When Dr. Rishi Manchanda asks his patients, “Where do you live?” he’s looking for more than an address. He has seen a pattern. Those who come to him for help often live in conditions of environmental stress. Molds, pests, and toxins are making them sick. So Dr. Manchanda has become an advocate of what he calls Upstream Doctors. These are health care workers who, while providing urgent medical care, are working with patients and communities to get to the source of better health.

As Jesus healed those who came to Him (Matthew 4:23–24), He lifted their eyes beyond the need for urgent physical and material care. With His Sermon on the Mount He offered more than a medical miracle (5:1–12). Seven times Jesus described attitudes of mind and heart that reflect a well-being that begins with a new vision and promise of spiritual well-being (vv. 3–9). Two more times he called blessed those who experience relentless persecution and find their hope and home in Him (vv. 10–12).

Jesus’s words leave me wondering. Where am I living? How aware am I of my need for a well-being that is greater than my urgent need for physical and material relief? As I long for a miracle, do I embrace as enviable the poor, broken, hungry, merciful, peacemaking heart that Jesus calls blessed?