Written by 2:03 pm Faith & Life, Pharmacy Operations

Pharmacy and the Christmas Contrast

Those only vaguely familiar with the Biblical record of the Christmas story may actually be unaware of some of its most spectacular and surprising elements.  You may recall the birth of Jesus involved a virgin mother, angels, wise men and a few shepherds.  What you may not realize is that the story of Jesus’ birth is designed to communicate a contrast between appearances and reality.  

Let me explain.

Luke (a physician and the author of 3rd New Testament book) records in the first chapter of his gospel the words of an angel, Gabriel, to Mary the mother of Christ.  Mary had just been told that she, yet a virgin, would have a son whom she should name Jesus.  Then Gabriel said to her about this child, among other things, that “He will be great (Luke 1:32).”

Those words, “He will be great,” introduce a contrast, because they stand in stark opposition to virtually every expectation.

For example:

Mary (and Joseph for that matter) were NOT great.  They were a poor, Jewish, engaged couple.  They did not have remarkable parents or remarkable careers.  They wouldn’t be featured on the cover of “Israel’s Rich and Famous.”  In fact, you wouldn’t stop to notice them on the street.  They were not popular or influential.  They were “average” at best, a vanilla couple without any remarkable achievements or rank.

Bethlehem was NOT great.  The town where Jesus was born was a small city lacking any great social or commercial value.  Bethlehem wasn’t Boston.  It wasn’t New York.  The 19th century Episcopal priest, Phillips Brooks, understood this when he penned the now-famous carol “O little town of Bethlehem.”  It was, from all appearances a “little” town and, by extension, of little little worth.  Micah, an Old Testament prophet, shocked his listeners by predicting the birth of a great ruler (Jesus) in Bethlehem, a town that was “little among the thousands of Judah (Micah 5:2).”

Jesus’ actual place of birth was NOT great.  Mary and  Joseph couldn’t even find someone with the common courtesy to offer a very pregnant mother a clean room.  Jesus, therefore, was delivered in a stinking stable alongside other barn animals boarders and laid in a feeding trough for a crib, because “there was no room for them in the inn (Luke 2:7).”

And there are other elements of the Christmas narrative in Luke designed to impress us with a contrast between Gabriel’s words “He will be great” and the present appearances.  Take the shepherds for example.  Jesus’ birth was not announced to the local nobility, the town government or religious leadership.  Rather, the news was given to shepherds.  In this culture, the “shepherd” was the low-man on the totem pole of society.  They were typically uneducated.  Most Biblical and historical scholars describe them as social “outcasts.”  Religiously they were considered “unclean,” meaning that they were not permitted in the temple to worship or to have contact with other worshipers.  Announcing the birth of Christ to this motley crew of misfits placed this child on the lowest step of the social ladder in life.  

It is really only when we understand this context that we can appreciate the remarkable nature of Gabriel’s words to Mary, “He will be great.”  Really?  This baby?  Are you sure?  If I were Mary I would have laughed.  

But yes.  Gabriel was sure.  And yes, He was great.

What does all this have to do with Pharmacy?

The connection to pharmacy is the contrast between reality and recognition.  The Christmas story is a story of contrast between reality (who Jesus really was and would become) and recognition (what He appeared to be given the circumstances).  Pharmacy, in some ways, is in a similar situation.

Right now the profession of pharmacy is in the midst of an enormous struggle over the issue of recognition.  We see it in the battle for “provider” status, which would open the door for pharmacists to provide billable services to assist patients managing their medications.  But we see it in other ways too.  Many pharmacists are working in atmospheres that are so poorly staffed that patients are frequently in danger.  Insurance companies continue to squeeze reimbursements so tightly that pharmacy ownership is just a dream for some (and a nightmare for others).  Many of our professional organizations no longer seem to support the individual practicing pharmacist, but rather the corporate or academic agendas which are ruining our careers.

But I want my fellow pharmacists (and pharmacy techs for that matter) to know that their REAL VALUE is not connected to the immediate outward circumstances we work in.  Greatness is about doing the right thing, regardless of the circumstances.  I see pharmacists doing that every day.  Helping patients, helping people!  Not because we are necessarily paid extra to do it, but because it is the right thing to do.  Making that extra phone call, taking a moment to explain a new medication, following up on a sick child, staying late to help a patient, checking into insurance options.  The list goes on and on.  

Things are not always how they appear.  The Christmas contrast was in many ways unique.  But in other ways it is lived out in the day to day lives of those care enough to give themselves for others.  Live up to your potential and values, not down to the level of what others are saying.  Be that Christmas contrast today.

©Jason Poquette and The Honest Apothecary.  Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Jason Poquette and The Honest Apothecary with appropriate and specific links to the original content.

Last modified: December 31, 2014