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.

Column
Culture
Nationalism
Politics
4 min read

What Tom Paine really said about globalism and religion

We can’t live without homelands, but we need to be generous with them.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A statue of a 18th century man holding a pen and a book.
Richard Croft, CC BY-SA 2.0, via Wikimedia Commons.

We live near Lewes in East Sussex, a town surrounded by genteel Conservatism but which inherits a certain edgy radicalism from Thomas Paine, whose utopian politics emerged there in the eighteenth century to inform both the French and American revolutions. 

Paine haunts Lewes and his paraphernalia are everywhere. Walk the streets and it won’t be long before you spot posters quoting his most famous lines, among them “My country is the world and my religion is to do good”, from his seminal work Rights of Man

He was a vicious critic of all organised religion, leading to the widespread assumption that he was an atheist. More accurately, he was a deist, a believer in a God who could and would deliver a global redemption of humankind, if we could and would only work towards that. The bit that’s most often left out of that famous quote is the phrase: “… all mankind are my brethren.” 

Sometimes it takes a prophetic voice from outside mainstream religion to point us towards a world peace and a concord that seems beyond our faithful grasp. As ultra-nationalism is the go-to political ideology of our age, it’s such a voice that demonstrates that these populist creeds are the very antithesis of Paine’s globalist utopia. 

There are tinpot nationalists throughout the world – Erdogan of Hungary, Meloni of Italy, Bolsonaro of Brazil, the list goes on – but it’s the superpowers that demonstrate most starkly the contrast between the narrow, inward and dark heart of ultra-nationalism and the generous, outward and illuminated vision of the globalist revolutionary.  

It’s not just the contrast between what we currently have on the world stage and what we could have that’s remarkable, it’s the similarities between the psyches and prejudices of the ultra-nationalist super-powers, all of which sacrifice any worldview they might hold on the altar of their homeland self-interest. Take Russia, Israel and the United States. Don’t even start me on China. 

Vladimir Putin’s Russia is embarked on an imperial expansionism that is positively tsarist. The attempted annexation of Ukraine is only the start, before reclaiming what are purported to be “Russian” state assets in the Baltics and beyond. Putin channels Peter the Great. This isn’t just demented desire for historical legacy, it speaks at home to the restoration of the motherland.   

It’s the same incentive for Benjamin Netanyahu in Israel. Only continuing to oppress and purge the Palestinian state from its lands can the homeland of Israel be protected. It is precisely to satisfy the ultra-nationalists behind him that pushes him forward. 

President Donald Trump in the US isn’t the peacemaker he fantasises about. To “make America great again” he has to put “America first”. This is about satisfying the baying boot boys that form the sump of Trump’s power base. Americans must live high on the hog at the expense of the rest of the world. Hence tariff wars, watch-the-lady trade deals and pan-arctic territorial aspirations. 

This is not to say that peoples are to live without homelands. But it is precisely to tell us to be generous with them, to be good neighbours and to govern self-sacrificially.

What these three world leaders absolutely have in common is a worldview that predicates itself on satisfaction of nationalism at home that has to be paid for with suffering elsewhere. What they tell us is the exact opposite of Paine: “My borders are my country and my religion is to do harm.” They might add the sub-phrase: “… only my people are my brethren.” 

The difference between patriotism and nationalism spawns many aphorisms. One such is that patriotism prioritises love of one’s own people and nationalism prioritises hate for other people other than one’s own. That’s not quite right, because both still hold the primacy of one’s own people over others, while Paine inferred the primacy of all people. 

That’s what ultimately gives religious fervour to his voice. His declared detestation of religion seemingly ignores the tenets of the three Abrahamic faiths of the world, which have in common the welcome of the stranger, a duty to the poor and equality of all before God.  

These commandments extend patriotism to love of all people. And, rigorously, they leave no room for nationalism at all. As for ultra-nationalism, we’re in the territory of abomination and sacrilege. 

This is not to say that peoples are to live without homelands. But it is precisely to tell us to be generous with them, to be good neighbours and to govern self-sacrificially. That’s admittedly a tall order, but these are qualities that can either be identified in or imported into national identities as diverse as the American Constitution and Zionism.  

The methodology for that is, admittedly, demanding. But it requires the ability to look outwards to the world, rather than inwards towards nation. And that becomes a religious vocation.  

Our instincts, as nations, are inwards, but our callings our outwards. Sometimes it takes an outsider, like Paine, to point us in the right direction, outwards.  

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