As a pastor, I had visited church members in the psych ward before, but this time the church member was our dear friend Sarah. She had no family nearby, but lived just a few miles from us. When Sarah was diagnosed with advanced breast cancer, my wife began to bring her soup. We would visit her whenever we could. One of the treatments had taken a horrible turn. Dark side effects landed Sarah in the psych ward.

She looked at me that afternoon from her hospital bed, almost without recognition, with deep pain in her eyes. I reminded her of the care of her church family and the love of Christ for her. A tear rolled down her cheek and she whispered, “Guilty.”

I knew that Sarah needed bedrock gospel truth under her feet, so I turned to Romans 8 and began to read to her, “There is therefore now no condemnation for those who are in Christ Jesus.” Her eyes flashed with recognition. I continued to read until I got to verse 30, and then an amazing thing happened. Sarah was crying out the words of Romans 8:30 with me, like a drowning woman holding on to a life preserver.

We both exclaimed those precious promises out loud in the stark and sterile room, tears streaming down our faces: “And those whom he predestined he also called, and those whom he called he also justified, and those whom he justified he also glorified” (Romans 8:30). At that moment, neither of us was arguing for the doctrine of God’s absolute sovereignty over salvation. We were exulting in our election. Sarah could not hold on to God in her darkest hour, but she knew that he was still holding on to her.

Comfort of God’s Choice

“God didn’t give us insight into the great mysteries of his sovereign grace to confuse us, but to comfort us.”

I used to experience election merely as theoretical. Too often I saw the doctrine through the lens of debate rather than through the lens of worship and trust. Sarah changed that for me. Seeing election anchor Sarah in the psych ward gave me a fresh perspective on why God has revealed to us that we were chosen by him before he formed the world. God didn’t give us insight into the great mysteries of his sovereign grace to confuse us, but to comfort us with his unstoppable, eternal love for us.

Being reminded of God’s choice to love her in eternity past was a comfort for Sarah on that bleak afternoon. She knew that nothing could separate her from the love of God that is in Christ Jesus.

Our salvation did not start with us, is not sustained by us, and will not be completed by our strength. The domino effects leading to our salvation did not begin at birth, or even at Christ’s birth, but in eternity past when God foreknew us. Unconditional election knocks the wind out of our pride, but it also buoys us up when we feel like we’re drowning.

When the clouds seem to be blocking our Father’s face, when all of our relationships are being dragged through a valley, when we hear of a relative diagnosed with Alzheimer’s, we need the security of electing grace. And when the sun is shining, our spouse loves us, our kids are well-behaved, and work is going better than we ever expected, God’s electing love reminds us that every gift is a gift of grace.

Holding On, Being Held

When I visited Sarah a few days later, she was doing better. The medications were being balanced and the side effects had diminished, although she was still being kept and monitored. As we sang “In Christ Alone” together, our voices rose loudest when we sang, “From life’s first cry to final breath, Jesus commands my destiny. No power of hell, no scheme of man, can ever pluck me from his hand.”

There is something profoundly stabilizing about knowing that the most powerful One in the universe holds you (John 10:28–29). He knew everything about our frailties and even our sins, but he chose us, came for us, and redeemed us anyway.

“Unconditional election knocks the wind out of our pride, but it also buoys us up when we feel like we’re drowning.”

That stay in the psych ward was not the end of the story for my sister in Christ. Just as God makes each of us more than conquerors, he empowered Sarah to conquer. She is not a conqueror because she overcame her depression immediately, or because the cancer stopped spreading. In fact, she died a couple of years later. Sarah is more than a conqueror because the God who predestined her also promised that she would be glorified.

That was the promise she was holding on to the last time I saw her, and it is the promise that she will be praising Christ for the next time I see her.