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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.

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8 min read

Untouchable: experiencing discrimination around the world

In America it’s in the headlines, while in India it continues to influence. Rahil Patel explores caste discrimination and finds out who helped craft constitutional protections for those affected.

Rahil is a former Hindu monk, and author of Found By Love. He is a Tutor and Speaker at the Oxford Centre for Christian Apologetics.

A group of protesters march behind a banner waving flags.
Supporters of the caste discrimination bill march.
Equality Labs

Cisco is a highly successful California based tech company. It has an annual revenue of $57 billion and boasts of many awards and prizes.  Great Place to Work placed Cisco at number one on its 2023 list. But what has this to do with caste discrimination? Well, 33 per cent  of Cisco’s 84,000 employees are of Indian origin and the company is struggling under a lawsuit currently upheld by the California Department of Fair Employment and Housing. The widely reported lawsuit is for caste discrimination against a Dalit (Untouchable) employee. The engineer has claimed to be paid less than his peers due to his low caste status.

Is this common? Well, the high caste Brahmin CEO of Google, Sunder Pichai (of Indian origin) has also faced allegations, raised by California based civil rights organisation, Equality Labs, of “caste bigotry” that is “running rampant” within his company. 

“You can take an Indian out of India but you can never take India out of an Indian.” This was the sorrow filled saying I heard amongst well meaning fellow Indians whilst growing up in the United Kingdom. It usually cropped up when my Indian relatives and friends were confused by the appalling attitudes of other fellow Indians and trust me, it was quite common.  

In October 2023, the Governor of California, Gavin Newsom vetoed a Bill to outlaw caste-based discrimination across his state. His decision was met with anger and rage from low caste Indian Dalits and from those who are fighting alongside them to ban discrimination amidst this rigid but ancient Hindu social structure. 

It may surprise us in the west that the city of Seattle in Washington State was the first city in the USA to outlaw caste discrimination followed by Fresno in California.  

But is this just a moral battle against an enemy that doesn’t really exist and a lame excuse to protest away with ‘Dalit Lives Matter?’ Or is there a tiny surreptitious fire carefully kindling away underneath the blinding smoke that mustn’t go unnoticed?  After all, we are in the west…right? Of course we believe in equality…right?  

The Swaminarayan Movement, America’s largest and most influential Hindu tradition saw the FBI raid it's temple compound in Robbinsville, New Jersey in 2021 for illegally importing Indians from India and illegally paying them below the national wage as well as confining them to the temple compound. The FBI raid rescued 200 workers who were largely from Dalit or Tribal castes.  

When I was training in India to be a Hindu monk I remember recognising the harsh reality of the caste system in one single moment. One day, after I had finished a conversation with a friend in the temple compound I turned to head back to my room when I saw a young boy waving to me far away from the temple gates. I waved back and gestured to him to come in and talk but he stayed rooted to the spot. A little confused, I walked over and asked, “why don’t you come inside the compound?”  

“I can’t.” He said,  

“Why?” 

“I’m  a Dalit…I can’t even touch you!”  

Thinking back over that mind numbing moment I can’t help imagine how hard it must have been for the woman in the Bible with the issue of blood who touched the hem of Jesus’s garment within the rigid culture of the time. The difference I guess is that Jesus turned to the broken hearted  woman and healed her and then called her ‘daughter’ and defined her real identity as a result.  

If the Dalit boy on the other hand came into the temple compound that day the security guards would have typically hit him with a long stick to drive him out of the temple gates. If he had touched me in the meantime I would have had to immediately go for a bath with all my clothes on and ensure that I didn’t touch any other human being or even a book or a pot on the way! 

PM Modi’s comment has a pernicious and curious undertone. If Dharma is first then one is obliged to follow the caste system diligently. 

Bhimrao. R Ambedkar was a brilliant economist and lawyer who studied at the London School of Economics. When his genius mind was called upon to draft the new constitution for independent India he was all too aware of how Hinduism was not so compatible with democracy. The idea of equality and dignity was evidently embedded into western institutions to his mind and Ambedkar knew very well that these ideas were founded on Judeo Christian principles, primarily, that all are created in the image of God. In other words, equal. Being a Dalit himself, Bhimrao knew the pitfalls of Hinduism’s caste system and the anarchical society it would create if the institutions left behind by the British were replaced with caste based ideas. As a result he crafted a constitution based upon Christian principles ensuring that all castes were allowed the opportunities and privileges from the state and its institutions by law. Sadly, although the state provided those privileges and protections by law in 1952 when the constitution came into effect, the society in India at large until this day does not. India exports it to the west as well.  

When the current Indian Prime Minister Narendra Modi gave his speech on National Human Rights Day in India a few years ago he emphasised to the nation that Dharma needs to be held first before Human Rights… if Dharma is pursued, he insisted, Human Rights would follow. Dharma simply put, is to pursue one’s duty and righteousness as according to Hindu tradition.  

At a quick glance here one is reminded of what Alexander Solzhenitsyn said during his Harvard Commencement Speech in 1978. He told his audience that it was time that the west upheld human obligation more than human rights. He had a valid point to state in a significantly individualistic culture which still prevails in the west but PM Modi’s comment has a pernicious and curious undertone. If Dharma is first then one is obliged to follow the caste system diligently.  

 

It has taken an incredibly long time to carve away at the negatives of the caste system in India but it is nowhere near the end. 

Krishna who is the most widely revered incarnation of God in the Hindu world told his disciple Arjuna to fight and kill his cousins and teachers on the battlefield of Kurukshetra as it was his Dharma to do so. As a Kshatriya warrior caste Arjuna was not meant to meditate in the forest but fight and kill, as is laid out quite clearly in the beginning chapter of the Bhagvad Gita scripture.  

Although the Gita scripture is quite a complex context to unravel here, in today’s India and in large parts of the west placing Human Rights behind Dharma can be quite dangerous. It somewhat validates the violence towards those of other faiths and endorses a dislike to those of a lower caste.  

The need for  individual freedom from caste based social structures in India was introduced to the British Parliament by William Wilberforce and Charles Grant in 1793. Interestingly, it was the same year that the cobbler-turned missionary William Carey snuck into India against the rules of the British East India Company. The company knew that if missionaries entered the country they would battle against the unfair social order and upset the high caste Brahmins.  And that would hinder their lucrative trade.  

Wilberforce and Grant along with other devout Christians fought in Parliament for 20 years until in 1813 a law was passed to allow missionaries passage into India. These men and women of God began to transform the subcontinent and provide education and health care for all castes. Teaching and training the Indian mind that God created male and female first (in his image) and they then created a social order as per God’s guidance whilst  cautiously deconstructing the idea of God creating a social order first and male and female after. 

It has taken an incredibly long time to carve away at the negatives of the caste system in India but it is nowhere near the end.  

Sadly, the caste hierarchy has infiltrated parts of the Christian faith in India too. Dalit Christians who are made in the image of God cannot enter certain churches.

What fascinates me however, is when a Dalit leaves India, in most cases, a lot of India leaves them! They are quite successful. In a society like India one is made to believe (in large part by the communities) that past life karma has destined the individual to be a Dalit and so one must continue to clean the gutters and carry away dead dogs. But when a Dalit enters into a land like the USA or  the UK where notions of equality and freedom are based upon Christian values the thinking of that individual changes drastically. A Dalit engineer filing a case against his seniors is inconceivable in large parts of the Indian community in India. 

But the issue of caste is not the domain of Hinduism alone. Buddhism in Sri Lanka and Myanmar is very much entrenched in a caste based order which is quite an irony as abuse of this social order was one of the main reasons Gautam Buddha established the faith.  

Sadly, the caste hierarchy has infiltrated parts of the Christian faith in India too. Dalit Christians who are made in the image of God cannot enter certain churches and where they can in some parts they are not allowed to sit in the pews but on the floor, at the back.  

Author E.M Forster lovingly did say that India is both a mystery and a muddle.  

The late Christian and author John Stott wrote in his book The Cross that Jesus was facing the most excruciating pain in the garden of Gethsemane not because of the cross and its horrific nails but because Christ was about to be touched by sin. God readily touches us even though we are untouchable.  

The relentless work by William Carey, Wilberforce, Grant and other Indian reformers began to change the Indian mindset primarily by introducing the notion of love and freedom at every level of Indian society. Do we have the will to continue respectfully that fight?