I know something about this.
You keep applying a personal or humanist connotation to illness, disease, natural disasters. The personal or humanist aspect is in the long term scientific advances that will eventually give us control over most human maladies. Disease is a consequence of a natural system. That does not mean that that system is not purpose driven. It just means until we eradicate a disease it will cause havoc. Disease is not symptomatic of good or bad. We have been imbued with capacity. With that capacity we will overcome disease and explore the universe, but everything fits along a scale of progression. Many cultures had average lifespans in the early 30s, others in the early 40s. Today you are unfortunate not to reach 80 in most countries. We are emerging into a new kind of world and along the way we are overcoming because we have an inherent capacity. There is no interventionist God. We have what we need.
Evolution defined by most biologists is a description of the consequences and implications of a natural process. That does not eliminate the possibility that the process is oriented for outcome. That a sentient being was the ultimate outcome without which the universe does not exist, but of course evolution is relentless and even the human form will continue to moderate over time.
I don't propose an Intelligent Guide, Intelligent Design, or an anthropomorphic personal God. There is a Higher Order, an external, non physical reality that is cognitive, purposeful. It expresses through Primal Points such as Jesus, but this is too complex to go into here.
There is no macabre creative sense, it is natural order. Natural order is impersonal.
As for caring for us. We have life, a fine mind and almost unlimited capacity. Even this has to be seen via the big picture. If the human condition includes a spiritual aspect, in fact this may be the true nature of being human, in which case physical reality is secondary and an opportunity rather than a fulfilment. Those taken early, who suffer injustice, deformity, the crushing weight of poverty, may be compensated in other ways. I do not know. I do not know. I do however find it very hard to accept that we are the outcome of meaningless accidents.
Just listened to Miles Davis, Blue in Green. That's a lot of abstract beauty for an accumulation of happy coincidences to have produced.
Like you said, it doesn't matter who is right or wrong, reality is untroubled there by.
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