When Jesus heard it, he saith unto them, They that are whole have no need of the physician, but they that are sick: I came not to call the righteous, but sinners to repentance.
Jesus responds to Pharisaic criticism with a powerful analogy revealing His mission's heart. The metaphor of physician and sick establishes that recognizing spiritual sickness is prerequisite to receiving Christ's healing. "They that are whole" (οἱ ἰσχύοντες, hoi ischyontes) refers to those who perceive themselves as healthy, not those who actually are—the Pharisees considered themselves righteous and thus had no sense of need for Jesus. "They that are sick" (οἱ κακῶς ἔχοντες, hoi kakōs echontes) are those who recognize their spiritual disease—tax collectors, sinners, and outcasts knew their desperate need. The verb "have need" (χρείαν ἔχουσιν, chreian echousin) indicates absolute necessity—the sick cannot heal themselves but require external intervention. Jesus' statement "I came not to call the righteous, but sinners to repentance" (οὐκ ἦλθον καλέσαι δικαίους ἀλλὰ ἁμαρτωλούς, ouk ēlthon kalesai dikaious alla hamartōlous) reveals His mission: He seeks those who know they need salvation, not those who trust in their own righteousness. The irony is sharp—the "righteous" Pharisees were actually sinners who refused to acknowledge their condition, while acknowledged "sinners" who repented found salvation. Reformed theology emphasizes that the first work of the Spirit is conviction of sin (John 16:8)—until people recognize their spiritual death and inability to save themselves, they won't seek Christ the Physician.
Historical Context
This exchange occurred after Jesus called Levi (Matthew) the tax collector and dined at his house with tax collectors and sinners (Mark 2:14-15). Tax collectors were despised in first-century Judaism as collaborators with Rome and extortionists who enriched themselves by overtaxing fellow Jews. They were considered ritually unclean and excluded from synagogue worship. Pharisees maintained strict separation from such people to preserve ritual purity. Jesus' willingness to eat with tax collectors and sinners scandalized the religious establishment—table fellowship signified acceptance and intimacy. By dining with outcasts, Jesus demonstrated that God's kingdom welcomes those who repent, regardless of past sin or social status. The Pharisees' self-righteousness—trusting in their Torah observance, genealogy, and ritual purity—blinded them to their need for God's grace. This pattern repeated throughout Jesus' ministry: outcasts who knew their need found salvation (the tax collector in Luke 18:13-14), while the self-righteous remained in spiritual darkness (the Pharisee in Luke 18:11-12). The early church continued Jesus' mission to the marginalized, welcoming slaves, women, Gentiles, and the poor—those considered outcasts by Roman society.
Questions for Reflection
How does self-righteousness—whether religious performance, moral achievement, or cultural respectability—prevent people from seeking Christ the Physician?
In what ways does the modern church sometimes resemble the Pharisees in avoiding 'sinners' rather than following Jesus' example of pursuing the spiritually sick?
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Analysis & Commentary
Jesus responds to Pharisaic criticism with a powerful analogy revealing His mission's heart. The metaphor of physician and sick establishes that recognizing spiritual sickness is prerequisite to receiving Christ's healing. "They that are whole" (οἱ ἰσχύοντες, hoi ischyontes) refers to those who perceive themselves as healthy, not those who actually are—the Pharisees considered themselves righteous and thus had no sense of need for Jesus. "They that are sick" (οἱ κακῶς ἔχοντες, hoi kakōs echontes) are those who recognize their spiritual disease—tax collectors, sinners, and outcasts knew their desperate need. The verb "have need" (χρείαν ἔχουσιν, chreian echousin) indicates absolute necessity—the sick cannot heal themselves but require external intervention. Jesus' statement "I came not to call the righteous, but sinners to repentance" (οὐκ ἦλθον καλέσαι δικαίους ἀλλὰ ἁμαρτωλούς, ouk ēlthon kalesai dikaious alla hamartōlous) reveals His mission: He seeks those who know they need salvation, not those who trust in their own righteousness. The irony is sharp—the "righteous" Pharisees were actually sinners who refused to acknowledge their condition, while acknowledged "sinners" who repented found salvation. Reformed theology emphasizes that the first work of the Spirit is conviction of sin (John 16:8)—until people recognize their spiritual death and inability to save themselves, they won't seek Christ the Physician.