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“Cruel Joke or Medical Anomaly?” challenges the idea that homosexuality is a physiological or divinely intended variation. Wilkins argues that human anatomy is universally designed for heterosexual expression and contends that if homosexuality were natural, physiological contradictions would not exist. The article explores theological and medical perspectives, stating that labeling homosexuality as “natural” either implies a cruel joke by God or a medical anomaly. Ultimately, sin and redemption through Christ are presented as the answer for all humanity.