The human cost of the Israel-Gaza war

A veteran volunteer surgeon laments a well lived life.

Tim Goodacre

Tim Goodacre is a reconstructive plastic surgeon, and volunteer at a hospital in Gaza.

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.

The trouble with identity politics

Identity politics reflected two great longings, a desire for uniqueness, and a need to belong. It’s time to ditch it.

Graham Tomlin

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

A head and shoulders portrait consisting of large disc-like pixels that obscure the real person..

Photo by Vadim Bogulov on Unsplash.

I’ve been watching the remarkable documentary series Once Upon a Time in Northern Ireland, and there is one story in it I can’t get out of my mind. Richard Moore was a ten-year old boy in Londonderry in the early seventies. Charles Inness was a 30-year old British soldier in the Royal Artillery stationed in the city at the time. During a local disturbance in 1972, Inness fired a rubber bullet to disperse a crowd of youths throwing stones at a RUC base at exactly the moment the ten-year old Richard crossed his line of fire. The bullet hit the young boy in the eye, blinding him for life.

Many years later, Moore expressed a desire to meet the man who fired the gun. And so, in 2006 they met. The British soldier, cautious, a little stiff and very proper, was initially defensive, refusing to apologise as he still felt he had acted rightly at the time and in the circumstances. Moore persisted, not out of a desire for vengeance or recrimination, but simply wanting to understand. Gradually the two became friends and Inness eventually found a way to say he was genuinely sorry.

The history of the troubles in Northern Ireland is full of stories of people being murdered simply because of one part of their identity - that they were Protestant or Catholic, UDA or IRA, British soldier or Irish Republican. What struck me listening to this story was Moore’s tenacity, to get beyond the simplistic identity of Inness as ‘the soldier who took away my sight’.

Summing up what he had learnt, Moore said: ‘Finding out who he was changes everything. To me, he’s no longer a soldier, he’s a human being. A father, a grandfather – it makes a person very real. And that’s a good thing.’ There seemed to me a gem of wisdom here that can get us past much of the polarisation of modern life.

“There are two striking human passions, the passion for uniqueness and the passion for union.”

Tom Morris.

‘Identity politics’ was a term borrowed from social psychology in the 1970s and quickly gained traction. It was an attempt to enable marginalised people to find solace and support with one another, by focussing on the common characteristics of one aspect of a person’s identity. It tried to help bring particularly disadvantaged groups together by describing the common experiences they had faced.

Since then it has gained a great deal of traction and generated much controversy. So why did it hit such a nerve?

The philosopher Tom Morris once wrote:

“There are two striking human passions, the passion for uniqueness and the passion for union. Each of us wants to be recognised as a unique member of the human race. We want to stand apart from the crowd in some way. We want our own dignity and value. But at the same time, we have a passion for union, for belonging, even for merging our identities into a greater unity in which we can have a place, a role, a value.”

Identity politics was a reflection of these two great human longings - our desire for uniqueness, and our need to belong. On the one hand we all want to be special, unique, different from everyone else. On the other hand, we want a tribe to belong to, whether defined by gender, race, sexuality, nationality or the like. And so, we choose an identity that defines us, marks us off to the world, and gives us a group to belong to.

Identity politics began with good intentions. Yet the way it is often used means that it encourages me to think that once I have labelled someone with a particular characteristic, that is all I need to know about them. If I know they are black or white, privileged or deprived, young or old, gay or straight, conservative or progressive, and so on, then I know all I need to know. I can then embrace them as one of my tribe, or dismiss them as different, without any further discernment.

One of the writers of the Psalms, reflecting on his own self-awareness, wrote “I am fearfully and wonderfully made.” The reality is that we are all immensely complex beings with multiple facets, different qualities and a number of overlapping identities. My neighbour may be Asian. And knowing that, I might think ‘I know what Asian people are like – and he must be like all the others.’ Yet he might also be a father, a husband, an Arsenal fan, of Bangladeshi heritage, a doctor, middle-aged, a Labour voter, suffering from occasional depression, a 2 handicap golfer. And so on. These are all part of who he is and if I want to get to know him fully, I need to understand something about all of these elements of his identity. If I fix on any one of these as the final truth about him, and ignore all the rest, I do him a disservice. To reduce the complexity and wonder of a fellow human being to one single characteristic is surely a mistake. It is to fail to do them justice, and display an unwillingness to take the time to understand them. It is, in the final analysis, a failure to love.

The final truth about each one of us can only be what is true of all of us - that we are ‘fearfully and wonderfully made’. In that same Psalm, the writer relates his sense that the God he worships, in a way that is both comforting yet unnerving, knows everything about him:

“you know when I sit and when I rise; you perceive my thoughts from afar, you discern my going out and my lying down; you are familiar with all my ways.”

We are each one known, loved, understood in our very complexity by the God who made us, and invited to become capable of that same kind love – the love that looks beyond the surface to understand the complexities of others – in other words, to grow into the likeness of God.

Richard Moore may have been blinded by that rubber bullet in 1972. Yet in a strange way he learnt to see better than most of us. He learnt to see past the simple identity of Charles Inness as ‘the British soldier who ruined my life.’ He had the tenacity to learn that that this man was, like all of us, both complex and simple - a man with unique relationships, a history, in his own way shaped by his experience, and yet at the same time, worth getting to know in that complexity - that ultimately he was, like all of us, ‘fearfully and wonderfully made.’