He Breathed His Last. “On the physical death of Jesus Christ,” an article which appeared in the March 21, 1986, edition of The Journal of the American Medical Association (Vol. 255, No. 11, pp. 1455-63) is annual reading for many during Holy Week. There are many ways to download this article for free or read it online, including: https://www.godonthe.net/evidence/on-the-physical-death-of-jesus-JAMA.pdf.
A medical review of the torture of Roman crucifixion is unavoidably gruesome since the Romans engineered it for maximum gore. “The actual cause of Jesus’ death, like that of other crucified victims, may have been multifactorial and related primarily to hypovolemic shock, exhaustion asphyxia, and perhaps acute heart failure” (p. 1463). “He breathed his last” (Luke 23:46) is entirely consistent with the medical cause of death by crucifixion. Asphyxia happened but Jesus was not a passive victim. Jesus actively permitted his death to happen, a feat which only he could do. He laid down his life just as he foretold, “No one takes it from me, but I lay it down of my own accord. I have authority to lay it down, and I have authority to take it up again. This charge I have received from my Father” (John 10:18).
Invented by the Persians and advanced by the Carthaginians, crucifixion was perfected by the Romans to humiliate and prolong the execution process of its worst criminals and enemies of the state. Women and children were generally exempt from crucifixion, as were Roman citizens, unless they were soldiers who deserted. Roman citizenship is why Caesar Nero (54-68 A.D.) crucified Peter (upside-down) but beheaded Paul (humanely). Yet, crucifixion was prefigured in Deuteronomy 21:22-23 where, after executing a person who had openly rebelled against God, the community was instructed to hang his corpse on a tree (outside the camp) in effigy. Due to the threat of polluting the good land, the corpse must not hang on the tree overnight. The reasoning behind this especially brutal practice, Moses stated plainly: “For a hanged man is cursed by God.” He got what he deserved is the unavoidable take-away.
It was this divine cursedness of the executed that colored in the lines of Isaiah’s prophecy of Messiah, “Surely he has borne our griefs and carried our sorrows; yet we esteemed him stricken, smitten by God, and afflicted” (Isa. 53:4). Paul connected those two references to the cursed, hanging man in Galatians 3:13, “Christ redeemed us from the curse of the law by becoming a curse for us—for it is written, ‘Cursed is everyone who is hanged on a tree.’”
To hasten the death of the crucified, the Roman soldiers broke their victims’ legs, eliminating their ability to exhale. “Adequate exhalation required lifting the body by pushing up on the feet” (p. 1461). When the soldiers came to break Jesus’ legs, they found that he was already dead (Luke 19:33). The soldier’s spear thrust to Jesus’ side, therefore, did not kill Jesus but confirmed his death, since separation of the blood and the water (plasma) happened post-mortem (John 19:34). That Jesus’ death came in only six hours, as opposed to several days, was so surprising to Pilate that he sought verification from the centurion (Mark 15:44).