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I think that too many ministers have used it (illness) as a scare tactic, resulting in our cynicism, BUT, as H1 said, attitude can affect health, so I would think leading a sinful life would do just the same, maybe worse. There are just as many natural consequences of sin as spiritual, although the natural consequences are much less serious.
It can be said, across the board, "If someone is sick, they must have sinned.", BUT I believe sometimes it is the case, and there is nothing to say that God can't speak such a thing to a minister.
In my opinion, this would especially apply to believers who have either left the faith, or are living in sin secretly, or something similar.
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"God, send me anywhere, only go with me. Lay any burden on me, only sustain me. And sever any tie in my heart except the tie that binds my heart to Yours."
--David Livingstone
"To see no being, not God’s or any, but you also go thither,
To see no possession but you may possess it—enjoying all without labor or purchase—
abstracting the feast, yet not abstracting one particle of it;…."
--Walt Whitman, Leaves of Grass, Song of the Open Road
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