Pentecost 6 – 2024
Mark 5:21-43
Marian Free
In the name of God who sees our deepest needs and sets us free. Amen.
Thanks to Reginald and Catherine Hamlin, the prevalence of obstetric fistula in Ethiopia became known and, more importantly, addressed. Their story is well known. The medical couple responded to an advertisement for a medico to establish a midwifery school in the hospital in Addis Adiba. Once there, it was not long before they observed the huge number of untreated injuries caused by childbirth. Instead of returning to New Zealand when their contract was completed, the couple founded the Addis Adiba Fistula Hospital. It is the only hospital of its kind and has treated over 60,000 women.
The tearing of the fistula during childbirth can have devastating consequences. It is especially prevalent in places where there is inadequate access to pre-and peri-natal care and where there are no midwives to assist with birth. In countries where child marriage is allowed and in which female circumcision is practiced the situation is even more dire. Girls whose bodies are not ready for childbirth become pregnant and genital mutilation can make the birthing process even more difficult. In Ethiopia something like 100,000 women and girls live with a fistula and around 9,000 new cases occur every year (this in 2022).
An obstetric fistula is a hole or tear that is created during a long or obstructed labour. The tear creates a hole between the bladder and/or rectum which leads to leakage of urine or faeces over which the woman has no control. This in turn results not only in physical discomfort, psychological distress and infertility but also in rejection by the spouses and families of these women and social isolation. Rejected by their communities, young women who suffer from this condition become homeless and impoverished.
The medical situation of the woman with a haemorrhage in today’s gospel is different but the resulting situation is similar – rejection, isolation and penury. In the ancient world, blood, especially menstrual blood, rendered a woman unclean, a source of contamination and therefore as someone to be avoided. The woman with a haemorrhage would not only have been unclean, but also infertile. She would have been socially isolated and her value as a woman (able to bear children) would have been seriously compromised. The woman would have been an object of fear, isolated, destitute and desperate.
No wonder she takes her chance with Jesus. No wonder that she is driven to break the law, to cause offence and to risk the wrath of the crowds. Jesus is her last and only hope of restoration – to health and to the community.
We know nothing of the woman, but we can imagine that she had been a person of some means, because she has, over the course of twelve years, been able to seek the help of doctors. Now she has spent all that she has on doctors – to no avail.
Jesus’ reputation has reached the woman, and while the woman dare not appeal to him openly for fear of the crowd’s reaction, she presumably knows that that Jesus has not demonstrated an unwillingness to engage with those deemed unclean. After all, he has healed lepers who, like her are considered impure and forced to separate themselves from family and community.
So when she learns that Jesus is near the woman somehow slips into the crowd, makes her way to Jesus and touches, not him, but his cloak. Two things happen simultaneously – the woman knows that she is healed, and Jesus feels power flow from him to another.
In Jesus, the process of contamination is reversed. His purity is not polluted by her impurity, her uncleanness does not taint him but rather her impurity is sanitised by his purity. His ‘power’, his pureness, moves from him to her, cleansing and restoring her. In healing the woman, Jesus not only sets her free from her suffering, but restores her to her family: “Daughter” he says.
It is easy to fool ourselves into believing that notions of purity and impurity belong to another time and age, but I challenge you to think of the ways in which we limit and exclude those who do not fit the norms of our own time, the ways in which we judge those with health issues that we do not understand, the barriers we place between ourselves and those who are different, the ways in which we exclude people from participation in things we take for granted.
The examples are manifold so I shall only list a few – women with endometriosis who spend years and fortunes convincing doctors that they are unwell and are made to feel that the problem lies with them, the rough sleepers who endure our discomfort rather than our compassion and who feel our discomfort, fear and revulsion, our physical environments that make it impossible for the differently abled to fully participate in the lives we take for granted and which tell them of our indifference. Consciously or unconsciously, we isolate and protect ourselves from the suffering of others.
Consciously or unconsciously, we send the message that we are repulsed or affronted by those whose situations we do not fully understand.
Time and again, Jesus demonstrates that compassion for and engagement with the despised and rejected takes nothing from himself and gives everything to them – restoring them physically, psychologically and socially. If we are willing to learn from his example, we will create a society in which everyone is valued, included and made whole, a world infected and transformed by kingdom of God.


