There is no such thing as (so to speak) ‘non-spiritual’ healing. When the aspirin works, it is the Lord who has made it work; when the surgeon sets the broken limb and the bone knits, it is the Lord who has made it knit. Every good gift is from above! It is this aspect of things which James isolates when he tells the sick to summon the elders. He does not tell us whether he is offering a ‘supplement’ to the doctor, or an alternative, and we must not assume that he disapproves of what he simply does not mention. There is always a spiritual dimension in healing, and here it is in all its glory. On no occasion should a Christian approach the doctor without also approaching God, but there are those times when a notable and special approach to God will seem right and it is for this that James here makes a lovely provision.