Article
Comment
Gaza
Middle East
5 min read

The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

Tim Goodacre is a reconstructive plastic surgeon, and volunteer at a hospital in Gaza.

A young doctor wearing scrubs smiles.
AbdulRahman at work.
Tim Goodacre.

The Israel-Gaza war rages on. Every few days a new tragedy hits our dulled senses. The West Bank and now Lebanon are getting dragged into the conflict. Palestinians and hostages continue to die, and hunger and disease threaten Gaza's displaced people as autumn and winter approach. 

Yet what is often lost is the human face of this conflict. This is the story of one such life. 

AbdulRahman was an intelligent, gentle and diligent young third year medical student in his early twenties, with judgement well beyond his peers. Towards the end of 2023, as the war spread more viciously towards southern Gaza, he was one a group of around 10 students who volunteered to join the team of health care workers at the European Gaza Hospital (EGH). I was volunteering there as a reconstructive plastic surgeon and and met him in the hospital.

Both medical schools in Gaza before the war began were in the north alongside their parent universities. They had been destroyed during the onslaught in the early months of fighting. In the southern town of Khan Younis, the EGH was the sole surviving operational facility to which the wounded could be transferred. It was overwhelmed by the vast numbers of families also taking refuge in what was deemed a safer space than most of the surrounding war zone.  

Many of the senior medical staff and surgeons had retreated to scattered parts of the strip, displaced frequently by the ever-moving conflict and driven by the need to support their families and stay together. ‘Live together-die together’ is an understandable feature in the horror show of war. Students, frequently left with no money or resources, started to volunteer to serve in hospitals in exchange for a little food and a sense of worth in the work they could offer. Any functioning hospital, if briefly ‘deconflicted’ so they could provide relatively safe care, found itself staffed by a disparate crew of local staff, displaced students, and an indeterminate number of more senior surgeons from both Gaza and humanitarian agencies. 

His desire to learn all that could be learnt, and to try to become the best surgeon possible, was palpable.

It was into this chaotic mix that young AbdulRahman walked having fled his family home in the east of Khan Younis in November 2023. A bright young man, with great aspirations to qualify as a surgeon and serve his community, he had spent the first six weeks of the war at home, unable to attend his medical school in Gaza City to the north, but working hard at his studies regardless, using every online and library resource available to him.  

At some point in late November, the battle zone moved south, and his family home was shelled along with many dwellings in the vicinity. Caught in crossfire, he sheltered in his neighbouring relative’s house after his parents and other close family had escaped to Rafah. 

Abdulrahman told me the dramatic story of his escape into the house in which he survived for a week alongside his relative’s family when I spoke to him in late January 2024. This young man not only survived an ordeal of indescribable fear and potential slaughter, but he was then arrested and interrogated in brutal fashion by IDF forces.  

On his release after a harrowing week, he made his way barefoot to the nearest hospital, which happened to be the EGH. In that place of safety, he was given food and water and after recuperation, volunteered to work alongside a reconstructive plastic and burns surgeon who had recently returned to Gaza after training in the UK. 

Although his family were still all alive in Rafah in displaced makeshift shelters, he opted to stay and throw his weight into whatever he could do to support the hospital whilst continuing to learn his profession as a doctor. Travelling occasionally at great personal risk to see and support his family, he devoted all his waking hours to surgical work in EGH operating theatres and wards. His excellent command of English made him immensely valuable to any visiting surgeons who managed to access Gaza during the war months. He was always cheerful, always willing to respond to requests for his time, however stressful the surrounding clamour from desperate patients and relatives might become.  

When his working day was done, in the middle of the night he would arrange for his fellow students to have informal teaching seminars from whoever he could cajole to deliver them, and would absorb knowledge and ideas about best practice like a sponge. His desire to learn all that could be learnt, and to try to become the best surgeon possible, was palpable.  

I had every intention of supporting this fine young man in achieving his professional aspirations by whatever means I could once a ceasefire arose and he could be brought safely to Europe to continue his training. 

In the last week of August, AbdulRahman was sheltering in a relative’s house in Khan Younis. In the small hours of the morning an Israeli attack was launched on the neighbourhood and the house took a direct hit. AbdulRahman was killed instantly. 

He knew, as does every Gazan in these troubled times, that nowhere was safe, and all lives in that tragic zone are at risk. His is a story of a life tragically cut short, of the randomness and destructiveness of war. His death strikes right at the heart of my hopes for the remnant of the fine young population of such a desperately sad nation state. He, and those like him, could have been at the heart of the re-building of Gaza, able to live in what now feels a far-off peace. I cannot translate this into anger, as AbdulRahman himself had a passionate concern for peace and reconciliation, and never once spoke to me in many conversations of support for Hamas, or of hatred for those who had destroyed his country.  

What can be done however, is to honour his life and commitment with similar tenacity in supporting the pursuit of peace, justice for his people, learning and education for the remnant of the nation, and reconstruction of a Palestine that can proudly and honourably reflect the finest values it possesses. AbdulRahman was a great Palestinian, and his all too short life was one which I want to celebrate as one of the finest I have seen in many students of the next generation of doctors. May he rest in peace, and may a lasting peace come quickly to Gaza, to all of Palestine and the whole of the Middle East.

Article
Character
Comment
Freedom
Politics
4 min read

Elon will learn that speech is never free

We see the cost of our words in our daily lives.
Elon Musk, wearing a t-shirt slouches forward, holding a mic, while sitting on a stage chair.
Musk, not talking.
Wcamp9, CC BY 4.0, via Wikimedia Commons.

Nigel Farage presumably still believes Elon Musk a ‘hero’ for reintroducing absolutely free speech on X- despite the Billionaire concurrently suggesting that Farage isn’t cut out to lead the UK’s Reform party. If he is truly committed to the free speech cause, Nigel should welcome this verbal attack from Musk as proof that he can take what he often gives out.  

This turn of events demonstrates free speech to be a misnomer. Whatever we say - and do - is never free, and always has a price to pay. Farage and Reform ended up paying the embarrassing cost of Musk’s pointed comments this time round, bemused by the volte-face from the man who was in talks to donate to Reform just weeks ago. 

We see the cost of our words in our daily lives. Saying ‘sorry’ costs us our pride, saying ‘thank you’ costs us our independence, saying ‘I forgive you’ costs us our chance at revenge, giving a compliment costs us a battle with our own insecurities, and so on. And these are positive words- the verbal price is plainer to see when we have caused hurt, upset, or distress. I am grieved often by a thoughtless or hurtful comment given or received.  

The impact of Musk’s words on Farage is clear to see, but there is also an impact on Musk’s inner life. This is the hidden cost of negative speech; the speaker poisons themselves with the negativity they are channelling in what they say. A Hebrew proverb states that ‘death and life are in the power of the tongue, and those who love it will eat its fruits.’ Continuous negative speech will twist a person entirely in on themselves, slowly reducing any capacity to love or bear goodness. Eventually the tongue dictates the whole person; what victimising speech comes out is the sum total of the defiled heart that propels it. There is little ability to pull back- what was once a conscious choice to engage in vitriol has become the unconscious reflex of a vitriolic heart. 

Advocates of uncensored speech are usually trying to say something society does not generally accept, and therefore often something extremist. Recognising there is great cost to hurtful speech both to the speaker and the target might encourage those tempted to vent their deepest fears in the form of insult to consider again the power of the tongue.  

Questioning Farage’s politics may not be an extremist thought, but we must pay attention to the fact that the ‘hero’ of free speech, Musk, appears to have fallen out with Farage because of their differing opinions on Tommy Robinson, the extremist whom Musk has continued to platform and refused to censor. Farage has distanced himself from Robinson and seemingly incurred Musk’s wrath. Furthermore, Musk’s vile comments over the weekend about Keir Starmer and Jess Phillips demonstrates that repeated insults curate a dark heart. 

Perhaps we should not be surprised that Musk seems to be on a concurrent campaign to disrupt democracy as he tries to advocate a total absence of censorship. The role of democracy is to protect minorities; the reason we trust elected officials to vote laws in for us is to protect those unlike us from mob rule. In our society, our elected officials should be protecting the migrants, refugees, ethnic minorities, criminals, the disabled, those unable to work, and any others who are ripe for victimisation by wider society.  

These protections, the rule of law, and the court system, means we can live together without our basest human instincts for violence ruling our better judgements. Ours is a society built on biblical principles, and the care for the foreigner and the poor is found continuously from cover to cover of that book. Not only does democracy offer a system of government that offers the protection of the law, but it also incorporates universally just principles with regards protecting minorities. 

This is the reason that free speech is curbed to an extent in Britain by the ability to prosecute hate speech. Our elected officials have decided that the cost of some speech is too high to pay. This is not a totalitarian imposition, but a recognition that in an internet age, hateful opinions spread too quickly and too visibly to be tolerated. 

In order to attempt to curate a society of gentler and healthier hearts, we should turn to the teacher whose words operated exclusively in grace and truth. Jesus recognised that speech was not free, saying on one occasion that each person would have to account for their careless words before God on the day of judgement. Deeper than even the consequences for our own selves and the recipients in the immediate moment, this eternal cost should remind us of the responsibility to use our words wisely and to deal in truth, encouragement, and wise critique.  

All our words have tariffs - Jesus’ earthly life was full of negative reactions to his speaking the truth. And yet, for ourselves, for our societies, and for those who need protection from hatred: we must think twice before we speak. For our words cost more than we will know in this life. 

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