Who is the man so wise that he can understand this? To whom has the mouth of the Lord spoken, that he may declare it? Why is the land ruined and laid waste like a wilderness, so that no one passes through? And the Lord says: “Because they have forsaken my law that I set before them, and have not obeyed my voice or walked in accord with it, but have stubbornly followed their own hearts and have gone after the Baals, as their fathers taught them. Therefore thus says the Lord of hosts, the God of Israel: Behold, I will feed this people with bitter food, and give them poisonous water to drink. I will scatter them among the nations whom neither they nor their fathers have known, and I will send the sword after them, until I have consumed them.”
(Jeremiah 9:12-16) ESV
Gall as an effect is bitter consequences that we have to endure. The cause may take the form of immorality, idolatry or any other sin. The consequences are widespread and affect whole communities.
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