone among you suffering? Let him pray. Is anyone cheerful? Let him sing praise" (James 5:13, ESV).
The Greek word for "suffering" here is kakopathei (κακοπαθεῖ), derived from kakos (meaning "evil" or "bad") and pathos (meaning "suffering" or "passion"). It implies enduring hardship, not just physical pain but emotional or spiritual trials, persecution, grief, or daily struggles. James doesn't advise complaining or seeking sympathy from others first; instead, he commands, "Let him pray" (proseuchesthō, προσευχέσθω), an imperative form of proseuchomai, meaning to pray earnestly to God. This shifts our focus upward, reminding us that God is our primary source of comfort.
On the other hand, for the "cheerful" (euthymei, εὐθυμεῖ), which is derived from eu (good) and thymos (spirit or mind), denoting a joyful and encouraged state, James says, "Let him sing praise" (psalletō, ψαλλέτω). This word psallō originally meant to pluck a stringed instrument, evolving to signify singing psalms or hymns. It's a call to worship, turning personal joy into communal praise. Moffatt notes that in the New Testament, this often refers to public worship with musical accompaniment, blending private emotion with corporate expression.
Why start here? James is building a foundation: Whether in lows or highs, our instinct should be to engage with God. This sets up the response to sickness, showing that healing prayer isn't isolated but part of a holistic spiritual life. As Christians, we're exhorted to care for one another by modeling this Godward orientation, fostering a community where vulnerability leads to victory.
The Call to Action for the Sick: Inviting Elders into the Healing Process (James 5:14)
Now we arrive at the heart of our topic: "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" (James 5:14, ESV).
The word "sick" translates as asthenei (ἀσθενεῖ), from astheneō, meaning to be weak, feeble, or ill. In the New Testament, it can refer to physical sickness (as in Matthew 10:8) or spiritual weakness (Romans 5:6), but the context here leans toward physical ailment, given the instructions that follow. James places the initiative on the sick person: "Let him call" (proskalesasthō, προσκαλεσάσθω), an imperative urging proactive summoning of help. It's a mystery why so many hesitate to seek prayer from church leaders, perhaps pride, fear of judgment, or doubt in its efficacy. Yet James makes it clear: Healing begins with humility and community.
Who are these "elders"? The Greek presbyterous (πρεσβυτέρους) refers to mature leaders in the church, often translated as "presbyters" or "overseers." In the early church, elders were appointed for spiritual oversight (Acts 14:23; Titus 1:5), embodying wisdom, faith, and authority. Their role isn't authoritarian but pastoral; they're to "pray over him" (proseuxasthōsan ep' auton, προσευξάσθωσαν ἐπ' αὐτόν). The preposition epi (over) suggests praying in close proximity, perhaps laying on hands, symbolizing God's covering.
Then comes the anointing: "anointing him with oil" (aleipsantes auton elaiō, ἀλείψαντες αὐτὸν ἐλαίῳ). The verb aleiphō typically means to rub or apply oil medicinally or symbolically, differing from chriō, which is used for sacred anointings (like Christ's). Oil was a common remedy in ancient times; Luke 10:34 shows the Good Samaritan using it for wounds, and symbolized the Holy Spirit's presence (1 Samuel 16:13). Hiebert and Clarke suggest this could blend natural medicine with supernatural faith: Seek the best care while invoking God's power "in the name of the Lord (en tō onomati tou kyriou, ἐν τῷ ὀνόματι τοῦ κυρίου). This phrase grounds the act in Jesus' authority, not human effort.
What does this mean for Church elders today? Their role is pivotal in facilitating healing. Elders aren't miracle workers but conduits of God's grace, modeling servant leadership. In a fragmented world, this passage encourages Christians to establish churches where elders are accessible, prayerful, and equipped to respond to the needs of their community. If you're sick, don't isolate; call your elders. If you're an elder, be ready to pray with faith and compassion.
God's Promise in Response: The Prayer of Faith and Its Outcomes (James 5:15)
James continues with assurance: "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" (James 5:15, ESV).
The "prayer of faith" (hē euchē tēs pisteōs, ἡ εὐχὴ τῆς πίστεως) is key. Euchē means a vow or prayer, often solemn, while pistis is faith, unwavering trust in God. This isn't a generic prayer but one rooted in belief, echoing Jesus' words in Mark 11:24. It "will save" (sōsei, σώσει) the sick (ton kamnonta, τὸν κάμνοντα), where sōzō means to rescue, heal, or deliver holistically, body, soul, and spirit. Kamnonta implies weariness from illness, reinforcing physical healing.
"The Lord will raise him up" (egerei auton ho kyrios, ἐγερεῖ αὐτὸν ὁ κύριος) uses egeirō, the same word for resurrection (Matthew 28:6), suggesting restoration to health or ultimate victory over death. James adds, "And if he has committed sins, he will be forgiven" (kan hamartias ḥē pepoiēkōs, aphethēsetai autō, κἂν ἁμαρτίας ᾖ πεποιηκώς, ἀφεθήσεται αὐτῷ). Hamartias are sins or misses of the mark, and aphethēsetai means forgiven or released. This links physical sickness to spiritual issues, not always causally (John 9:3), but sometimes (1 Corinthians 11:30). Healing prayer addresses the whole person.
Does this guarantee physical healing? Not always, God's will prevails (2 Corinthians 12:7-9). Yet we pray expectantly, leaving outcomes to Him. As Meyer notes, this prayer is "energizing," powerful when fervent. Christians are exhorted to intercede boldly, trusting God's sovereignty while pursuing wholeness.
Mutual Care Through Confession and Prayer (James 5:16)
The passage culminates in communal exhortation: "Therefore, confess your sins to one another and pray for one another, that you may be healed. The prayer of a righteous person has great power as it is working" (James 5:16, ESV).
"Confess" (exomologeisthe, ἐξομολογεῖσθε) means to acknowledge openly, agreeing with God's view of sin (hamartias, ἁμαρτίας). It's mutual, "to one another" (allēlois, ἀλλήλοις), breaking the power of isolation. Confession leads to prayer (euchesthe, εὔχεσθε), resulting in healing (iathēte, ἰαθῆτε), from iaomai, to cure or make whole.
Why confess? Sin hinders healing (Psalm 66:18); admitting it removes barriers. James isn't mandating priestly confession, but rather relational transparency, as seen in the early church (Acts 19:18). Orr warns of discretion: Confess privately for personal sins, publicly for those that affect others. Be specific, thorough, and honest; a phony confession mocks God.
The capstone: "The prayer of a righteous person has great power as it is working" (polu ischuei deēsis dikaiou energoumenē, πολὺ ἰσχύει δέησις δικαίου ἐνεργουμένη). Deēsis is earnest supplication, dikaiou a righteous one (justified by faith, walking uprightly), and energoumenē means energized or effective. This prayer "avails much" (ischuei, ἰσχύει), prevailing like Elijah's (James 5:17-18).
In practice, this exhorts Christians to foster caring communities. When you are sick, confess if needed, pray fervently, and involve your elders. Elders, lead in righteousness, praying with power.
Applying James 5:14-16 Today
Let's bring this to life. Imagine Sarah, battling chronic illness. Instead of suffering alone, she calls her church elders. They gather, anoint with oil, and pray in faith. Healing comes, not instantly, but through a combination of medical care and spiritual peace. Or consider David, whose sickness stemmed from unconfessed bitterness. Confession to a brother brings forgiveness and physical relief.
Historically, revivals led by Jonathan Goforth featured mass confessions, which often resulted in healings. Finney emphasized the role of confession in awakening. Today, in our churches, we must revive this: elders trained in prayer, congregations open to vulnerability.
What if healing doesn't come? Paul’s thorn (2 Corinthians 12) reminds us: God’s grace suffices. Pray anyway, faith grows in the waiting.
Exhortations abound: Care by listening, praying without judgment. Elders embody presbyteros maturity. All, pursue righteousness for powerful prayer.
James 5:14-16 paints a beautiful picture of God's kingdom: elders praying, the sick calling out, the community confessing, all under Christ's name. When in need, turn to God through His people. May this ignite fervent prayer in your life, bringing healing and glory to God.