James tells the church that if anyone is sick among them, they should call for the elders to come and pray over them. Let’s think about that for a moment. First, for the young readers, “sick” is a serious word here that means there’s something wrong. I understand that some of you use the word as a synonym for awesome, as in, “Man, that dude on the guitar is sick.” I can assure you that James is not asking for the awesome people to call for the elders. No, these were people who were ill. Infirm. Not well. And based on the text, probably not ambulatory. They were most likely at home, in bed. What should they do?
Call for the elders of the church to come and pray. Let me hasten to add that this means of grace is not mutually exclusive from the means of grace God has given us through medicine and doctors. But most people, even Christians who know what the Word teaches, will not consider this option and even see asking for prayer as a last resort.
The first question to ask James is, “What church?” Well, the one they are in, the one they are committed to. This passage, along with several others, makes a strong case for church membership. We are called to commitment to a local church, not just casual acquaintance with one. This passage also makes a case for a plurality of elders. Notice James doesn’t instruct the sick person to call for the pastor, but for the elders. Plural. You can find the qualifications for elders (or pastors, or bishops, or overseers, or any other title you want to bestow on those who lead the church) in 1 Timothy 3 and Titus 1.
The second question is, “Who is responsible to get the elders to come and pray?” The ones who are sick! They are to take the initiative. They are to call for the elders, not on a whim, like, “Oh good grief, I’ve tried everything else, maybe I’ll give the elders a go at this.” They call for the elders because of the spiritual authority these leaders have been given. And they call for the elders because there is faith even in taking the initiative.
I think that’s in part why Jesus asked a lame man at the pool of Bethesda, “Do you want to be healed?” The man had been a cripple for 38 years. Of course he wanted to be healed! But wait, if that seems so obvious to us, why did Jesus ask the question? We know that Jesus never asked a foolish question, or an unimportant question, so we have to admit that Jesus asked because He knew some people do not want to be healed. Ray Stedman wrote, “I know many people today who do not want to be healed. They do not want to receive divine help in their problems. They do not want to be helped out of their weakness. They love their weakness, their helplessness. They are always craving the attention of others through their helplessness. They sometimes flee assuming responsibility for their own lives. I have even seen people turn their backs on a way of deliverance they knew would work, because they did not want to be healed.”
The initiative of the sick is essential, as is the response of the elders. Is anyone among you sick? Let him call for the elders of the church. Calling for the elders is a way of saying to the Lord, “I want to be healed.”