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.

Essay
Comment
Gaza
Israel
Middle East
War & peace
8 min read

A peacemaker’s guide to keeping hope alive

Amid continuing despair around the Israel-Hamas war, former diplomat Todd Deatherage shares the practices of the peacemaker.

Todd  is the Executive Director and Co-Founder of Telos Group. It forms communities of American peacemakers across lines of difference and conflict, including Israel/Palestine. 

Two people down a table turn and listen to someone closer talk, against a wall mural.
Reconciliation event, Northern Ireland.
Telos Group.

The world seems enveloped in darkness right now. The list of things that hide and extinguish the light is long, but for many of us it is the ongoing war in the Middle East that casts shadows of gloom and foreboding over our days and sometimes our sleepless nights.  

As I write, Palestinian men, women and children in Gaza continue to die daily from unrelenting bombardment. Treatable injuries and illnesses are now fatal. Many lack access to food and clean water. About 134 Israelis remain in captivity. The West Bank teeters on the brink as ideological settlers pursue an agenda of harassment and displacement of Palestinian villagers. 

Israelis and Palestinians remain deeply traumatized people and are transferring their untransformed traumas onto each other in endless cycles of conflict that are brutal to both, though glaringly asymmetrical. The rest of the world cheers and rationalizes and mourns and protests and marches and divides itself as the body count in Gaza soars.  

‘Hope is not the same thing as optimism, hope is not a feeling. Hope is what you do.’ 

Mitri Raheb

Even for those of us watching from a distance, despair is unavoidable, and in many ways, the only rational response. Who dares speak of hope amidst such horror?  And yet, without hope we are all lost. Hope is essential for life and flourishing--a life devoid of it is only existence. But how do we face such a brutal reality and look to the future with any sense of a better one? Is it even possible?   

Hope is possible, even in such a time as this, but only if we define it correctly. The Palestinian theologian Mitri Raheb says that hope is not the same thing as optimism, hope is not a feeling. Hope is what you do.  We push back against violence, hatred and fear by living and acting in hopeful ways. Daily acts of resistance against injustice and brutality protect and nurture our humanity and open up space for our own transformation. As we allow ourselves to be transformed we can be better agents of healing in the world around us. Hope is what you do.  It is an active, intentional, clear-eyed yet generous way of living in the world.  

The physicist Niels Bohr said the opposite of a fact is a falsehood but the opposite of a truth may be another profound truth. 

And it’s important to connect hope and action in a moment like this in particular because the horror we’re witnessing has a context. This is not a natural disaster.  We're not where we are simply because bad things happen, but because we brought ourselves here.  Because too many have believed the lie that freedom and security come through violence, and that equality and peace can come via ideologies of exclusion and religious or ethnic superiority.  We have accepted the fiction that our lives are not interrelated with those of our neighbors.  And we have imagined that inequitable systems of subjugation and control can be sustained forever.  

And so we keep hope alive by embracing the truth and grounding ourselves in the conviction that the death and destruction of this war will only lead to more of the same. Our words and our actions in this moment can be demonstrations of hope when they are rooted in a steely conviction that the horror of October 7th did not make Palestinians freer, and nothing that’s happened since is making Israel, or any of us, safer. This is how we got into this, not how we get out of it.  Violence begets violence begets violence.  We act in hope by calling for a ceasefire and the release of hostages. And ultimately we set our sights on a new reality in which Palestinians and Israelis can enjoy freedom, dignity and security in equal measure.   

  

Here are some practices of the peacemaker that not only represent acts of hope but that open the possibility to bring about change in us and change in the world. 

Listen to understand. Many of us live within the sound of only one narrative of the shared reality of Israelis and Palestinians.  Listening to understand those whose stories are new to us is a first step in nurturing the empathy that will allow us to see the humanity of all.  

Listening to those with whom we disagree, not to combat or argue, but to truly understand has the potential to sharpen what we know and believe even as it holds open the possibility of lowering the temperature between us and the person being seen and heard. And this may expose that behind our disagreement may be something deeper.  (Hint: It’s often fear.)   

Learn to hold experiences in tension. The physicist Niels Bohr said the opposite of a fact is a falsehood but the opposite of a truth may be another profound truth.  Palestinians and Israelis each have their own connections to the same piece of land, their unique histories and experiences, and any honest peacemaking effort great or small has to hold these experiences in tension, not as equally true, but as the things that must be understood and dealt with in any effort at conflict resolution. 

Peacemakers know the importance of centering the voices of those most vulnerable. In this case, that has to begin today with the millions of displaced Palestinian civilians in Gaza, the families of the hostages, the Israelis who’ve fled their homes in the south and north of their country, and the Palestinians trapped and apprehensive in the West Bank fearing all this is coming their way.  

Peacemakers also acknowledge that each of us has agency.  We may think our influence is small, but we have communities and circles of friends, we have elected leaders who are meant to be responsive to our concerns.  There are always things we can do, and the cumulative effect of many small actions can bring change.  

At a time of such horror and atrocity, casting blame is an easy and natural response.  But what can’t be overlooked for those who want to create hope is the necessity of doing the honest work of self-interrogation. The persistence of antisemitism for centuries and its alarming rise in the present, coupled with the growth of anti-Arab and Islamophobic sentiments, force us each not only to examine our internal biases and those that exist within our own communities, but also to confront them.  Credible voices from within our communities are needed, to borrow from Jesus of Nazareth, to point out the proverbial logs in our own eyes so that we might see more clearly to help our neighbor remove the splinters from theirs.  

Part of the work of self-interrogation is also to own our complicity in creating the conditions we see today.  For too long our governments in the West have acted as if the blockade of Gaza was somehow sustainable, and that Israel can perpetually occupy the West Bank with no political horizon for a better reality.  And in recent years, the Americans have pursued a fiction that Arab-Israeli normalization could proceed with abandon while the Palestinians fall ever deeper into Israeli control and their own internal political dysfunction.   

The fact that we are a party to this conflict---our implication in it--- also creates the opportunity and the imperative to transform our involvement into morally grounded policies and interventions that create greater space for the work of peacemaking and conflict resolution. Which leads us to advocacy as an essential practice of peacemaking  

He told us the peacemakers are blessed. His universal invitation to live as his ambassadors of reconciliation and healing still echoes down through the centuries as a calling the world so desperately needs. 

  

In the West, as an atrocity of historic proportions is being perpetrated right now, in real time, in our lifetime, we have to call on our leaders to end the ruination of Gaza. To work to return the hostages. To truly commit our governments to cease being peacetalkers and to become peacemakers. To use our influence to create the conditions for true security, honored dignity and freedom for Palestinians and Israelis alike, in equal measure.  To support diplomatic initiatives, political arrangements and grass roots efforts that are all oriented toward their mutual flourishing,  

For people of Christian faith, these dark days have now taken us into our season of Advent.  The American Episcopal theologian Fleming Rutledge says “Advent always begins in the dark.” But it ends with the arrival of God in our midst, God with those in the ravaged kibbutzim of southern Israel.  God with those in the bombed out wreckage of the cities and refugee camps of Gaza. And God with those cowering in fear in their homes in Bethlehem, the very place where the Christian story begins.  In a normal year we sing, some years deeply from our hearts and our sadness, 'O Come O Come, Emmanuel, and rescue us'.  This year that cry is nearly guttural for many of us. But it is a cry rooted in a belief that God has not forsaken us in our hatreds and our violence and our inhumanity.  He is a God of transformation and invites us to join him in the work of healing and repair. Jesus came to make the world more merciful and just, to teach us to love our enemies, and to show us how to care for the weak and the vulnerable. He told us the peacemakers are blessed. His universal invitation to live as his ambassadors of reconciliation and healing still echoes down through the centuries as a calling the world so desperately needs.  This Advent, let us live as agents of hope as we work for a future in Israel/Palestine---and in our own communities-- in which all can flourish in justice, security, freedom and dignity.