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Middle East

War & peace

18 October 2023

8 min read

Israel-Hamas war: the courageous leadership that might solve this most intractable of problems

Amidst the horror of the Israel-Hamas war Graham Tomlin recalls the revolutionary leaders who were prepared to take the bold path away from violence and bloodshed.

Graham Tomlin

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

People walk across the rubble beside a recently bombed building.

Residents of Gaza City walk past a recently bombed building.

WAFA.

How can you say something sensible about the horror that has unfolded in Gaza and southern Israel? The actions of Hamas on October 7th were deplorable. Whatever the perceived justice of a cause, using rape as a weapon of war, kidnapping and killing babies and children, parading terrified kids as trophies of war in a pre-meditated campaign is abhorrent and indefensible. However sympathetic to the Palestinian cause, surely no-one who can imagine the terror felt by teenagers taken hostage, parents fearing what is happening to their children, or the notion of cutting the head off a fellow-human being can celebrate the actions taken by Hamas. The irony of western liberals expressing loud support for Hamas, an Islamist group that is fundamentally opposed to all the ideals of western liberalism is a strange quirk of our confused contemporary moral life.

Of course, these developments need to be seen in the light of the long-running hostility between Palestinians and Israelis, and their supporters elsewhere in the world. The issue cuts right along the already existing fissure of the culture wars, with those on the left generally supporting the Palestinians, sometimes veering into outright anti-Semitism, as the Labour party has discovered, and those on the right supporting Israel, sometimes veering into uncritical support of any action by the current Israeli government – a concession few would offer to any other national government worldwide.

The result is a depressingly familiar pattern. Since then, Gaza has endured constant bombardment, food and power shortages, death, destruction and huge suffering. The infrastructure of the enclave has been destroyed yet again, although more severely this time, leaving the problem of rebuilding hospitals, schools, houses, sewage systems that take years to construct. The people who suffer, like the Israelis who have had loved ones cruelly taken from them, are the ordinary people of Gaza. It may lead to the satisfaction of having punished the perpetrators, but will leave behind a legacy of continued hatred and resentment of Israel that will only erupt again in a decade or so’s time.

The idea that Nelson Mandela would one day wear a Springbok rugby shirt, the symbol of the oppressor, was unthinkable for the young ANC activist – as unthinkable as an Israeli Prime Minister wearing an Arab keffiyeh, or an Arab leader waving an Israeli flag.

Successive world leaders, American Presidents and international commissions have tried to solve this most intractable of global problems. And failed.

Yet other seemingly intractable problems have managed to find a way forward. Tensions between Protestants and Catholics in Northern Ireland haven’t gone away but the violence that accompanied them has largely ceased. Racial inequalities in South Africa remain, but apartheid as a policy is discredited, and again, the threat of violence has diminished.

The common denominator in these places where deep divisions have found some resolution, is a new, re-imagined and bold leadership - on both sides of each dispute. It required a willingness to think the unthinkable and do the undoable. In South Africa it was the courageous and mould-breaking leadership offered by both Nelson Mandela and FW de Klerk. Both did things unimaginable in their respective camps beforehand. The idea that Nelson Mandela would one day wear a Springbok rugby shirt, the symbol of the oppressor, was unthinkable for the young ANC activist – as unthinkable as an Israeli Prime Minister wearing an Arab keffiyeh, or an Arab leader waving an Israeli flag. The idea that FW de Klerk would dismantle apartheid, free Mandela and fully back an election that he was likely to lose to the ANC was again inconceivable when he took power as Prime Minister in 1989.

Similarly in Northern Ireland, the idea of Ian Paisley the embodiment of Protestant ‘No Surrender’ and Martin McGuiness, second in command of the IRA in Derry at the time of Bloody Sunday in 1972, shaking hands and sharing power was literally unimaginable when the troubles were at their height. These were all flawed men, each with some measure of blame for the suffering involved in their countries, yet who saw a better way and had the courage to take it.

Israeli soldiers console each other while searching a home attacked by Hamas.

Two soliders console each other as they search a house that has been ransacked.

Israeli soldiers console each other while searching a house attacked by Hamas.

As is often observed, if the Palestinians had had wiser leaders, there might have been an independent Palestinian state years ago.

Of course, these very public gestures of reconciliation took years of careful negotiation and sensitive diplomacy to achieve. Yet they happened. And they happened because these leaders gradually recognised that the path they were walking down would only lead to ongoing mutual destruction, continued conflict and suffering. As the saying goes, an eye for an eye makes the whole world blind.

This is what has been lacking in the Israel-Palestinian conflict. The Palestinian people have been badly let down by the ineffectiveness and corruption of Fatah, and the senseless Islamist terror of Hamas, exploiting the understandable sense of injustice in Gaza in particular for violent ends. Hindsight is a great thing, but if the Palestinians had had wiser leaders, there might have been an independent Palestinian state years ago, whether through the UN Partition Plan in 1947, which offered 46 per cent of the land to an Arab state, in the 1990s through the Oslo Accords or other opportunities in between.

On the Israeli side in recent years, Prime Ministers like Ariel Sharon and Benjamin Netanyahu have played on the (to be fair, often justified) fear of Israelis, to offer themselves as the security candidates who can keep Israel safe by building a wall or enact tight border controls around Palestinian communities, restricting their movement, as if long-standing Palestinian resentment at the loss of their land will just go away one day if you keep the pressure on long enough.

If his vision of Zionism had won out over the more aggressive version of David Ben Gurion, might this long history of conflict have been avoided?

There have been glimmers of hope. In the lead up to the creation of the Jewish state in 1948, the Zionist philosopher and politician Martin Buber argued for the right of Jews for a homeland, yet also believed the moral test of that homeland was going to be the way they would treat their Arab neighbours. For him, the call on the new Jewish state was bigger than just to provide a safe place for Jews to live, but, in alignment with the Old Testament call on the people of Israel, was to be a blessing to the nations. As he wrote in his visionary book A Land of Two Peoples:

“A true Zionist wants not to rule over his Arab brothers but to serve together with them.”

If his vision of Zionism had won out over the more aggressive version of David Ben Gurion, might this long history of conflict have been avoided?

In the 1980s, Anwar Sadat moved from being the leader of Egypt’s attack on Israel in the Yom Kippur war of 1973 to the architect of a ground-breaking peace treaty with Menachem Begin, Israel’s Prime Minister at the time. Later still, the Oslo Accords of the 1990s offered the possibility of a resolution – land for peace. Yitzhak Rabin and Yassir Arafat shook hands on the White House Lawn, as hopes began to rise of a new dawn for the Middle East.

Yet in both cases it cost these leaders their lives. Sadat’s assassination by an Islamic extremist in 1981, Rabin’s assassination by a Jewish militant in 1995 and the subsequent refusal of both sides to build on these delicate beginnings effectively put an end to the fragile hopes for peace.

Over many visits to that extraordinary land, I have experienced two communities with much in common, living alongside one another, yet with little direct interaction, and often living in fear of the other. Many Jews believe all Arabs want to kill them. Many Gazans think all Israelis want them dead. Of course, some do on both sides, but most people simply want to live in peace without the threat of explosions or being killed, or home demolitions and feeling like second class citizens.

If I have a prayer for the land of Israel/Palestine, it is for bold, imaginative leaders. There was once such a Jewish leader in Israel. There were at the time, as now, fights over who really owned the land - the Jewish people with their roots in the story of Abraham, Moses and King David or the Gentile Roman empire, with might on their side. The question of how should you deal with your enemy was a live one. Different Jewish groups argued that you should hate the Gentile enemy and kill them (the Zealots), blend in with them (the Herodians), avoid any contact with them (the Pharisees), or feel superior to them (the Sadducees). Jesus of Nazareth came up with the crazy idea that you should love them and pray for them, and thus be true children of the God who made both you and your enemy.

Unrealistic? Maybe. And also today, perhaps much too early to talk about such a thing when emotions are so raw. Such a call doesn't deny Israel’s right to reasonable self-defence and the Palestinian right to legitimate protest. But this was the basic idea that lay behind the revolutionary leadership of Nelson Mandela, FW de Klerk, Martin McGuiness and Ian Paisley. Here were leaders who were prepared to take the bold path away from violence and bloodshed.

In each case, it took leaders on both sides to find a way forward. A commitment to such a path on one side alone is not enough. If that is all you have then you get killed, just as Jesus did. And of course, such a path does not avoid the possibility of suffering and even death, as both Sadat and Rabin found out. Yet, in the strange mystery of God’s working, even that - especially that - was the path to peace.

In the depressing cycle of hatred and death, the grieving families of Israel and Gaza, the weeping sons and daughters of Isaac and Ishmael, we can only pray for new leaders who will walk the difficult yet fruitful path of making enemies into friends.

Article

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?"

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.