Learning pastoral care from Luther is always a good idea!
On August 2, 1527, this dread plague struck Wittenberg. Fearing for the safety of Luther and the other professors at the university, Elector John, on August 10, ordered Luther to leave for Jena. Five days later the university moved to Jena, then to Schlieben near Wittenberg, where it remained until April of the following year. Unmoved by the elector's letter or by the pleas of his friends, Luther, along with Bugenhagen, stayed to minister to the sick and frightened people. By August 19 there were eighteen deaths; the wife of the mayor, Tilo Dene, died almost in Luther's arms; his own wife was pregnant and two women were sick in his own house; his little son Hans refused to eat for three days; chaplain George Rörer's wife, also pregnant, took sick and lost both her baby and her life; Bugenhagen and his family then moved into Luther's house for mutual encouragement. Writing to Amsdorf, Luther spoke about his Anfechtungen and about the hospital in his house, closing his letter by saying, "So there are battles without and terrors within, and really grim ones; Christ is punishing us. It is a comfort that we can confront Satan's fury with the word of God, which we have and and which saves souls even if that one should devour our bodies. Commend us to the brethren and yourself to pray for us that we may endure bravely under the hand of the Lord and overcome the power and cunning of Satan, be it through dying or living. Amen. At Wittenberg on All Saints' Day in the tenth year after the trampling down of the papal bull, in remembrance of which we, comforted .in both respects, have drunk a toast."1 By the end of November the plague had definitely receded and in December Luther's wife was happily delivered of her child, Elizabeth. LW 43.115
Those who are engaged in a spiritual ministry such as preachers and pastors must likewise remain steadfast before the peril of death.4 We have a plain command from Christ, "A good shepherd lays down his life for the sheep but the hireling sees the wolf coming and flees" [John 10:11]. For when people are dying, they most need a spiritual ministry which strengthens and comforts their consciences by word and sacrament and in faith overcomes death. However, where enough preachers are available in one locality and they agree to encourage the other clergy to leave in order not to expose themselves needlessly to danger, I do not consider such conduct sinful because spiritual services are provided for and because they would have been ready and willing to stay ff it had been necessary. We read that St. Athanasius5 fled from his church that his life might be spared because many others were there to administer his office. Similarly, the brethren in Damascus lowered Paul in a basket over the wall to make it possible for him to escape, Acts 9 [:25]. And also in Acts 19 [:30] Paul allowed himself to be kept from risking danger in the marketplace because it was not essential for him to do so.
Accordingly, all those in public office such as mayors, judges, and the like are under obligation to remain. This, too, is God's word, which institutes secular authority and commands that town and country be ruled, protected, and preserved, as St. Paul teaches in Romans 13 [:4], "The governing authorities are God's ministers for your own good." To abandon an entire community which one has been called to govern and to leave it without official or government, exposed to all kinds of danger such as fires, murder, riots, and every imaginable disaster is a great sin. It is the kind of disaster the devil would like to instigate wherever there is no law and order. St. Paul says, "Anyone who does not provide for his own family denies the faith and is worse than an unbeliever" [I Tim. 5:8]. On the other hand, if in great weakness they flee but provide capable substitutes to make sure that the community is well governed and protected, as we previously indicated, and ff they continually and carefully supervise them [i.e., the substitutes], all that would be proper.
What applies to these two offices [church and state] should also apply to persons who stand in a relationship of service or duty toward one another. A servant should not leave his master nor a maid her mistress except with the knowledge and permission of master or mistress. Again, a master should not desert his servant or a lady her maid unless suitable provision for their care has been made somewhere. In all these matters it is a divine command that servants and maids should render obedience and by the same token masters and ladies should take care of their servants.6 Likewise, fathers and mothers are bound by God's law to serve and help their children, and children their fathers and mothers. Likewise, paid public servants such as city physicians, city clerks and censtables, or whatever their titles, should not flee unless they furnish capable substitutes who are acceptable to their employer.
In the case of children who are orphaned, guardians or close friends are under obligation either to stay with them or to arrange diligently for other nursing care for their sick friends. Yes, no one should dare leave his neighbor unless there are others who will take care of the sick in their stead and nurse them. In such cases we must respect the word of Christ, "I was sick and you did not visit me …" [Matt. 25:41–46]. According to this passage we are bound to each other in such a way that no one may forsake the other in his distress but is obliged to assist and help him as he himself would like to be helped.7
Luthers Works 43.1212