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.

Article
Creed
Death & life
Middle East
5 min read

How much is a human life worth?

Concerned by the conditional responses to deaths in the Israel-Hamas war, Ryan Gilfeather considers why we should value all human lives.

Ryan Gilfeather explores social issues through the lens of philosophy, theology, and history. He is a Research Associate at the Joseph Centre for Dignified Work.

A line of people, some old, some young, wait to cross a road.
Palestinian life near the Damascus Gate in Jerusalem, Israel, 2021.
Levi Meir Clancy on Unsplash

The horrors of recent weeks have bought a disturbing reality to the surface: human dignity, the unearned and basic worth of all people, is up for negotiation. As I write these words, a dire conflict rumbles on in Israel and Gaza; the latest horrifying flashpoint in an intractable and brutal conflict. A cacophony of voices in the West are espousing histories, interpretations and solutions. Many of them reveal an implicit sense that only certain lives have an inherent dignity.  

Some praised Hamas’ brutal attack as a just act of decolonisation. The lives lost were not to be mourned, because, in their words, these Israelis were fair game for violence because they are colonisers. They asked for it. They have given up their right to the preservation of life. Implicitly, these voices suggest that human dignity is conditional; their actions have taken away their inherent value.  

Just as troubling is the apathy as thousands of Palestinian men, women, and children in Gaza are slain in their homes. Many of our leaders are silent about this unimaginable loss of life, as if it does not represent a tragedy, and as if they are just the collateral damage of war. The implicit message is that human dignity has preconditions, that only certain kinds of people get to have it in the first place, and that these particular Palestinians do not.   

Why should our rational autonomy or other capacities mean that we have an unearned worth? 

It is, in some ways, unsurprising that human dignity is up for negotiation in this way. Secular discussions of human dignity often ground it in the human person.  

In the philosophical tradition, following Kant, many consider our inherent dignity to be grounded in our capacity to make choices, be autonomous, and exercise reason. In other words, the capabilities which separate us from animals give us all an unearned worth or status.  

Others will point to our sentience, our capacity for creativity, empathy and caring relationships, or our membership of the human species. Hence, our inherent dignity is grounded in something that we do or possess, over and above the rest of creation. The problem with this grounding is that it can, at times, seem arbitrary. Why should our rational autonomy or other capacities mean that we have an unearned worth? It is little surprise that dignity is so often overlooked in practice.  

To respect this dignity, we must allow each person to live out this gift. Each person must be allowed to be free to think and act, without having their life violated or cut short. 

In contrast, Christians root the dignity of every human person in something altogether outside of them: the unbreakable love of God. It is a cornerstone of Christian belief that God loves every person who has ever lived and will ever live, regardless of what we have done or will do. “Nothing can separate us from the love of God”, as St Paul put it. God’s love for us is so profound that he became human and died for our sins so that we might be reconciled to Him.  

Central also, is the belief that God is omniscient, he knows everything that can ever be known, and he does not make errors of judgement. For Him to love us without any conditions of who we are or what we do, is to affirm that we are all inherently worthy of love.  

Our inherent dignity, is, therefore, grounded in something far more fundamental than something we do. It is rooted in the love of the creator of the whole universe. If we believe in the Christian God, therefore, we also accept the supreme value of every person. 

God’s gift to all of us expands on this picture. Genesis, the first book of the Bible, tells us that God made all humans in His image.  In this, God gives us the gift of reflecting his goodness and love here on this earth. He has granted us the capacity to use our minds to think about God and abstract things, to live lives marked by His love, joy, peace, justice, and courage. He calls us to use these capacities to nurture and care for creation just as He does. Since God is infinitely valuable; those made in His image are too. Hence, this gift gives us an inherent dignity. To respect this dignity, we must allow each person to live out this gift. Each person must be allowed to be free to think and act, without having their life violated or cut short. Crucially, this gift is unconditional. No matter what we do, we can always turn back to God and accept his gift of reflecting His goodness. There are no preconditions for who God gives it to. He freely offers this gift to all.  

Returning to Western responses to Israel-Gaza, we see that the Christian vision of human dignity does not countenance celebration of or apathy toward this loss of life. Some people saw Israeli deaths as unworthy of grief because they believe their actions forfeit their right to life. They implicitly see human dignity as conditional. In contrast, Christians believe our inherent value is unconditional, God will never cease to love us and will never take away our ability to reflect His goodness. Indeed, the death of Palestinians has been met with apathy and silence by many in the West, much as human tragedies in the Middle East often are. Implicit to this response is the sense that human dignity has preconditions, it is only extended to certain groups, those who live similar lives to us. The Christian vision objects here. God’s gift has no preconditions, it is freely offered to all. All possess an inherent dignity. This is not to pre-judge the complex questions of how to deal with the heart of the Israel / Palestine conflict, but it is to say that as we do so, the value and dignity of every human life must be paramount in the decisions taken   In the midst of this darkness the Christian message offers hope: every death is a tragic loss beyond all imagination and measure because all are infinitely valuable in God’s sight.