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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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Community
Politics
5 min read

A tents dispute about how to help the homeless

To house the homeless, argues Jon Kuhrt, silly soundbites and hasty policies need to be replaced with the right relationships and radical reform.

Jon Kuhrt is CEO of Hope into Action, a homelessness charity. He is a former government adviser on how faith groups address rough sleeping.

In an underpass a pedestrian passes and look at the tent of a homeless person.
Spielvogel, CC BY-SA 4.0, via Wikimedia Commons.

2011: London’s Westminster City Council proposes byelaws to ban rough sleeping and to prevent groups distributing food to people in need, known as ‘soup runs’, in the Victoria area.  

The proposals caused an almighty uproar from charities and community groups and demonstrations outside the council offices. In addition, both the London Mayor Boris Johnson, and the Conservative central government spoke out against the plans.  In the end the proposals were quietly withdrawn. 

At the time I was Director of the West London Mission, a homelessness charity based in Westminster. We worked closely with both churches and the council but we publicly disagreed with the plans because they were divisive, polarising and unworkable. 

‘Lifestyle choice’ 

2023: The Home Secretary, Suella Braverman, makes comments on social media about cracking down on rough sleepers who sleep in tents. Among other comments, Braverman said: 

"We cannot allow our streets to be taken over by rows of tents occupied by people, many of them from abroad, living on the streets as a lifestyle choice.”  

Again, Braverman’s comments have provoked an avalanche of criticism. In the middle of a housing and cost of living crisis, the accusation that people living in tents are simply making a ‘lifestyle choice' is rightly seen by many as simplistic, harsh and deeply unhelpful to addressing the serious issue of rough sleeping.  

Nothing represents UK poverty and exclusion with such visceral power as the sight of someone huddling in a doorway.  Therefore, to the average person, providing help to rough sleepers makes sense. Banning help appears harsh and inhumane. These are issues that need talking about carefully and compassionately. 

After 25 years of working for homeless charities, I worked for four years in the Government’s Rough Sleeping Initiative as an Adviser on how faith and community groups addressed homelessness. Building trust and cooperation between charities, churches and government was the key focus of my work.   

And probably the most sensitive of all issues is how the outdated ‘Vagrancy Act’ of 1824 could be replaced.  I know what frustration the Home Secretary’s ill-judged comments will cause to those in government working hard on reducing rough sleeping.  

Dangerous and insecure 

But whilst it’s right to condemn Braverman’s comments, we have to consider how we respond and not simply add to the unhelpful polarisation of these issues. The answer to anti-tent rhetoric is not to encourage people to give out more tents.  

It may sound obvious, but the key thing to focus on is the welfare of rough sleepers at the heart of this discussion. And that does not mean we endorse every form of help that is offered.  

The truth is that the rise in the use of cheap tents to sleep rough in is a genuine problem that local councils and charities have been struggling to address. They often create dangerous and insecure environments and can easily mask people’s serious declines in physical and mental health. 

Christian response 

A few years ago, I worked closely with All Saints Church in the centre of Northampton because they had 15 tents pitched in their churchyard.  The drug use, defecation and other behaviours of those living in the tents were genuinely anti-social and problematic.  Tensions with the council were rising and the vicar, Oliver Coss, was grappling with what the right Christian response was.  Of course, there was genuine housing need in the town but what was happening in his churchyard was no good for anyone. 

Through careful discussions, we brokered a plan of joint action between the church, the local authority and the key local charity. Those sleeping rough in the churchyard were given notice and were told the tents would be removed on a certain date but alongside this, interviews and offers of housing were made to everyone.  I have huge respect for the way Rev.Coss navigated these tricky waters with resolve and compassion.  He took heat, especially when the national press picked up the story but he steered a course which was genuinely best for all concerned. Theologically, his actions were the right blend of grace and truth

Relationship and trust 

Last winter I was involved in a similar way with an encampment in the park right behind my house in south London. It was causing serious concern to many local people due to the fires being lit, rubbish piling up and the vermin it attracted. I got to know almost all of the occupants of the camp as they attended a drop in meal I run at my church. The relationship and trust we developed helped me liaise between them and the council’s rough sleeping coordinator and this led to the camp being cleared and each of them offered temporary accommodation. 

Informed debate 

Rather than hasty policies or silly soundbites, we need a more honest and informed public discussion about rough sleeping.  Addressing homelessness is complex because it involves an interweaving of structural injustice and the personal challenges that individuals face. Simplistic comments may work well on social media, but they don’t help people in the real world.   

Enforcement is not the dirty word it is often made out to be – sometimes it is a vital ingredient in helping someone change their life.  But in order to work, it must always be accompanied by a valid offer of accommodation, a meaningful step off the streets. And for too many, especially non-UK nationals, no such step exists.  

Radical reform 

Housing should be the key issue in the next election. We need urgent and radical policy reform to build more social housing. Record numbers are housed in expensive temporary accommodation which is causing bankruptcy in some local authorities. Millions of pounds of public money has been wasted in housing people for years in hotels which could have been used so much more productively.  

We need more of the longer-term, community-based solutions to homelessness such as those pioneered by Hope into Action. We attract investment to buy houses which we turn into homes for people who have been homeless. In addition to professional support, each house is connected to a local church who provide friendship and community. 

People sleeping rough in tents is not a ‘lifestyle choice’. It is the visible tip of a vast homelessness iceberg in this country caused by relational poverty and chronic underinvestment in affordable housing.  And if we do not address the problems beneath the waterline, then we should not be surprised to see more tents appearing in our towns and parks.