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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.

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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