These good men and women are great Bodhisattvas. They should be considered to have appeared in this world by their vow to expound the Sūtra of the Lotus Flower of the Wonderful Dharma out of their compassion towards all living beings, although they already attained Anuttara-samyak-saṃbodhi [in their previous existence].

The Buddha declares these lines to Medicine-King Bodhisattva at the beginning of Chapter Nine of the Lotus Sūtra. In the teachings of Nirvāṇa, the goal is to remove suffering so that we can be reborn in a peaceful realm. In this Sūtra, the Buddha reminds us that we who keep this Sūtra have given up the privilege of higher realms so that we can benefit beings where we find ourselves now. We do not fear rebirth in lower realms since our compassion takes us even there so we can benefit beings in those realms.

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