8 things you shouldn't say to someone with cancer

In her mid-thirties, with a husband and very young son, Kate Bowler – a professor at Duke University's school of divinity – was diagnosed with stage 4 colon cancer. A theologian who has researched the prosperity gospel, Bowler has reflected movingly on her illness in a widely praised bookEverything Happens for a Reason (and other lies I've loved). She concludes it with some advice. 

Kate Bowler was diagnosed with terminal cancer.

Absolutely never say this to people experiencing terrible times: a short list

1. 'Well, at least . . .'
Whoa. Hold up there. Were you about to make a comparison? At least it's not . . . what? Stage V cancer? Don't minimize.

2. 'In my long life, I've learned that . . .'
Geez. Do you want a medal? I get it! You lived forever. Well, some people are worried that they won't, or that things are so hard they won't want to. So ease up on the life lessons. Life is a privilege, not a reward.

3. 'It's going to get better. I promise.'
Well, fairy godmother, that's going to be a tough row to hoe when things go badly.

4. 'God needed an angel.'
This one takes the cake because (a) it makes God look sadistic and needy and (b) angels are, according to Christian tradition, created from scratch. Not dead people looking for a cameo in Ghost. You see how confusing it is when we just pretend that the deceased return to help you find your car keys or make pottery?

5. 'Everything happens for a reason.'
The only thing worse than saying this is pretending that you know the reason. I've had hundreds of people tell me the reason for my cancer. Because of my sin. Because of my unfaithfulness. Because God is fair. Because God is unfair. Because of my aversion to Brussels sprouts. I mean, no one is short of reasons. So if people tell you this, make sure you are there when they go through the cruelest moments of their lives, and start offering your own. When someone is drowning, the only thing worse than failing to throw them a life preserver is handing them a reason.

6. 'I've done some research and...'
I thought I should listen to my oncologist and my nutritionist and my team of specialists, but it turns out that I should be listening to you. Yes, please, tell me more about the medical secrets that only one flaxseed provider in Orlando knows. Wait, let me get a pen.

7. 'When my aunt had cancer...'
My darling dear, I know you are trying to relate to me. Now you see me and you are reminded that terrible things have happened in the world. But guess what?

That is where I live, in the valley of the shadow of death. But now I'm on vacation because I'm not in the hospital or dealing with my mess. Do I have to take my sunglasses off and join you in the saddest journey down memory lane, or do you mind if I finish my mojito?

8. 'So how are the treatments going? How are you really?'
This is the toughest one of all. I can hear you trying to understand my world and be on my side. But picture the worst thing that has ever happened to you. Got it?

Now try to put it in a sentence. Now say it aloud 50 times a day. Does your head hurt? Do you feel sad? Me too. So let's just see if I want to talk about it today because sometimes I do and sometimes I want a hug and a recap of American Ninja Warrior.

Extracted with permission from Kate Bowler, 'Everything Happens for a Reason (and other lies I've loved)', published by SPCK on February 15.

Newsletter Stay up to date with Christian Today
News
What are the fruits of the Holy Spirit?
What are the fruits of the Holy Spirit?

24 May 2026 is Pentecost Sunday, when Christians recall the importance of the Holy Spirit. The fruits of the Spirit are the virtues that are produced in the life of a believer through the work of the Holy Spirit. This is the story …

Pentecost: Its meaning, significance and relevance for Christians today
Pentecost: Its meaning, significance and relevance for Christians today

Today is Pentecost - a special day in the Christian calendar that many Christians may have heard of, but do not always fully understand. Yet Pentecost is incredibly important, because it is deeply connected to the work of the Holy Spirit and the birth of the church.

Christian aid organisations mobilise emergency Ebola response in Democratic Republic of Congo
Christian aid organisations mobilise emergency Ebola response in Democratic Republic of Congo

Christian aid organisations are mobilising emergency health responses in the Democratic Republic of Congo (DRC) following a deadly Ebola outbreak in the country’s north-east that has prompted international concern.

Three Baptist pastors killed in Manipur ambush after peace conference
Three Baptist pastors killed in Manipur ambush after peace conference

The victims were senior leaders of the Thadou Baptist Association India (TBAI), a Baptist denomination rooted in the Thadou-Kuki community of Manipur.