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
Comment
Conspiracy theory
Football
Sport
5 min read

Football in the age of conspiracy theory

More politics in football is driving distrust and mis-information
A football support protest banner depicts The Muppet Show logo, a meeting of men in suits and various slogans.
A Manchester City supporters' protest banner.
r/MCFC.

In 2008, Manchester United sign footballers Fábio da Silva and Raphael da Silva. They are twin brothers. Confusion follows. In 2009, referee Chris Foy seems to show a yellow card to Fábio for a foul committed by Rafael in a game against Barnsley. I’m still not sure who actually makes the tackle.  

Then-manager of the club Sir Alex Ferguson admitted he often confused the two players. When Rafael was suspended for a game, Ferguson joked about playing him anyway, and just saying it was Fábio. “They wouldn’t know. Their DNA is probably the same,” he said. 

Perhaps that’s how the rumour started.  

Football is a game of small margins; minor gains can make for huge advantages. Few managers have understood this as well as Ferguson, a man who would do anything to make the most of marginal gains. Up to and including ‘bending’ the rules a little, if needs be. (Allegedly; if the lawyers are reading).  

It’s perhaps not unsurprising, then, that there is an old conspiracy theory that Ferguson would swap the brothers at half-time to get an extra substitution. “They wouldn’t know. Their DNA is probably the same.” It’s the kind of thing Ferguson would do.  

Allegedly. 

Conspiracies have a long history: the earth is flat; Paul McCartney died in 1966; pigeons are actually government CCTV cameras.  

I love weird footballing conspiracy theories. They’re ultimately harmless, and so implausible that they make me chuckle. But recently, it feels as though there’s been a sharp upturn in the amount of conspiratorial thinking surrounding football’s public discourse.  

Everything is a conspiracy now; all 20 premier league clubs seem to be the alleged victims of some conspiracy or other to stop them from winning the title. At least one of them is proved wrong each year.  

Every red card, disallowed goal, throw-in, and foul is now viewed as yet another part of the establishment’s ongoing plan to sabotage your club. Why they’d want to sabotage your club in particular is never made manifestly clear. That’s besides the point. The plan is obvious enough if you look for it; never mind the motivation. 

Football doesn’t help itself at times. For example, the decision to allow Manchester-based referees to referee Manchester-based football teams is simply baffling (and, as is often overlooked, simply unfair on the referees who then have their integrity called into question).  

It’s now public knowledge that Michael Oliver earned considerable money refereeing private games in the United Arab Emirates. And so, when he failed to send off Manchester City’s Mateo Kovačić for two seemingly nailed-on second yellows in a game against Arsenal on 8th October 2023, you can forgive people for joining the dots and making the connection to City’s UAE owners. 

Even when there’s no grand conspiracy, giving people a reasonable excuse to crack out the tin foil is just dumb. 

Of course, none of this is unique to football. Conspiracies have a long history: the earth is flat; Paul McCartney died in 1966; pigeons are actually government CCTV cameras. All the hits. Again, a lot of them are just comically harmless.  

The ship has sailed, and as long as football remains a political plaything, the same distrust in our political authorities will lead to distrust in our footballing authorities. 

But many aren’t, and these more malignant conspiracy theories seem to be becoming more prevalent and more dangerous. America saw an unprecedented attack on its democratic processes and institutions on January 6 2021; at the hands of its still-technically-then-President, no less. Allegedly. Elsewhere, numerous people declined the Covid-19 vaccination because of misinformation about its effects, a worrying repeat of the vaccines-cause-autism nonsense of the 1990s.  

In the aftermath of the horrific murder of three young girls in Southport on 30th July 2024, numerous people wrongly identified a Muslim immigrant as the alleged attacker. This led to widespread riots across the UK involving attacks on mosques and asylum seeker accommodation. As I write this from my home in Liverpool, a community library down the road is still waiting to be reopened after it was burned down amidst claims it was giving Qur’ans to children. It was not.  

Nigel Farage still refuses to apologise for claiming ‘the truth’ was being withheld from the public. 

But the thing is some conspiracies turn out to be true. There was a conspiracy involving the state and South Yorkshire Police to blame fans at the Hillsborough disaster in 1989 for the death of (now) 97 people at the match; that is now undeniable. And the times when conspiracy theories turn out to be accurate only serve to enflame and empower the others. 

Conspiracy theories kill people. And so, it seems distasteful to draw any sort of line from using twins to mask extra substitutions to terrorist rioting in the aftermath of three young girls being stabbed to death. But, these are two extremes of the same kind of behaviour made possible for the same reason: declining trust in established authorities.  

This is not to say we need to ‘keep politics out of football’. That’s not possible, even if we wanted to. It will always seem disingenuous to me that the same people who were against football players taking the knee in support of Black Lives Matter also seem very happy to sing the English national anthem at the FA Cup final. You can’t have politics when its suits you; when it’s comfortable for you. 

No; football is a political entity now, whether you like it or not. MPs performatively support the England national team during major tournaments to win votes; The UK government is seeking to introduce an independent football regulator; Prince William is president of the FA; Nation-states own football clubs. Allegedly. 

The ship has sailed, and as long as football remains a political plaything, the same distrust in our political authorities will lead to distrust in our footballing authorities.  

But the inverse is true now, too. Football’s pervasive presence in society offers an opportunity for football fans to be the best of us; to model a culture wherein institutional authorities are trusted and – more importantly – deserve to be trusted.  

If I’m being honest, whether I’m watching it on the telly or in the ground, I am often at my least Christ-like when the football’s on. There I am: accusing the referee of all sorts, calling the linesman any manner of unspeakable things because he gave a throw-in to the opposition, even if it’s the right decision. There I am: contributing to the very culture of distrust that characterises so much of public life nowadays.  

I have, I think, a genuinely ethical responsibility to stop behaving like that when watching the football. It won’t stop idiots from rioting, and it won't stop Donald Trump and Nigel Farage from lying. Allegedly. But it might just help contribute to a culture wherein those acts are increasingly harder to commit. A culture where trust and hope become genuine options again.