ESV Reformation Study Bible – Ps 41:1
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Ps 41:1

41:1 Blessed. See note Ps. 1:1.

considers the poor. Understands or empathizes with those who are helpless and unable to take care of themselves. The psalmist is in this condition due to his debilitating sickness. Accordingly, the first three verses here may have been spoken to him by another person, perhaps a priest.

the Lord delivers him. Those strong in self-confidence do not turn to the Lord, because they think they have no need for Him. Those not so deluded, realizing their weakness, have nowhere else to turn.