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
Comment
Economics
Generosity
5 min read

This year’s Budget won’t define your future

Dare to be generous in a time of constraint
Rachel Reeves holds a red briefcase up.
Chancellor Rachel Reeves preps.

There’s been much speculation about what Chancellor Reeves will announce on November 26, and it seems the country is holding its collective breath, fearing the worst. As a nation we’ve been privy to the disorganised to-ing and fro-ing of our politicians for a while now (but to be fair to the current government, waffling and backtracking aren’t unique to them).  

For many weeks, the political news reporting hinted strongly at Reeves breaking her election promise and raising income tax. With less than two weeks to go, Reeves decided to scrap the idea of raising income tax, which I’m sure is a relief to many. But the fact that she was steadfastly planning to go back on her word before retreating at the last minute does little to nurture public confidence.  

So, we’re left in a fog of uncertainty and confusion, with very little good economic news to look forward to. Do I paint a bleak picture?  

The real question is, how should I respond as a Christian?  

Living in tension 

So much of the Christian faith is about holding two seemingly contradictory truths in tension. We live in the natural world with all of its limitations, but we also live in a supernatural reality (what Christians call the Kingdom of God) where naturally impossible things become possible.  

One of the tensions surrounding this Autumn Budget – and our present moment – is that despite the government clearly not being able to offer viable solutions, the public’s dependence and expectation on the government to offer such solutions seems to be increasing. The result is perpetual disappointment in our politicians.  

But this shouldn’t surprise us. Democracy’s biggest weakness is that elected politicians are incentivised to say they are making decisions for our benefit, all the while making decisions that are in their own best interest in order to stay in power, offering the public the occasional short-term win at the expense of long-term gain.  

God operates in a different way entirely. He genuinely plays the long game for humanity’s benefit. Though at times it may appear that he is slacking on his promises (i.e. why is there so much sickness and abuse in the world if he is our healer and protector?), but he holds the big picture in mind. We might ask for something and not get it, but he will give us something better because he knows what we really need. He might allow us to fall flat on our faces, but he has a bigger redemption plan waiting for us. Our earthly government does not.  

In that light, we can trust God when his arm appears to be too short, because we know that he will work all things together for our good. His character does not change and His principles aren’t sacrificed on the altar of survival. He’s seen the end from the beginning, and he is committed to his purposes and plans. Unlike our earthly government, God is able to provide above and beyond what we can ask or think. He is able to supernaturally multiply meagre resources. He is able to make a way where there seems to be no way.  

The hard part is, he does require of us to walk in trust and obedience. But this is what true freedom is.   

Dominion  

For Christians, this bleak economic environment presents a great opportunity to be encouraging personal agency and creativity. This is a time to be leaning into entrepreneurship and collaboration, a time to challenge the pervasive narrative of scarcity. In other words, it’s a great time to exercise dominion to a greater degree than we ever have before.  

Considering how badly various parts of the Church have handled this mandate throughout history, it’s understandable that the word dominion might raise a few eyebrows. I want to be clear that dominion is not another word for imperialism or colonialism or any other ‘ism’ that seeks to exercise control over people. Biblically, exercising dominion means to make all of creation flourish, to create order out of chaos, and to bring all things under the Lordship of Jesus Christ. It’s what God commanded human beings to do at the very beginning of our existence, and it’s what Jesus reaffirmed in the Great Commission.  

We do this by modelling a Kingdom way of doing things that brings about righteous results. We do this by thinking differently, by being transformed by the renewing of our minds. We do this by moving in the opposite spirit to the one that is driving the rest of the world.  

Generosity 

We cannot exercise Godly dominion without pressing into generosity. This one is hard, because as so many of us can attest to, budgets are tight, our pay checks aren’t reaching as far as they used to, and it’s incredibly tempting to give in to fear and worry that we won’t have enough. I certainly struggle with this.  

The tension is: when we believe that our God is generous beyond measure, we confidently take a step of faith to continue giving. With the complete understanding that how much we give may need to vary depending on what kind of season we’re in, the truth is that we have resources to share, monetary or otherwise.  

I want to emphasise that generosity isn’t just about giving money. It’s a much fuller picture that furthers the ministry of reconciliation. By giving of all that we have and are, including our time, our hospitality, our attention, our emotions, and our power, we are inviting people into a reconciled relationship with God and man. Our generosity should ultimately be about reflecting the profoundly generous nature of God and the way He consistently brings hope and restoration where things have been badly broken.  

Our response 

It’s crucial to remember that we cannot reflect God’s generous nature without the Holy Spirit. He is present to help us discern how to make God’s Kingdom known in this fog of uncertainty and confusion. He is with us and will lead us.  

We don’t know what’s ahead; the Autumn Budget may or may not have a significant impact on your situation. But if you’re feeling worried about how your finances are going to stretch to the end of the month, God is with you in your lack. And if you’re feeling secure in your ability to remain financially comfortable and weather the storms, God is with you in your abundance.  

Regardless of which category we find ourselves in, our best response is to hold things lightly before the Lord, knowing that everything we have is from him, and everything we have is to be stewarded for his glory.  

Ultimately, our freedom isn’t determined by government policy or the Autumn Budget. Neither is our freedom determined by how much or how little financial security we have. Our freedom is found in maintaining a posture of trust and obedience, and a heart that dares to be generous in a time of constraint. 

Stewardship UK sponsors series 8 of the Re-Enchanting podcast. Find out more.