[anniegetyourgun]

He did create perfect human beings, and asked those humans to walk with him in harmony forever. However, the humans (the first Adam) chose not to trust Him, bringing about a curse on all humanity and the earth (which includes disease).

The good news is that He is compassionate and patient with us - enough to provide a way back to harmony with God. That Way is His only begotten Son - the last Adam, who lived the perfect life (that we couldn't live) in our place. And, since the wages of sin is death, His Son died in our place - once for all time, that believers might live forever with our Creator.

[stuartcr]

Doesn’t He know, prior to creating them, what they will do in life?