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
Leading
Politics
5 min read

Canadians are riled up: who's got the plan to meet the moment?

A restless nation looks to what’s next.

Emerson writes on geopolitics. He is also a business executive and holds a doctorate in theology.

Ice hockey players fight in front of a goal
Canadian and American hockey players fight it out.

Canada is on edge. The world feels more volatile than it has in years, and at the center of the political storm is the looming presence of Donald Trump. With a Canadian election called this past Sunday, Canadians are fixated on a single question: who among our leaders is best equipped to deal with the return of Trumpism?  

It is not just about diplomacy; it is about defining Canada's role in a world that is growing more uncertain by the day. 

Right now, two figures are in competition: Mark Carney and Pierre Poilievre. They are, in many ways, opposites. Carney, with his economic expertise and international standing, represents a polished, globally respected leadership style. Poilievre, by contrast, channels raw frustration, presenting himself as the anti-establishment fighter ready to take on both the political elite and external threats.  

The country is divided, with polls showing both men running neck and neck. The choice before Canadians is not just about policy; it is about the kind of leadership style they believe can best meet the challenges ahead. 

Canadians are restless and want a leader with a clear plan - a person who is willing to fight but who also has a strong, actionable vision for the country. Empty rhetoric will not suffice; voters want substance behind the message. They want to know that the elected leaders - and their team - can actually deliver.  

This moment demands a different kind of leadership, one grounded in values and virtues that resonate with Canadians. This is because Canadians want to know that their next leader has substance, given the lack of this over the last decade.  

Among these, community stands out as essential. Communities are not just social units; they are the backbone of resilience. In times of crisis, as I argued in a previous article Canada’s Long Hot Summer, strong communities determine whether a nation weathers the storm or succumbs to decline.  

The plans devised by the Federal government, and in partnership with Canada's thirteen provinces and territories, will need to be delivered at the community level. It will not be government bureaucracies but rather communities pulling Canada through upcoming challenges.  

Community is not just about togetherness - it is about shared responsibility and the willingness to take action. Historically, the strength of Canadians comes from pulling together in times of crisis, not from passive compromise. We built our communities with a sense of collective responsibility, recognizing that our prosperity depends on our willingness to support our neighbors. 

Canadians respect leaders who fight for their values while delivering results. In hockey terms, we admire the hard-working, two-way player who battles in the corners and delivers when it counts - not someone who plays a careful, neutral game. A leader who embodies that spirit, who presents a clear, actionable plan for Canada’s future, will resonate deeply with voters.  

Indeed, the last ten years for Canada have been anything but this: all words and no action.  

There is therefore a delicate balance between channeling people's justified frustrations and a focus on presenting a better future.  

Now is the time to reflect on individual and shared values and virtues. My own personal and political values are those of integrity, honesty, pluralism, self-reliance, ingenuity, and a commitment to protecting the most vulnerable. Values and virtues are not abstract ideals; they are practical necessities in a rapidly changing world.  

For instance, integrity means acting in accordance with one’s principles and delivering on promises. Honesty is about telling hard truths, even when they are inconvenient. Pluralism acknowledges the richness of the Canadian people and the need for different perspectives at the decision-making table. Self-reliance is not about isolation; it is about ensuring Canada can stand on its own economically and politically without over-reliance on others. Ingenuity is about fostering a culture of innovation that keeps Canada competitive in an era of global transformation. And protecting the vulnerable is not charity - it is about creating a country where everyone has the opportunity to contribute meaningfully. 

A leader who can embody these types of principles (or any principles) while also presenting a concrete plan for Canada’s future will resonate with voters. 

While Pierre Poilievre has had difficulty adapting to the election of Donald Trump and is losing ground in the polls to Carney (a previous 20-point lead now reduced to one), he remains in a good position and can achieve victory by adapting his messaging and policies to the world we are in.  

Anger and a focus on the brokenness of Canada is not what Canadians want; dissatisfaction needs to be channeled in a way that is more forward-looking. What can Canadian communities achieve together, based on our shared values and virtues, translating words into actions? Answering this question clearly and authentically is key to Carney's success.

This election is not just about choosing between Carney and Poilievre - it is about what kind of Canada we want to build. Canadians will not be satisfied with vague assurances of moderation or status quo politics.  We do not want the same old, and this is where Carney must be careful - bringing voices into his team from beyond the ancien régime. A plurality of voices is powerful. 

We want a leader who will take decisive action and who brings real change.  

As Canadians, we do not just watch history unfold; we participate in it. We built one of the world’s strongest economies, and now we face the challenge of defending it in an era of deglobalization and shifting alliances. Canada has the resources, the talent, and the spirit to succeed, but we need leadership that understands how to harness that potential. 

The political landscape is shifting, and Canadians are ready for change.  

The question is no longer just who can stand up to Trump; it is who has the plan, the resolve, and the leadership to ensure Canada thrives in an uncertain world. That is the ballot question, and it will define the country’s next chapter. 

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