The diagnosis is terminal. The patient will not survive. That's what the Apostle Paul wants us to understand in the verses prior to his great ode to salvation by grace through faith in Ephesians 2:8-9. He demonstrates the seriousness of humanity's plight by calling those who are Lost apart from God "dead." They are physically alive, but spiritually dead. The grip of sin is tight upon them.
This is the state of humanity, individually and collectively, apart from our Creator. For this reason we need to be saved, we cannot save ourselves.
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