Chapter 1: Why Christians Need Discernment About Near-Death and Deathbed Experiences

Two Scenes, One Question: How Do We Tell the Difference?

A Christian grandmother lies in a hospital bed, hours from death. Her family is gathered around her. She has been quiet most of the day, drifting in and out of sleep. Then, suddenly, she sits up. Her eyes open wide. Tears of joy stream down her face. She points toward the corner of the room and whispers, "Jesus is here. He's so beautiful. He's come to take me home." She looks at each family member, tells them one more time that she loves them, and settles back into her pillow with the most peaceful expression any of them have ever seen. She dies an hour later. Her family will never forget what they saw in her face.

Now picture a very different scene. A popular speaker stands on stage at a near-death experience conference. Five hundred Christians sit in the audience, many of them holding copies of his bestselling book. He describes his cardiac arrest — how he floated above his body, traveled through a tunnel of brilliant light, and stood before a radiant being who spoke to him with overwhelming love. The audience leans in. Then the speaker tells them what the being said: "There is no such thing as sin. There is no hell. All people are already saved. Every religion is just a different path to the same God." The audience applauds. A few people exchange uneasy glances, but no one says anything. Something is wrong here — but most of those Christians cannot put their finger on exactly what it is.

Both of these people had spiritual experiences. Both are sincere. Both believe they encountered something real. But these two accounts cannot both be fully true at the same time. The grandmother's vision points toward the Jesus of the Bible — the specific, personal, incarnate Savior who promised to prepare a place for His people and come back for them (John 14:2–3). The conference speaker's message contradicts almost everything the Bible teaches about sin, judgment, the uniqueness of Christ, and the need for salvation through faith. One of these experiences is almost certainly genuine. The other contains serious corruption. And the average Christian sitting in that audience has no framework for telling the difference.

That is the problem this book was written to solve.

Three Inadequate Responses

Christians today tend to respond to near-death experiences (NDEs) and deathbed experiences (DBEs) in one of three ways. All three are inadequate.

The first is wholesale rejection. Some Christian teachers argue that all NDEs should be dismissed outright. They are either hallucinations produced by a dying brain, deliberate fabrications, or demonic deceptions. John MacArthur is perhaps the most prominent voice in this camp.1 This response is tidy. It is easy to preach. It does not require the hard work of careful evaluation. But it is also wrong. It ignores the massive body of evidence — including peer-reviewed medical research — showing that most NDEs and DBEs are genuine spiritual experiences that cannot be explained away as brain chemistry or wishful thinking.2 Worse, it forces Christians to tell the dying grandmother's family that what they witnessed was not real. It dismisses the testimony of thousands of believers whose faith was deepened, not damaged, by their experiences. And it leaves Christians with no tools for engaging a phenomenon that is happening all around them.

The second inadequate response is wholesale credulity. Some Christians swing to the opposite extreme. They buy every NDE book on the shelf. They watch every YouTube testimony. They accept every claim without question. If an NDEr says Jesus told them something, they treat it as authoritative — even if it flatly contradicts the Bible. This response is also dangerous. It ignores the biblical warnings about false prophets, deceiving spirits, and Satan disguising himself as an angel of light (2 Corinthians 11:14). It sets Christians up to be led astray by corrupted experiences or outright fabrications. And it confuses the experiencer's interpretation of what happened with what actually happened — a distinction that turns out to be one of the most important tools in the discernment toolbox.3

Caution

Wholesale rejection and wholesale credulity are mirror-image errors. The rejectionist refuses to test because he has already decided the answer. The credulous believer refuses to test because testing feels unspiritual. Both positions disobey the biblical command to "test the spirits to see whether they are from God" (1 John 4:1, ESV).

The third response — and the most common one — is the confused, frozen response. Between the two extremes lies the vast majority of Christians who simply do not know what to do with NDEs and DBEs. They suspect the phenomenon is real. They have seen their own loved ones die peacefully with a look of wonder on their faces. They have read a book or two and found the accounts moving. But they have also watched a popular neurosurgeon on television describe his NDE in language that sounds more like New Age spirituality than biblical Christianity, and something felt off — they just could not say what.4 They want to be discerning, but nobody has ever taught them how. This book is written for them.

A Better Way: Discernment

There is a fourth option, and it is the one the Bible actually commands. It is called discernment. The Greek word dokimazō (δοκιμάζω) means "to test, examine, or prove" — the same word used for testing precious metals to see if they are genuine.5 The Apostle John tells us plainly: "Beloved, do not believe every spirit, but test the spirits to see whether they are from God, for many false prophets have gone out into the world" (1 John 4:1, ESV). And the Apostle Paul strikes the same balance: "Do not quench the Spirit. Do not despise prophecies, but test everything; hold fast what is good. Abstain from every form of evil" (1 Thessalonians 5:19–22, ESV).

Notice what Paul does not say. He does not say, "Reject everything." He does not say, "Accept everything." He says: test everything, hold fast to what is good, and abstain from what is evil. That is the posture this book models. We are not going to dismiss NDEs and DBEs. We are not going to swallow them uncritically. We are going to test them — carefully, biblically, charitably — and we are going to hold onto what proves genuine while identifying what does not.

This book argues that most NDEs and DBEs are real. Based on my own dissertation research into veridical NDEs, along with the broader professional literature, I estimate that approximately 75 percent of reported NDEs lack clearly unbiblical elements. They are either genuinely from God, or at minimum they are not actively promoting theology that contradicts Scripture. The number is even higher for deathbed experiences — approximately 95 percent.6 These are working estimates, not precise calculations, but they anchor an important point: Christians should not approach NDEs and DBEs with suspicion as their default setting. The default should be open, careful engagement. Most of these experiences are genuine. Some are not. Discernment is how we tell the difference.

Biblical Principle

The Bible does not command Christians to reject all spiritual experiences. It commands them to test all spiritual experiences. The Bereans were commended for "examining the Scriptures daily to see if these things were so" (Acts 17:11, ESV) — and they were testing the Apostle Paul's own preaching. If Paul's teaching needed testing, how much more do NDE claims?

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The Research That Changed the Picture

Part of what makes discernment possible today is the remarkable body of research that has accumulated over the past several decades. This book does not operate in a vacuum. It builds on the work of serious scholars, medical professionals, and Christian thinkers who have studied NDEs and DBEs with both scientific rigor and theological care.

Cardiologist Michael Sabom conducted The Atlanta Study in the mid-1990s, interviewing 160 patients — 47 of whom had NDEs — to explore the relationship between faith, medicine, and the near-death experience. Sabom, a committed Christian and elder in the Presbyterian Church in America, discovered something that surprised him: contrary to media reports, NDEs did not typically push people away from traditional Christianity and toward New Age spirituality. Instead, his NDE patients took church involvement more seriously, grew in their intrinsic faith, and in every case where a change of doctrinal category occurred, the change was toward a more conservative Christian position.7

J. Steve Miller took a different approach. Rather than studying his own patients, Miller went to the Near-Death Experience Research Foundation (NDERF) — the largest NDE database in the world, with over 5,000 reported experiences translated from 23 languages — and read 100 consecutive NDE accounts in order of submission. He was not cherry-picking dramatic stories. He was looking at what the data actually says when you take it as it comes. What he found was striking: 18 percent of NDErs reported seeing Jesus specifically. Out of the same database of over 5,000 accounts, only three reported seeing Krishna, only two reported seeing Buddha, and among 80 self-identified Muslims, none reported seeing Muhammad. Of Miller's 100 consecutive accounts, only seven mentioned anything even vaguely opposed to Christian teaching, and only three of those contradicted Christian doctrine in a clear way.8

This does not prove Christianity is true. But it does demolish the popular assumption that NDEs promote a vaguely Eastern, all-religions-are-equal spirituality. The data tells a very different story — one that is surprisingly friendly to historic Christian faith.

John Burke, an evangelical pastor, took these findings and others like them and compared NDE reports systematically with the Bible's descriptions of heaven in his widely read book Imagine Heaven. The result is a portrait of the afterlife that is recognizably biblical — populated by the communion of saints, lit by the glory of God, centered on the person of Jesus Christ — and yet richer and more vivid than most Christians have imagined.9 And Shaun Tabatt, a publishing executive who spent years interviewing NDErs on his podcast, wrote The NDE Conspiracy specifically to help Christians develop a discernment framework. Tabatt argues that the real "conspiracy" is not that all NDEs are fake — it is that Satan takes what God intends for good and corrupts it, twisting genuine spiritual phenomena to lead people away from Christ.10

Jeffrey Long, a radiation oncologist, provides the statistical backbone. His large-scale research through the NDERF database — including surveys of over a thousand NDErs — documents the consistent core features that appear across age, culture, and religious background.12 Long's data makes it very difficult to dismiss NDEs as culturally constructed fantasies. The patterns are too consistent, the details too specific, and the cases of verified perception during clinical death too numerous to be waved away.

These are the conversation partners this book draws on most heavily. Each of them will reappear throughout the chapters ahead.

Key Finding

When researchers study large samples of NDEs systematically — rather than cherry-picking dramatic cases — the results are remarkably compatible with biblical Christianity. Jesus is prominently present, anti-Christian content is rare, and experiencers typically grow in faith rather than drifting away from it. This does not mean every NDE should be accepted uncritically. It does mean the wholesale rejectionist position cannot survive the evidence.

What This Book Is — and What It Is Not

Let me be clear about the kind of book you are holding. This is not a book written by a skeptic out to debunk NDEs. I believe most of them are genuine. This is not a book written by a crusader out to burn down the NDE movement. Many of the people in that movement are sincere believers whose experiences have drawn them closer to Christ. And this is not a book written by a detached academic who treats these experiences as curiosities to be catalogued. These are real people's encounters with the living God — or, in some cases, with spiritual beings who are not what they appear to be. Both possibilities matter.

Think of this book as a field guide, not a hit piece. A field guide to birds does not hate birds. It does not dismiss them. It helps you identify them — to tell one species from another, to recognize the real thing when you see it and to notice when something is off. That is what this book does with NDEs and DBEs. It helps you recognize the genuine article and identify the counterfeits, the corruptions, and the misinterpretations.

The book unfolds in seven parts, each building on the last:

Part I (Foundations) lays out the basic definitions and establishes the baseline. What exactly is an NDE? What is a DBE? How do they differ? And why should Christians believe that most of them are genuine in the first place? These chapters give you the ground to stand on.

Part II (Biblical Worldview) builds the theological foundation for discernment. The spiritual realm is real. Satan disguises himself as an angel of light. Scripture is the final standard. The experience-interpretation distinction is critical. And a seven-test framework — drawn from the Bible's own instructions for evaluating spiritual claims — gives you a practical tool for testing any NDE or DBE you encounter.

Part III (Marks of Genuine NDEs and DBEs) helps you recognize the signatures of authentic spiritual encounters — especially encounters with Jesus, who appears in NDE reports with surprising frequency and specificity.

Part IV (Hybrid Experiences) addresses the most common problem in the NDE literature: genuine experiences mixed with corrupted elements or wrong interpretations. Most problematic NDEs are not entirely fake. They are real experiences that went wrong at the interpretation stage.

Part V (Counterfeit Elements) surveys the specific unbiblical teachings that have become common in popular NDE literature — reincarnation, universalism without Christ, communication with the dead through psychic mediums, alien encounters, and New Age theology dressed in Christian vocabulary.

Part VI (Evaluating Teachers) names names. It evaluates specific NDE authors and identifies which ones can be read with confidence, which should be read with caution, and which promote serious theological error.

Part VII (Living Out Discernment) provides practical guidance for pastors, families, and ordinary Christians who encounter NDEs in real life — at a loved one's deathbed, in a small group discussion, or in a conversation with a neighbor.

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Why This Matters Personally

This is not an academic abstraction. It is personal. Your grandmother may have a deathbed experience in her final hours. Your child may nearly drown and come back with a story about meeting Jesus. Your neighbor may hand you a book by an NDEr whose theology makes you uneasy. Your coworker may ask you what you think about the afterlife. You yourself may one day flatline on an operating table and wake up with memories that change everything.

When those moments come, Christians should not shrug helplessly. They should not dismiss contemptuously. They should not accept uncritically. They should respond with warmth, with wisdom, and with the kind of careful, biblical evaluation that honors both the experience and the truth.11

Hospice chaplains report that deathbed visions are among the most common experiences they witness — and among the least discussed in seminary training. Pastors tell me they feel unprepared when a church member describes an NDE. Parents wonder what to say when a child asks about a near-death story they heard from a friend. The church has largely left its people without guidance on a topic that touches the deepest questions of human existence: What happens when we die? Is the spiritual realm real? Can we trust what people report seeing on the other side? This book provides answers — not easy, dismissive answers, but careful ones grounded in Scripture and informed by the best available evidence.

Pastoral Note

If you are reading this book because you or someone you love has had an NDE or a deathbed experience, let me say this gently: you are not crazy. You are not making it up. And you are not necessarily deceived. The vast majority of these experiences are genuine, and the God who made you is big enough to meet you at the doorway of death. What this book offers is not suspicion — it is tools. Tools to help you understand what happened, evaluate any confusing elements, and integrate the experience with the faith once for all delivered to the saints (Jude 3).

The dying grandmother and the conference speaker both had spiritual experiences. One was almost certainly a genuine encounter with the risen Christ. The other contained messages that directly contradict what that same Christ taught in His Word. Christians need to be able to tell the difference. That is what discernment is for. And that is what this book — from this chapter forward — exists to help you do.

Conclusion

The need for discernment has never been greater. NDEs and DBEs have moved from the margins to the mainstream. Books about them sell millions of copies. Podcasts and YouTube channels devoted to them draw enormous audiences. Some of this content is profoundly encouraging to the Christian faith — filled with credible accounts of meeting Jesus, seeing departed loved ones in glory, and experiencing the overwhelming love of God. Some of it is deeply problematic — promoting reincarnation, denying the reality of sin and judgment, and dressing New Age philosophy in Christian-sounding language. Most Christians encounter both streams and have no grid for sorting one from the other.

This book gives you that grid. It is built on the Bible's own instructions for evaluating spiritual claims. It is informed by the best available research. It is written with charity toward every person whose experience is discussed — because these are real people, made in the image of God, who had real encounters with the spiritual realm. And it is written with confidence that the God of truth has given us everything we need to distinguish what is from Him and what is not.

Let us begin.

Notes

  1. John MacArthur has addressed NDEs in various sermons and writings, consistently arguing that they should not be trusted as reliable spiritual data. His cessationist theology leads him to treat post-biblical supernatural experiences with blanket suspicion. While his concern about discernment is legitimate, his wholesale rejection leaves no room for the genuine phenomenon the evidence documents. This position is engaged more fully in Chapter 35.
  2. Michael Sabom, Light and Death: One Doctor's Fascinating Account of Near-Death Experiences (Grand Rapids, MI: Zondervan, 1998), chap. 1, "The Atlanta Study." Sabom's peer-reviewed medical research demonstrated that NDEs during cardiac arrest cannot be dismissed as mere hallucinations. His patients accurately described surgical details they could not have observed by normal means.
  3. Shaun Tabatt, The NDE Conspiracy (Shippensburg, PA: Destiny Image, 2025), chap. 8, "Can We Trust Firsthand Accounts of NDEs and Related Experiences?" Tabatt emphasizes that the experience and the experiencer's interpretation of the experience are two different things — a distinction that runs throughout this book.
  4. Eben Alexander, a neurosurgeon, described his NDE in Proof of Heaven (2012). While elements of his phenomenological experience may be genuine, his theological framework — heavily shaped by New Age influences — draws conclusions that contradict biblical teaching at multiple points. His case illustrates why the experience-interpretation distinction matters. See Chapter 30 for a full evaluation.
  5. The verb dokimazō (δοκιμάζω) appears in 1 Thessalonians 5:21 ("test everything") and carries the connotation of proving something's genuineness through careful examination, as a metallurgist tests ore to determine if it contains real gold. The related noun dokimē (δοκιμή) means "proven character."
  6. These estimates are drawn from the author's dissertation research on veridical NDEs as well as from the broader literature. Miller's systematic analysis of consecutive NDERF submissions supports the 75 percent estimate for NDEs. The 95 percent estimate for DBEs reflects the consistently cleaner, simpler, and more biblically aligned content of deathbed visions as documented in Miller's dissertation research and in the broader DBE literature. See J. Steve Miller, "Deathbed Experiences as Evidence for the Afterlife: A Multicultural Examination of the Literature" (PhD diss., Columbia International University, 2019), chap. 2, "Literature Review."
  7. Sabom, Light and Death, chap. 1, "The Atlanta Study." Sabom found that 92 percent of his NDE patients indicated no essential change in doctrinal category after their experience, and the four who did change categories all moved in a more conservative Christian direction. He concluded that a belief in reincarnation and Eastern religion is not a direct aftereffect of the NDE itself.
  8. J. Steve Miller, Is Christianity Compatible with Deathbed and Near-Death Experiences? The Surprising Presence of Jesus, Scarcity of Anti-Christian Elements, and Compatibility with Historic Christian Teachings (Acworth, GA: Wisdom Creek Press, 2023), chap. 6, "The Surprising Presence of Jesus." Miller's methodology of studying consecutive submissions rather than curated samples provides the strongest available evidence for the prominence of Jesus in NDE reports.
  9. John Burke, Imagine Heaven: Near-Death Experiences, God's Promises, and the Exhilarating Future That Awaits You (Grand Rapids, MI: Baker Books, 2015), chap. 1, "Imagine." Burke's book is endorsed by J. P. Moreland, Gary Habermas, and Lee Strobel. Moreland called it one of the top two or three books he had ever read on the subject.
  10. Tabatt, NDE Conspiracy, chap. 2, "There's a Conspiracy Afoot." Tabatt argues that Satan's strategy is not to create NDEs wholesale but to corrupt what God intends for good, twisting genuine spiritual phenomena to lead people away from Christ and toward spiritual deception.
  11. Miller, Is Christianity Compatible?, introduction. Miller observes that many Christians either dismiss these experiences without examination or accept them without evaluation, and argues that neither response does justice to the biblical mandate to test all things.
  12. Jeffrey Long, God and the Afterlife: The Groundbreaking New Evidence for God and Near-Death Experience (New York: HarperOne, 2016), 36. Long's research surveyed over 1,000 NDErs and documented the consistent core elements — the out-of-body experience, the tunnel, the brilliant light, encounters with deceased relatives, and the life-changing aftereffects — that appear across cultures and religious backgrounds.

Bibliography

Burke, John. Imagine Heaven: Near-Death Experiences, God's Promises, and the Exhilarating Future That Awaits You. Grand Rapids, MI: Baker Books, 2015.

Long, Jeffrey. God and the Afterlife: The Groundbreaking New Evidence for God and Near-Death Experience. New York: HarperOne, 2016.

Miller, J. Steve. "Deathbed Experiences as Evidence for the Afterlife: A Multicultural Examination of the Literature." PhD diss., Columbia International University, 2019.

Miller, J. Steve. Is Christianity Compatible with Deathbed and Near-Death Experiences? The Surprising Presence of Jesus, Scarcity of Anti-Christian Elements, and Compatibility with Historic Christian Teachings. Acworth, GA: Wisdom Creek Press, 2023.

Sabom, Michael. Light and Death: One Doctor's Fascinating Account of Near-Death Experiences. Grand Rapids, MI: Zondervan, 1998.

Tabatt, Shaun. The NDE Conspiracy. Shippensburg, PA: Destiny Image, 2025.