Why kids are born with disabilities, and how to change the world: A letter to my sons

Dear Cameron and Scott

A friend asked me recently, ‘What’s the one thing you want to teach your boys that might change the world?’

Then another friend asked, ‘What does it really mean – to be fearfully and wonderfully made?’

And I think the two questions might be related, which is why I’m writing to you.

So the second conversation went something like this: Sure, God says we’re fearfully and wonderfully made (Psalm 139). But what if we’re not? What if it’s very fearful and not at all wonderful to be born with Down syndrome or epilepsy or a sensory processing disorder or cataracts or no limbs?

Here’s the thing.

‘When Adam sinned, sin entered the world. Adam’s sin brought death, so death spread to everyone, for everyone sinned.’ (Romans 5:12) Creation fell and took with it every kind of intended normal and perfect. Which means that everyone has congenital defects. Everyone is born physically flawed. Sometimes the imperfections take a while to show up – like cellulite or rheumatoid arthritis or wrinkles or infertility or cancer or untameable hair or tennis elbow or forgetting your wife’s birthday. But somewhere, somehow, sometime, every human being’s physical and mental faculties will let them down. Even if the first time that happens is at death. Babies born with obvious or sensational deformities or deficiencies just highlight this reality. Our humanness – our brokenness – becomes a palpable absolute rather than something unspoken, unconsciously accepted and largely ignored because, well, c’est la vie.

Yet still, God – perfect in love, wisdom and power – calls each of us fearfully and wonderfully made.


God saw the cataracts form in your eyes, Cam, in the snug obscurity of my normal, happily nauseous pregnancy. (Whether he formed them – or allowed them to form – well, read my book for more on that.) They didn’t take him by surprise. It’s true of you as it’s true of every throbbing life he ignites in the darkness, ‘You made all the delicate, inner parts of my body and knit me together in my mother’s womb. Thank you for making me so wonderfully complex! Your workmanship is marvellous – how well I know it. You watched me as I was being formed in utter seclusion, as I was woven together in the dark of the womb. You saw me before I was born. Every day of my life was recorded in your book. Every moment was laid out before a single day had passed.’ (Psalm 139:13-16)


Boys, the miracle of conception, matchless fingerprints, genetic traces in your temperaments, wholly unique personal journeys – all these and so many more marvels of your creation are the yes-yes-yes to how wonderfully you’ve been made. For sure, all creation suffers under – and perpetuates – the wave of sin that rolls on unstoppable from generation to generation. But even so we are image-bearers of the Creator and still the creation is shot through with his glory. We thirst for redemption and holiness, and trapped in wrecked bodies we long for eternity and all things made new.

And that’s where world change comes in.


It took giving birth to the two of you – God gifting me with your new-forged souls to supervise – to get me to wear the bifocals of eternal perspective and earthly urgency. Because all this – the physical and the temporal – will pass away and I need to focus the lens of my heart on what is to come so that I can be more effective in what is. People gripe about Christians being so heavenly minded that they’re of no earthly good. That’s junk. If your mind is really set on eternity you’ll be a force for seismic change in the here and now. Your priorities will shift and you’ll be free of negligible concerns that might otherwise have consumed you. You’ll also be moved to speak hope in a world of broken bodies and shattered souls.

And because you are fearfully and wonderfully made, God will use each of you in distinct, remarkable ways, according to your gifts and passions and opportunities, to plough Kingdom ground, and to change the world.

David seals the psalm with this:

Search me, O God, and know my heart; test me and know my anxious thoughts. Point out anything in me that offends you, and lead me along the path of everlasting life. (Psalm 139:23-24)

So to be a world changer? Embrace how God has inimitably shaped you – your gifts; your physical, emotional and intellectual quirks; and your obvious shortcomings. Bow low before him. Surrender your spiritual deficiencies to the scrutiny of the Spirit and as he convicts and forgives and restores, your lives will be different. And so will the world.

All my love,



[This post was first published on my friend Brett ‘Fish’ Anderson’s blog. He’s the guy who wrote this must-read book for anyone with a love, hate, or love-hate relationship with the church. Such goodness.]


. . .

Thanks so much for hanging out here today; I would love to hear from you. (Keep in touch here, or on Facebook or Twitter.) You can also sign up to get these posts by email.

Head over here

for details of where you can pick up my book,

Dragons and Dirt: The truth about changing the world – and the courage it requires

or a FREE COPY of my eBook,

The Prayer Manifesto for Moms.


  1. It is quite amazing how God created each one distinctively and I salute him for that -yes yes,we are fearfully and wonderfully made -there’s no mishap when it comes to our creation,God was spot on ,he is a perfect God -lets embrace our uniqueness -yes I agree with this letter fully.


  2. ahhhhhh, so great. Always. Thanks for the punt and LOVE the way you described it for those with love, hate or love-hate – wish i’d had that before we went to print…

    You rock
    love brett fish

    and we should hang later this year – hopefully before even New Years…

    Liked by 1 person

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