Snippet
Comment
Trauma
War & peace
2 min read

Hospitals are home to the truth of war

Remembering what war really is.
A black and white photo shows solider patients and nurses in a hospital.
Christmas in a German military hospital, Word War One.
Aussie~mobs, public domain, via Wikimedia.

I’ve been re-reading Erich Maria Remarque’s All Quiet on the Western Front in the run-up to Remembrance Day. Remarque, born in Westphalia in 1898, uses his own experiences of the horrors of the Western Front to paint a gut-wrenching portrait of its futility and suffering, seen through the eyes of 20-year-old Paul Baum. 

It had been towards the end of this First World War that Hiram Johnson, Republican Senator of California, observed that ‘the first casualty when war comes is truth.’ This is precisely Paul’s experience. 

The newspapers delivered to the soldiers at the Front are hopelessly, naively, offensively optimistic. They present a painfully, laughably discordant tissue of lies that deny the most basic truths of daily experience. When Paul goes home on leave, truth is even harder to find. His remote father only wants to hear tales of glory and courage and well-fed soldiers. His blabbering former teachers - the very ones who had cajoled his whole class to sign up - are patronising, ignorant and opinionated on the best route to victory. They literally have no idea, and worse, they don’t want to know.  

It’s only when he’s taken to a Catholic Hospital after an injury that Paul stumbles on an agonising truth -  

‘A hospital alone shows what war is.’ 

Paul’s vivid description of life on the wards backs this up. He witnesses the unceasing production line of shattered bodies tumbling into every available space. He’s warned against ‘The Dying Room’ which is conveniently, practically, located next to the mortuary. He catalogues the surrounding wards - ‘abdominal and spinal cases, head wounds, double amputations, jaw wounds, gas cases, nose, ear and neck wounds … the blind … lung wounds, pelvis wounds, wounds in the testicles …’ He’s grateful for the gentle, joyful kindness of Sister Libertine, ‘who spreads good cheer through the whole wing.’ 

This hospital is more eloquent on the theme of the futility of the fighting than any newspaper article or speech, censored or otherwise. 

For much of my adult life grainy videos of precision-guided bombs and leaders pounding their fist in defiant rhetoric have been the go-to guides to tell us the truth about modern warfare. I trust these sources less than ever, as I recall my instinctive respect for the ambulance drivers, nurses and doctors on the front-line - wherever it may be - marvelling at their courage and truth-telling and even-handed humanity. 

Their voices are shamefully drowned out in the world’s conflict zones, dwarfed by propaganda as insulting and truth-lite as the newspapers that doubled as toilet paper for both sides on the Western Front. And I cringe at the thought of what Paul and his young comrades would’ve made of hospitals - those oases of truth - becoming the targets of today’s bombs, missiles and drone strikes. 

We, rightly, remember the First World War as the very epitome of futility - Paul and his generation saw this truth far more clearly than we do. But let’s not congratulate ourselves, as we prepare for Acts of Remembrance in 2024, on having made any real progress in the last 100 years - hospitals across the globe’s conflict zones still tell us what war really is, if only we could hear, if only we would listen. 

Explainer
Comment
Development
Politics
War & peace
5 min read

Viruses don’t respect borders and nine other reasons why aid is vital for security

Cuts are a dangerous false economy.

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

Cargo sits in nets inside a plane, a sign reads 'UK Aid'
Neil Bryden RAF/MOD, Wikimedia Commons.

 The Minister for International Development Anneliese Dodds took the difficult step to resign following the Prime Minister’s announcement this week that he is slashing the aid budget to pay for more weapons. Minister Dodds wrote in her resignation letter that:  

“Ultimately, these cuts will remove food and healthcare from vulnerable people." 

The hefty reduction in our international aid budget does indeed put lives at risk around the world. However, the move also serves to undermine our own national security. A strong UK presence on the world stage comes not primarily through military strength but through diplomacy and targeted development funding.  

General Lord Dannatt, former Chief of the General Staff, commented: 

“In the wider world, it’s disappointing that we’re probably going to plunder the international development budget, because the UK’s influence in the world often comes through a combination of our hard power and our soft power, our diplomacy and our development funds.” 

International aid is proven to be one of the most effective ways to build prosperity and peace. It is a strategic investment in national and international security, arguably more useful and cost-effective than military defence spending.  

Cutting aid budgets may release funds in the short term, but in reality, it weakens Britain’s influence, undermines global stability, and increases security risks. It is not only false economy, but a potentially dangerous and counterproductive shift in policy.   

Here are ten reasons why international aid is such a crucial investment in security: 

1. Addressing root causes reduces terrorism.

Foreign aid helps foster peace, reduce poverty, and support development in the most vulnerable regions. When countries are stable, they are less likely to fall into chaos or become breeding grounds for terrorism and extremism. UK-funded education initiatives in Pakistan and Somalia, such as the Girls’ Education Challenge, have provided over 1.5 million marginalized girls with schooling, reducing the vulnerability of young people to extremist recruitment. By decreasing the appeal of radicalization, this investment has contributed to lowering the long-term threat of terrorism against British citizens at home and abroad. 

2. Investing in global health reduces pandemic risks.  

Viruses don’t respect borders. Our funding for Ebola response in West Africa has helped prevent global outbreaks, reducing the risk of deadly diseases spreading to the UK. Similarly, by investing in vaccinations against new strains of Covid around the world, Britain has strengthened its own pandemic preparedness and safeguarded public health at home. 

3. Stronger relationships between nations reduce conflict 

Post civil war UK support for Sierra Leone helped train police and government officials, strengthening long-term diplomatic ties and preventing a return to instability that might have spilled across the continent. This has also helped position the UK as a trusted diplomatic partner in West Africa, leading to trade agreements and political alliances that benefit Britain’s global interests. 

4. Supporting stability reduces forced migration.

It is now acknowledged that it is building anchors, not walls, that is the best strategy to curb migration. The UK Aid Direct programme has provided economic and social support in countries like Syria, Lebanon, and Afghanistan, reducing forced displacement and lowering pressure on UK border security. By stabilizing regions affected by conflict, Britain has been able to reduce illegal migration and the associated costs of border enforcement, asylum processing, and emergency housing. 

5. Promoting sustainability reduces resource scarcity due to climate change.  

The UK International Climate Finance (ICF) initiative supports sustainable agriculture and clean energy projects in Africa and Asia, mitigating competition over dwindling resources and preventing climate-driven conflicts that have contributed to making the world a more turbulent place. This has not only improved global stability but has also created opportunities for UK businesses in the green energy and sustainable development sectors. 

6. Building resilience reduces international crime and instability.  

UK funding has been instrumental in stabilizing Somalia, for example, improving their governance, training law enforcement, and reducing crime and piracy that threaten not only international shipping but tourism too. As a result, British shipping companies and tourists traveling in the region have faced fewer security risks, boosting confidence in UK-led trade and travel. 

7. Preventing famine and malnutrition reduces political instability.

The UK-funded Famine Early Warning Systems Network (FEWS NET) has helped prevent food crises in East Africa, reducing the likelihood of mass migration and conflict over resources. Without that investment, Britain would have likely spent far more on emergency humanitarian relief and crisis management, demonstrating the cost-effectiveness of preventative aid. 

8. Building stronger economies abroad creates opportunities.  

UK trade-focused aid, such as through the Prosperity Fund, has helped African nations develop stable economies, creating trade opportunities for Britain while reducing dependence on fragile states. Stronger economies in partner countries mean increased demand for British exports, benefiting UK businesses and job creation. 

9. Humanitarian aid strengthens a nation’s global influence.

The UK has been a major donor in response to the Rohingya refugee crisis, contributing £350 million to support displaced people in Bangladesh and Myanmar—enhancing Britain’s standing as a global humanitarian leader and leading to soft power advantage on the global stage. This goodwill has translated into stronger diplomatic relations with key allies in South Asia, supporting UK interests in trade, security, and regional stability. 

10. Disaster response builds goodwill and strategic partnerships. 

Following the 2010 Haiti earthquake, the UK provided £20 million in emergency aid, strengthening ties with Caribbean nations and showcasing Britain’s global leadership in crisis response. These efforts have reinforced Britain’s role as a reliable partner in times of crisis, leading to closer economic and diplomatic relationships with countries across the Caribbean. 

If the West vacates aid funding it creates a very significant vacuum into which other countries will step. For example, Russia has already sent Wagner mercenaries to patrol the Central African Republic and Mali. This is not only bad for the citizens of those areas, but also from a UK national security perspective. It would be extremely concerning if the Russian state were able to build a sweeping base of influence and soft power in the global South. 

With an increasingly fragile world, the tool that is most useful for national security at this time is international aid. The rise in conflict, migration, terrorism and other pre-war conditions is directly due to the impact of poverty – which now affects 44 per cent of the global population, wealth concentration – which increases the chance of financial crises, weakened trade routes – due to Brexit, war in Ukraine and the Middle East, and new tariff policies in the US, and climate change – which exacerbates all those tensions.  If the UK want an effective defence strategy in these turbulent times, we must reconsider doubling down on our international aid commitments, not abandoning them.  

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