THE ADAM BUXTON PODCAST - EP.260 - NATALIE ROBERTS

Episode Date: September 30, 2025

Adam talks with the UK executive director of aid agency MSF, Natalie Roberts about working in conflict zones in Yemen and Syria, the fraught conversations that led to MSF calling Israel's actions in G...aza a 'genocide', why the humanitarian emergency in Sudan gets so much less attention than it should and her experiences providing medical assistance at Glastonbury for over-emotional Lana Del Ray fans and pregnant women determined to give birth at the mother of all festivals.DONATE TO MSFFORTHCOMING LIVE SHOWSThanks to Séamus Murphy-Mitchell for additional editingPodcast illustration by Helen GreenListen to Adam's album 'Buckle Up' Order Adam's book 'I Love You Byeee' Sign up for the newsletter on Adam's website (scroll down on homepage)RELATED LINKSWHEN IS IT GENOCIDE? - The Ezra Klein Show - 2025 (NY TIMES)Philippe Sands discusses how to think about the tragedies in Gaza through the lens of international law.EAST WEST STREET: On The Origins Of Genocide and Crimes Against Humanity - 2018 (YOUTUBE)A talk by writer and lawyer Philipe Sands at the Holocaust Living History Workshop and the Library at UC San Diego in 2018. Hosted on Acast. See acast.com/privacy for more information.

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Starting point is 00:00:00 Hello, Adam Buxton here, with news of some live shows, details of which you'll find on my website, adam dash buxton.co.uk. On the 10th of October, I'll be on stage at the Wimbledon Theatre with Samira Ahmed, talking about my book, I love you, bye, showing clips and signing things afterwards. On the 13th and 14th of October, the Adam Buxton Band is playing two nights at the Norwich Arts Centre. Expect songs from my new album, buckle up, great bants, and afterwards, I'll sign things if you want. And finally, on the 6th of October, I'll be appearing at the Royal Festival Hall as part of the London Literary Festival. Expect humorous readings, videos and music followed by, yep, signing. And then, I think that's it for live shows for the rest of this year.
Starting point is 00:00:43 Tickets and info at adam dash buxton.com.uk. I added one more podcast to the giant podcast bin. Now you have plucked that podcast out and started listening. I took my microphone and found some human folk. Then I recorded all the noises while we spoke My name is Adam Buxton I'm a man I want you to enjoy this
Starting point is 00:01:13 That's the plan Hey How are you doing, Podcats It's Adam Buxton here I'm reporting to you From a crunchy Norfolk farm track Under grey skies that are actually
Starting point is 00:01:30 Oh no look Over towards the west The cloud is clearing And the sun is out We've got some blue skies over there That's good isn't it dog legs I'm here with Rosie She's my best dog friend
Starting point is 00:01:44 And her enthusiasm levels today I would put at around five I'm wearing shorts That's how not too bad The weather is out here today On the very last day of September 2025 as I speak. I'll talk a little bit about what I've been up to at the end of the podcast, but right now,
Starting point is 00:02:07 let me tell you about the main conversation in today's episode, which is with Natalie Roberts. She is the UK Executive Director of the International Humanitarian Organization Medesins Sans Frontier, or Doctors Without Borders, aka MSF. Regular listeners will know how much I admire the work that MSF does. and how much they rely on donations from the public, so when people say, as they sometimes do, Buckles, oh, please, tell me how I can show my appreciation for the podcast. My reply is, that's very nice.
Starting point is 00:02:42 If you please support MSF and donate what you can by following the link in the description of today's episode. And they say, oh, okay, I was thinking of like a hug or a homemade badge. Oh, I say, that's awkward. Well, those sound nice, but if you were able to make a donation to MSF, I guess that would be my preference. So anyway, I was going to tell you about the actual conversation with Natalie, which inevitably considering the work that MSF does, touches on not just the war in Gaza, but the conversations around it. And incidentally, as I'm speaking on the
Starting point is 00:03:16 day after Donald Trump announced a new peace plan for Gaza, regardless of the effect that plan ends up having for the region, MSF will still try to be there providing humanitarian assistance to the Palestinian people and whoever else they are able to help out there. Okay, here's some Natalie Facts for you. Natalie Roberts was born in 1979 and grew up in Wrexham, North Wales. When she became a doctor, Natalie specialised in surgery before moving into emergency medicine. In 2011, after having worked in the NHS for eight years, Natalie attended the Liverpool School of Tropical Medicine, where she got her diploma in tropical medicine
Starting point is 00:04:01 and hygiene, which was a compulsory part of her joining MSF. And just to remind you what MSF does, I quote from their website, since 1971, we have been treating people caught in complex crises and chronic health care emergencies around the world. From our pediatric nurses to our off-road, drivers. We are experts at working in fast-moving and highly insecure environments. So whether it's launching a rapid response or delivering community care, we go wherever we are needed most.
Starting point is 00:04:35 It was during Natalie's first placement with MSF in January 2012, responding to an emergency following a typhoon in the Philippines, that she found her calling. And for the next four years, Natalie served as an emergency doctor and coordinator, responding to crises in Syria, Yemen, East Ukraine, Ethiopia, Central African Republic, Pakistan and the Philippines. After her extensive field work, Natalie worked for MSF in Paris as head of emergency programs, where she managed emergency teams responding to crises worldwide.
Starting point is 00:05:13 In October 2022, Natalie moved to London to take on the role that she currently holds of executive director for MSF's office in the UK. My conversation with Natalie was recorded face-to-face in London at the beginning of this month, September 2025. And as well as describing some of the experiences she's had working in conflict zones out in Yemen and Syria, she told me about the conversations at MSF that led to their decision to start talking explicitly about Israel's attacks on the Palestinian people
Starting point is 00:05:48 as a genocide, as MSF have been doing since December 24. We also spoke about why it is that a no less serious ongoing humanitarian emergency in Sudan gets so much less attention than it should. And more lightheartedly, Natalie told me about providing medical assistance at Glastonbury for over-emotional Lana Del Rey fans and pregnant women determined to give birth at the mother of all festivals. But we began by talking about Wrexham and the TV reality show in which American stars Rosie
Starting point is 00:06:23 Don't bark at the deer That is unfriendly to the deer Anyway, what are you going to do about it? Even if I let you off the leash, you are not going to be chasing after those guys. No disrespect. Some taken. What was I saying?
Starting point is 00:06:39 Oh yes, the TV reality show. Welcome to Wrexham. Of course, in which American stars Rob McElheny and Ryan Rennel. take over the running of the Wrexham football team. More Waffle at the end. But right now with Natalie Roberts of MSF. Here we go.
Starting point is 00:06:58 Rambled chat. Let's have a ramble chat. We'll focus first on this, then concentrate on that. Come on let's chew the fat. And have a ramble chat. Put on your conversation coat and find your talking hat. How often do you go back to Wrexham? I go back quite often now.
Starting point is 00:07:39 It's one of the reasons I move back to the UK, because I go back to watch the football. Right. I've got a season ticket. Did you watch that show? Welcome to Rexham. It's quite weird because there's people on there that I've known my whole life. It's quite strange. My brother's girlfriend's uncle is in one of the episodes and stuff.
Starting point is 00:07:54 It is a bit weird. We were a bit worried actually because Rexham's just, you know, it's not sleepy. It's a interesting place. It's quite a poor place. You know, it's had a rough times. And we thought they maybe make us look a bit stupid. But my whole family is from Rexham. But actually in the end, we went like, no, it's okay.
Starting point is 00:08:11 Ryan Reynolds wouldn't make you look stupid. I don't know. That kind of whole, you know, Hollywood movies, I've come to savour town. Sure, I know. Yeah, no, it had patronising written all over it. It did. It's not as bad as all that.
Starting point is 00:08:23 But no, I think they were fairly sensitive, weren't they? And they certainly seemed to have that concern in mind as they were making it. But now Rexham is smashing it. Am I right? It is, yeah. We're in the championship for the first time since, well, the second, you know, the second tier since first time since the late 70s, I think. Right.
Starting point is 00:08:40 I started to watch that show. Yeah. And then my total indifference to sport got the. better of me and I was unable to finish watching it. It also gets a bit, say me to be honest. It's a bit like, oh look, you know, tell someone's story and it's good for me because I know the place. So you grew up in Wrexham. I did. What did your parents do? Are they still around your folks? Yeah, they are. So my dad was a social worker and remained a social worker for his sort of whole life, social services. And my mum actually, I'm one of five, so she didn't work. They got
Starting point is 00:09:14 married really young so she actually stopped her education and they had five kids and then she went back to university later studied at Manchester did you know a degree got a top first you know started a PhD right yeah brain box family well maybe did your dad talk about his work as a social worker he didn't talk about it when I was younger so much um we used to bump into people in the supermarket and he talked to them and then I'd ask him who they were and he say oh just somebody I know um But it became more apparent when I went to secondary school because then a lot of the kids, he worked in children's social services, so quite a few of the kids knew who my dad was. Then when I was deciding I wanted to go and be a doctor, he did start talking about it a bit more, just, I think, to try and put me off a little bit. Yeah, how old were you when you started thinking about that?
Starting point is 00:10:02 I was really quite young, I think it was like 12 or 13, and I don't quite know where it came from because no one's medical in my family. I think I just got this idea in my head. And then my dad started kind of, you know, introducing me to pediatrician. and people he'd met through work and then telling me stories about, yeah, a case, not details, but just, you know, being a doctor isn't a case of just going and saving people's lives. It's about being engaged in their lives, and you have to understand that people's lives are quite complicated. It didn't really work. It didn't put me off, but, you know. What were you imagining? Do you remember what the thing was that attracted you?
Starting point is 00:10:36 I mean, my dad would insist it was about the same time as ER came on TV. I was going to say, and my dad would insist that that's, mid-90s. Yeah, sort of mid-90s. early, early mid-90s, and my dad would insist that it's because I like George Clooney. I'm not sure. And now I would say, no, of course it wasn't, but maybe, maybe there's a point. I don't know. I think you don't really understand the reality of it when you're a teenager. You just think, oh, it's going to be good, I'm going to be helping people, and, you know, it's going to be really cool, and everyone's going to really thank me for everything I'm doing for
Starting point is 00:11:07 them. Yeah. And, yeah, that doesn't happen. But you do live a very intense life. That's one thing that is true, isn't it? I suppose it's more banal in some ways than an episode of ER, but it is lived at a fairly intense pitch, I would suppose. It is. Especially emergency medicine. Yeah. I mean, I actually initially went and trained as a surgeon after medical school,
Starting point is 00:11:30 so I was doing surgical training. And actually, the reason I switched to emergency medicine was because surgery is a little bit, not to be too flippant, a bit like being a car mechanic or a plumber or something. You essentially, your aim is to do the same. thing every time so it's like quite procedural being in the operating theatre and I kind of wanted that bit more liveliness where you're kind of constantly trying to diagnose someone you're constantly being a bit of a detective and trying to work out what's going on with someone and what you need to do about it and that's what you get more in emergency medicine you're kind of constantly making those
Starting point is 00:12:05 you don't even realise you're making those choices but you're making choices about well what do I think's going on with this person and therefore what should I do next and then how does that they respond to what I've done, and then... More kind of detective work. Yeah, and it's not just in terms of the procedure. You don't just going to go, oh, I think this person's having a heart attack, so I'm going to give them these drugs. A lot of it is very social, and that's another thing with surgery, is you're not, your patients are sleep on the table half the time. Whereas in the emergency department, you talk to someone, and they might come there saying, I've got a headache, but actually, underneath, the problem is something else.
Starting point is 00:12:39 It's not that they've got a physical problem. It might be a mental problem. it might be a psychological problem, it might be a social problem. And you have to kind of have all of that in your mind. And there's huge parallels between that actually and humanitarian work, in that you, the same thing really is you kind of see what you can do at that time. And you can't address the root causes necessary. That's not your job and that's not your role.
Starting point is 00:13:02 And it can be quite frustrating, but you have to just kind of go, well, I can do something right now about this. And that's, in some ways, you have the luxury of saying, well, my job is to do something. right now and not have to think about the picture, which is in some ways, yeah, quite a privilege, I guess. Yes. I wanted to ask you about being in Yemen.
Starting point is 00:13:21 So, 2015 you were there, is that right? Yes, and then I was there again, actually, in 2016. Yeah, I went to the north and I went to the south. Yeah. And so that's an ongoing humanitarian crisis. It is. It's slightly changed. It evolves.
Starting point is 00:13:35 I mean, even between 2015 and 2016, I was in two different places. So when I was in the north, it was really a situation where at the time a sort of Saudi-led coalition was sort of bombing all over the place. Attacking the Houthis. Yeah, they were attacking the Houthis who'd kind of started a rebellion and were controlling most of the northern and central territory. Because they didn't like the president at that point. Yeah, there was a president in Sana, the capital, and the Houthis had driven the president out. And then the president had fled to Saudi Arabia. and the Saudis had started then attacking the Houthis on his behalf.
Starting point is 00:14:13 But there's a whole lot of geopolitics going on behind that. Right. Houthis are also backed by Iran. The Houthis are backed by Iran and some others. And the president that was outgoing was backed by Saudi and some others. And there's a lot of sort of other issues going on in the region. I think it is important to understand. You don't need to understand a big geopolitical situation. I think it's almost better to go in with and talk to people.
Starting point is 00:14:38 you know and talk to people around you and try and understand a bit what's going on and of course bearing in mind that no one's objective right i mean they're living in that situation but you try and piece up a little picture of who is who what's going on who actually really controls the yeah the power here and how do you find that out though have you got a team at msf who say okay you're going out next week here's what you need to know about how things work out there you're going to be in an area that's controlled by huthies here's how to deal with them yeah to the to to a big extent, yes, particularly in places, there's some places like Yemen, we've been working for a very long time, you know, Palestine, Democratic Republic of Congo, Nigeria, we've
Starting point is 00:15:18 been there for decades. MSF is only 50 years old and we sort of almost started in Nigeria and we've kind of almost been there ever since in different ways. So there's always people who will brief you and it was part of my job for one point of time to brief people. I was head of emergencies so I would be explaining to people who were going out there what was going on what we were doing out there who some of our contacts were you know it wasn't just a here's your job description go out and you try and get people to to have an understanding of what's going on also because essentially often we're working in very dangerous places and you don't want to send people it's almost a duty of care to not send someone somewhere if they don't feel informed of what
Starting point is 00:16:01 risks they're taking when they go out there. It can be a little bit more complicated when you're maybe the first person going somewhere and particularly where it's somewhere we haven't worked before. So I was one of the sort of early groups of people going into northern Syria and MSF hadn't been working in Syria before and I ended up being sort of one of two people going into an area where we'd never been before. When was that? That was 2012.
Starting point is 00:16:27 So actually very, very early on in my MSF career. Yeah. I didn't we didn't have any contacts on the ground we had a few kind of names maybe but otherwise we didn't really know what was going on there and then you have to be a bit more cautious and take your time can you remember like I'm interested to know how do you fly where do you go to who transports you where do you stay what do you eat like what's the routine like we didn't have permission from the Syrian government to enter the territory of Syria so what we were doing was flying into Turkey and then flying down such a changing planes in Istanbul and flying down to the border, a town near the border with Syria. And then we had two different ways of getting in. So the first time I crossed, it was kind of an unofficial border crossing into northern Syria. You know, that part of Syria was no longer the territory had been taken by the rebels, what they called the Free Syrian Army at the time.
Starting point is 00:17:21 And there was just a gate in a field. So you used to go at like, you didn't go during the day, highly visible. You just kind of took a little local taxi down to the, gate in the field with a rucksack and then you kind of crossed through this gate into syria and then you know walked a little bit through a field and then got picked up by another car at the other side and then driven to at that point that we just started operating like a little mini hospital in a house actually so it was unmarked and we had the the operating theatre in the dining room and we had the emergency department sort of on the patio outside and it was all very rough and ready and it just
Starting point is 00:17:58 started. I didn't spend that long there. I then got asked to go and open a new project somewhere else in Syria near Aleppo, the city, the other side of Aleppo. So it crossed back out through this gate into Turkey and yeah, drove along, got a taxi to drive us along the border. Just a regular taxi. Just a regular, yeah, a regular taxi company basically. I mean, we had people in Turkey facilitating some of that. But we weren't, because we weren't working in Turkey, you know, we just had a sort of support team in Turkey, yeah, drove along in this sort of regular car to the next border crossing, which actually had been until the week before, I think, or two weeks before I crossed had been an official governmental border crossing. So that was more of your
Starting point is 00:18:39 kind of classic, you know, border crossing from the movies into a war zone, I guess. Guys with machine guns slung across. Yeah, except it would only be recently be taken by the rebels. So everything there was all left behind by the government of Syria. They'd put up a sort of quick sign that said, welcome to free Syria. I've still got it somewhere. In English, there's some spelling mistakes and stuff. It was quite fun, sort of over on top of the welcome to the Syrian Arab Republic. There was a sort of new sign. But otherwise, they looked at my passport. I mean, the rebels actually didn't speak any English, and I didn't speak Arabic, and we didn't have a translator with us there. So I couldn't really ask me too many
Starting point is 00:19:19 questions, sort of showed them, you know, if you had a letter in Arabic explaining what I was doing there showed them that and they stamped my passport with the official syrian governmental stamp so that they were still using that they were still using and then you have to walk and there was a then next to it was a duty free shop which was no longer functioning so i thought oh that's interesting and then you walk another few hundred meters to the other side and we had a contact of a person who knew we were coming and he came and picked us up and we sort of started from there really and and worked our way along and then where do you stay where were you based so there that time we were based, a little village near the border initially, where we were looking
Starting point is 00:20:00 at opening a hospital. And so they gave us sort of the Free Syrian Army and the people, the civil society, I guess. So they sort of local groups, local community groups who started running their own services to some extent had welcomed us with opened arms and said you can open the hospital in this kind of, this area where there's some, I don't know what it was before it was a hospital but there were some buildings they said you can use those to convert into a hospital and so yeah you've got a little gang of fixes and allies yeah and they say okay look I think I know I can find a place for you guys to stay and so they're sorting out all those logistics yeah yeah they help you basically and they become part of your team yeah and at the beginning you start
Starting point is 00:20:41 working with that small team and then as time goes on you develop what's your action plan what are we trying to do and then you recruit the people either locally or you bring it more international staff in and then you build up your team and then you, with your team, you have to build up your processes and things become a little bit more institutional, I guess. But those first early days in a new place, particularly where you don't know anybody, they're probably quite dangerous, but they're also some of the most fun, I think, because you're... Getting to know the personalities and...
Starting point is 00:21:06 Yeah. And are they people, are they the equivalents of people like you? Are they doing it for the same sorts of reasons? It's difficult to know motivations, and I always think it's a bit difficult to judge motivations. And actually, we have to be quite careful in the humanitarian sector. to not assume that people are coming to work for us because they want to do good for the world. I mean, that's a nice ideal, right? Everyone wants to work as a humanitarian because they really committed to the ideals of humanitarianism.
Starting point is 00:21:34 But we have to recognise that we've seen, you know, anywhere where you have access to vulnerable populations, people's motivations might be something very different. So we have to always keep an eye on that, you know, the people with nefarious intent. You know, we've seen it in the Church of England. You see it in youth groups. And you could see it just as easily anywhere we work as well. People who take advantage, basically. People take advantage.
Starting point is 00:21:56 And then, to be honest, the majority of people locally that we work with, particularly in the most extreme settings, they're doing it initially because it's a job. You know, they might, over time, start to ascribe to the principles of humanitarianism. And a lot of people who started MSF as a job locally, you know, 20, 30 years ago, and now in very senior positions in MSF. But they might just be doing it to earn some money. You know, I think our driver at the beginning, he just wanted some cash.
Starting point is 00:22:24 And there's no jobs in a war zone. So, you know, there's different motivations for working together. Yeah. And then how do you handle interacting with people who are directly involved with some of the conflicts that you're dealing with the results of? Like if you're, you know, the obvious example now is Hamas in Gaza, but also the Houthis in Yemen and whoever it might be. And you're having to interact with these people who are in control of those territories. And yet you're aware that they are, to varying degrees, responsible for the crisis. I mean, you do have to interact with people because first and foremost,
Starting point is 00:23:02 you have to negotiate your own safety and your own security and your own access. And so you can't do that without engaging with people. And that might be, you know, the my, my arm groups in the east of the Democratic Republic of Congo or that might be the local council and it's important to engage in all levels the same way we also have to engage with the government I mean even in Syria we tried to engage with the government of Syria they didn't want to talk to us
Starting point is 00:23:30 but most times we will sort of say we want to talk to you and it's not a judgment it's not a judgment of we support your ambitions you know we're apolitical in some ways but we have to be political with a small P because we have to understand what's going on around us So we engage with people. But you're not pursuing a larger political agenda.
Starting point is 00:23:52 No, we're apolitical and that we don't have a political agenda, but we have to engage in politics. Right. Because otherwise we wouldn't be there. So it's one of those things where it's difficult to teach people how to do that somehow. I mean, I don't know if I was ever really taught. I accompanied other people who are more used to doing that over, and over time got a bit of a sense of how to talk to somebody when you're, you know, when they're really quite scary. and you're going to a meeting somewhere and you're thinking,
Starting point is 00:24:19 oh, this is a really scary character. But you do have to talk to them. And the way you talk to them is really about sort of explaining what you're doing there. And rather than kind of saying, and this is good for you because you assume they're not stupid. You assume they can see the interest in you being there. And if they clearly state that they have no interest in you being there,
Starting point is 00:24:40 then you have to think again about whether you are there or not. But what you can't really do is say, well, I'm refusing to speak to that one because I don't support his political project because it's not about supporting or not supporting this political project. It's about you negotiating your own presence on the ground and the fact that you want to assist people. And that can be some of the most complicated conversations is when you're meeting somebody and telling them
Starting point is 00:25:07 that you want to assist a population that they're actively attacking. And those can be some of the most complex conversations you have. because, you know, right now it's extremely difficult to engage with the Israeli authorities because they don't particularly want us assisting Palestinians in Gaza. At the same time, they can't say that, you know, they can't say, or we don't want you to go and assist Palestinians in Gaza. Well, the narrative from a lot of pro-Israelis is that you're actively assisting Hamas and that you are enabling them to stockpile aid, et cetera, and that's the reason that...
Starting point is 00:25:43 Yeah, and we're confident that we're not. And so we can say quite clearly because we're on the ground, we are not assisting Hamas, we're assisting, you know, the population of Gaza and the Palestinians in Gaza, and you can't equate every Palestinian in Gaza with Hamas. And that would be extremely problematic for many reasons, and that essentially is genocidal language. So if we're going, when we do have to negotiate with the authorities in Israel, we have to work from the basis of they can't say, you're not allowed to assist Palestinians in Gaza because they're all Hamas. and we have to make it clear why we are confident that we're not assisting Hamas and come to that shared agreement of there are people in Gaza who need assistance. But if fundamentally the actor is not acting in good faith, then you don't have trust in that conversation necessarily.
Starting point is 00:26:31 And that can be more or less complex depending almost on the level. There's international politics, there's local politics. It can be a bit more complicated, you know, if you're working in a village in, in Yemen and you're trying to explain, okay, well, actually we're going to go and help this group of people that are kind of pretty much outcasts and people go, but they're outcasts. I don't want you helping them. I want you helping me. You have to really convince why you're prioritising that group of people and not helping, you know, the group of people that he might want you to help. Right. So you're just trying to assess it on the basis of who needs care most urgently. Yeah, pretty much. You know, you have to sort of prioritize. And that's where I think the parallels are with working in an emergency department. You know, you're constantly triaging. And it's triaging on the basis of need.
Starting point is 00:27:22 It's also triaging. What is the definition of triage? Triage is like a concept. It's actually a concept from war zones. I think it came from war zones originally. But we use it all the time in A&E in Britain. So I was really familiar with it before I joined MSF. Is it a French word?
Starting point is 00:27:37 I think it is a French word, probably. We use a lot of French words in a weird way. There's another one, Témoinage, which MSF loves, which essentially means to bear witness. But it turns out that even in French, it's not the right word, really, but we use it anyway. But, yeah, triage is that, you know, the way it's applied in British emergency departments is that nurse, you know, you're going to reception and you say, this is my problem. And then you'll see a nurse, and the nurse will categorise you. And we'll sort of say, well, your top priority and your low risk priority. The way it's applied in MSF is a little bit different because, you know, it's a little bit different because, you know,
Starting point is 00:28:12 if you're looking at a situation, you can't say, well, we're going to do everything here. So you have to kind of go, well, let's try and get a sort of understanding of where the priorities lie. Match that up with what we can provide, because we can't always meet different needs. So we can do this. This is what they need. How can we match those up? And that can be really difficult if, for example, you've opened a hospital, it's a maternity hospital, and then somebody comes in with a gunshot wound.
Starting point is 00:28:36 And you say, well, we just don't have the capacity to deal with you. so it's an ongoing process and it's again a little bit I guess at times can be traumatising but you just have to kind of live with your choices and be ready to kind of review your choices you make choices and then you have to go well actually was I right sure I mean this is I guess mistakes must be made all the time and your enemies will kind of focus on what they see as your worst mistakes and hold those up as typical of your shortcomings and if you have an individual case where, you know, what can be really problematic for your safety and your team's safety is if, if somebody comes in with links to the group that's controlling the territory,
Starting point is 00:29:20 either, you know, a competent from the group or more likely just a family member or something, you know, you might have a woman who arrives too late in childbirth and then the woman dies or the baby dies, that can be really, really problematic for your own security and your own presence on the ground, whether or not you could have done anything about it, because they will hold you responsible for that, because that person died in your hospital. And that's something that you, yeah, you just have to assume that that can happen at any time. You can't mitigate for everything. You can't negotiate everything in advance. Are you able to talk about the conversation at MSF leading up to MSF calling the situation in Gaza a genocide?
Starting point is 00:30:07 I can actually, yeah I mean it was a long conversation I think there are some people in MSF it was a difficult conversation because we're a big organisation these days you know we have something like 27 or more
Starting point is 00:30:21 actually 30 offices around the world we have 60,000 staff I come from a huge number of nationalities different backgrounds we have a huge range of political opinions and thoughts we have a lot of people who are Palestinian as staff, we have a lot of Jewish colleagues, and they've been very emotional discussions. I think everyone's been having those same kind of emotional charged discussions about
Starting point is 00:30:48 what is going on in Gaza and how do we put aside our own kind of feelings and look at the situation at hand. And I, you know, particularly about calling it a genocide, it's a big thing, you know, it's, you know, arguably maybe not our role as a humanitarian organization to call out a genocide. We've done it a few times. We did it in Rwanda, but we don't do it very often because we're not really, in some ways, the experts to judge. And that's why some of our colleagues felt we were too slow, because some of our colleagues believed it's been a genocide for, you know, since 1947 and people were bringing in other elements into the conversation that ended up being debated, you know, that weren't kind of objective elements. The reason we decided to court a genocide
Starting point is 00:31:32 I was really based on our objective evidence, the fact that we have been working on the ground in Palestine since, you know, very, very long time now for decades. We have about a thousand Palestinian staff in Gaza. We have 40 international staff in Gaza. And, you know, we were witnessing daily things happening and actually our staff were experiencing things happening that we just said in the end that you can't say it's not a genocide, essentially, rather than taking that approach that maybe the UK government is taking. of well we don't have enough evidence to say it is a genocide it's like well you don't have enough evidence to say it's not a genocide i mean the the idea is that it's notoriously hard to prove genocide because it's all about the intent to eradicate a certain group absolutely of people and that's so hard to to prove did you did you ever read that book east west street oh i haven't read that one
Starting point is 00:32:24 no you know it's philippe sands who's a humanitarian lawyer and it's all about how those terms were developed by a couple of men after the Second World War and how they were used in the trials at Nuremberg. And the kind of relative merits of the idea of genocide versus crimes against humanity. And the potential problem that genocide has of creating kind of hierarchy of suffering that ignores the horror of crime. crimes against individuals or crimes that, you know, are not necessarily perpetrated against groups of people.
Starting point is 00:33:07 So it ends up being this kind of political tool. Yeah. Yeah, yeah. Genocide is one of those words like famine. Famine's another one. And actually, part of our thinking about it and part of my thinking about it was in conversation with people like there's a scholar called Alex DeVal, who writes a lot about famine, actually.
Starting point is 00:33:24 And we invited him to come and speak at one of our conferences. And he explained, he got down to some of the. simplistic concepts of kind of saying, well, technically to prove a famine, you need to have the data that proves mortality from malnutrition. So it's not just, oh, we're seeing a lot of starving people, look at this picture of starving people, you know, but you need to have all this scientific proof. And it can take, in some of the places where famine is happening, you'll never get that evidence, essentially. And he started saying, and probably the same thing with genocide, it's a debated term, it's a contested term, you know, how do you prove intent?
Starting point is 00:34:00 And is it kind of, he was sort of actually challenged us back. Is it your job to prove that intent? Or is it your job to go back to some of the basics? He did challenge as well a little bit on what's the point of calling it a genocide. And I think that was one of the conversations as well that was quite difficult to have. Of what would be the point of MSF calling this a genocide? Yeah, because then you sort of step into a political arena. There's nothing, there's no way that you can pretend that you haven't done that
Starting point is 00:34:26 because you are implying that there is intent on behalf of the Israelis. to eradicate her. And speaking from the perspective of MSFUK, you can express your moral outrage in many different ways. You don't have to call it a genocide to express your moral outrage about the fact that 12 of our colleagues have been killed now and every single one of our colleagues
Starting point is 00:34:46 has been forcibly displaced and all the horrible things that even our own colleagues are experiencing, never mind the rest of the Palestinians. And there are plenty of ways expressing moral outrage. Speaking on behalf of MSFUK, one of the reasons we really supported calling it a genocide was because there is international law around this. There is that international commitment that's been signed up to by the UK government, along with others, to act to prevent genocide.
Starting point is 00:35:17 And what we can see from the UK is they are kind of, they're now focusing more on that, well, there's not enough evidence to prove intent. So therefore, we can't judge it a genocide and we'll have to wait. for the legalistic definition to be proven, which might take two, three, four years, in which case, you know, it's too late for them to meet their commitments to prevent it. So we are entering a political arena with that, but it's a political arena because we think, well, actually, there's nothing else we can do here. You know, we still have teams on the ground, but their capacity to actually have any form of impact on this is so limited.
Starting point is 00:35:54 So it becomes a case of when you're thinking about triage and when you're thinking about what the most urgent course of action is, it is inevitably political to some degree. Yes, that's where we got to. Whereas the only way this needs to stop, that was our conclusions, this needs to stop now. And we've tried to pull all the other levers we've got to try and make this stop, and it's not stopping. So where are the levers we haven't pulled yet? And the lever we hadn't pulled yet was political.
Starting point is 00:36:21 It doesn't mean it will work necessarily. But it really was, you know, on behalf of our Palestinian colleagues, we are going to pull that big lever that we don't do very often. but we did feel it was it was that time and I know a lot of people were happy that you did as well as there being people who were who are going to be critical of you and I suppose some of the things those people would say is that you're then compromised going forward and you're you'll never really be able to claim that you are an apolitical organization going forward do you worry about that I don't worry but too much about that I've heard it from people I also think we have been supported in our stance by some me, people are not just, it's not about whether you're left wing or right wing on this one. You know, when we did come out and sort of state it very clearly, not just that it's a genocide, but in the UK, we said we think the UK government is complicit, we were a bit worried about that. We weren't worried about the risks, so we were worried about how
Starting point is 00:37:14 the general public would perceive that and whether people would feel somehow that we were letting them down. We got a few complaints. We got a few people who said, well, yeah, we think you're entering a political arena, it shouldn't be your arena to enter. We got a lot more support. And conveniently, well, or, you know, I'm not sure if it was convenient, but it's, it coincided with Alistair Campbell and the rest is politics, you know, kind of essentially saying the same thing, having that conversation on this, you know, a huge podcast, the massive audience, sort of saying, well, actually, looking at their argumentation, I agree with it, really, and it doesn't mean we should all believe what Alistair Campbell says either, but it just helped
Starting point is 00:37:54 people to think through the steps of how we got there. And so we had some people saying, I don't fully support it, but I understand why you've said it. We had a few people said, actually, before you said it, I didn't think it was a genocide, but now, when you put it like that, yeah, I do. And it was really interesting to see those coming from even friends of mine who aren't political or who are not necessarily sort of left wing or whatever, or activists at all, kind of saying, well, actually, I think it was right, you know, and I think what we've seen overwhelmingly is support for us doing that. It doesn't mean that we won't make some people unhappy, but I think we've had seen more support from people who said, well, actually, thank you for doing
Starting point is 00:38:38 that, because somebody has to start saying it now, and it needs to not be seen as a controversial extreme opinion. So you can't please everybody all of the time, but I think we, on looking back, I think we, at the moment, I think we've made the right choice. And I think, you know, we stick by that. Yeah, yeah. I mean, I think that is how I felt. Yeah, and I do wonder whether whether some of my colleagues were right, that actually we were a bit late, a bit slow. I mean, we've been writing to the UK government for a long time
Starting point is 00:39:07 without calling it a genocide, calling out things like, you know, breaches of international humanitarian law and asking the government to explain to us exactly how they were involved in this and what support they were providing to this. and it didn't get much attention, it didn't get much traction, and it almost like, was we had to use that big word to get attention and traction? We still haven't managed to have that engagement from the government, but it seems to be kind of, we needed to use that big word to kind of get the traction, I guess. There's a really good episode of a podcast I like, Ezra Klein, New York Times journalist,
Starting point is 00:39:45 and he talks to the guy that wrote that book I mentioned, Philippe Sands. and I would really recommend it to anyone who's, you know, thinking about all this stuff and the idea of genocide and the really complicated history of it and the way that it is being used now and all the head scrambling factors that are at play, especially around Gaza and Israel. It was a conversation I had the other day with, when you have legal advisors, obviously, and even this kind of concept of international humanitarian law and what does that mean. It's so ambiguous in some ways, technically, the basic principles that contain within there are
Starting point is 00:40:28 completely valid. But there's always a way of debating the ambiguities around it. And in some ways, you know, I know an academic called Neve Gordon, he teaches nearby, and he was sort of saying, well, in some ways, international humanitarian law can be weaponised to kind of excuse why you did something. You're not allowed to bomb a hospital. except if you believe the hospital is being used for military purposes. But the burden of proof for that falls currently in Gaza on the people working in the hospital and the people, you know, and the patients and the Palestinians and the people trying to assist the Palestinians,
Starting point is 00:41:04 the burden of proof is not falling on Israel to prove that they had a strong belief that the hospital was being used for military purposes and they had evidence of that. They don't have to, currently today they don't seem to have to have any evidence of that. And, you know, looking back through history, hospitals have been bombed. We had our hospital in Kunduz in Afghanistan was bombed. And we had, when I worked in Yemen, a lot of the hospitals were being bombed. And you can kind of see that the way international humanitarian law is being interpreted in a very technical way, it gives that space to warring parties to say, well, I assumed it was being used for military purposes,
Starting point is 00:41:41 so I bombed it. And they don't have to then provide any form of evidence of that. And that's where we need to have those bigger conversations about, how do we get back to the basic principles of what this looks like, you know, how society can kind of work together in a global sort of sense. Within MSF then, are you able to have these kinds of conversations and disagreements with your colleagues
Starting point is 00:42:04 in a way that doesn't just explode? Are people able to keep it together in a way that, to me, it doesn't seem they are on social media, for example? I think, I mean, we're used to having debates. about topics. It's, it, we have this culture of debate in MSF and I worked in the, you know, in the Paris office for, for six years. And even though MSF is an international humanitarian organisation, it started in France, right? So you have this kind of almost French culture of
Starting point is 00:42:33 debate and discussion and putting things on the table and being able to disagree with each other and then being able to go to the bar afterwards and, you know, have a goal was. Yeah, have a go was. And exactly. And it hasn't changed that much in France. So yeah, pretty much that. I don't, but they do. But yeah, that kind of having those big conversations and challenging each other. And I, when I first moved to Paris, I found it a bit intimidating at first, you know, but what you realize is you have this debate, you have this discussion, you go and around and around and around in circles. By having that, then you get the kind of buy-in, I guess, from everybody. I do feel, though, that Gaza has been something exceptional, even in the
Starting point is 00:43:12 way we talk about it, in the way that people really struggle. to engage in that debate with some modicum of respect for the other person's opinion and that's including within MSF and we've had some really it's not just about people getting upset and emotional we've had you know really some people gone beyond the limit of accusing each other of complicity and whatever and if you don't use the right words you're somehow complicit or if you don't believe it's a genocide somehow you're you're responsible and and I think that's if even in MSF with our culture of debate we're there, then I think, you know, it must be so much worse maybe in other organisations. And we've had to, in my role, I've had to kind of try and take a bit of time away
Starting point is 00:43:55 with the people who feel really, you know, disillusioned by all of this. And I think we will lose people through this debate. And we will lose people who feel that they weren't respected and listened to. And it's kind of sad that we didn't manage when we really had to, to control that debate within the organization. Right. When ultimately you're presumably focused on the same thing, which is trying to help people. That's what, you know, that's what I feel is that at times you start losing that good faith that everybody's engaging in it because they want to, because they recognize the dilemma and they want to, you know, they want us to take the right choices. But at times it can feel that people are engaging in bad faith. They're not engaging because that's their
Starting point is 00:44:39 objective. They're engaging for another reason. And I think that's where we need to kind of rebuild us of trust, that everybody's voice can be heard, but not everybody can be in charge of making the decisions. And like anything else, in some ways, we have to trust each other to listen to each other and then take actions in good faith. And I think it's going to be a bit problematic to rebuild some of the relationships after Gaza. I hope we can. I think most people recognize that it was just such a really complex discussion to have, but I think, you know, there's a risk that some people might still feel disillusioned and kind of feel they don't want to be part of MSF anymore
Starting point is 00:45:20 and that's a real shame. And presumably you didn't have similar conversations around aid in Sudan? No, and that's what's also quite sad. Because that's a crisis that in numbers terms sort of dwarfs everything else. Yeah, and you can't think of equivalence and, you know, Gaza is tiny and it's a really small area of land with a couple of million people and Sudan is huge with millions and millions and millions of people. But what's happening in Sudan is a travesty and what's happening Sudan is not getting enough attention. And that becomes part of the debate as well internally, but it also becomes part of the challenge is how do you get the same level of attention on Sudan as you do on something like Gaza or Ukraine?
Starting point is 00:46:06 And what is the situation in Sudan currently? So in Sudan, essentially, I mean, it's described as a sort of a civil war, but again, there's massive amount of geopolitics going on. So you have a group called the RSF, who in the old days would be called the Janjaweed, who control parts of Darfur. And then you have the Sudanese armed forces, so the government of Sudan, which was extremely instable anyway, running up to all of this, who essentially fighting with the RSF. And that's the sort of simplistic picture. In reality what we see today is there are parts of Darfur where there is famine, famine has been declared, where humanitarian actors can't access safely, where there are massacres of the population happening, huge levels of violence, some of that violence is ethnic violence, so there are groups of the population who are being massacred because of their ethnicity, and tens of millions of people are living in extreme crisis, and those warring parties are being supported by, big states around the world from one side or the other and what is kind of a travesty with Sudan is that so people know there's a problem in Sudan but they don't really understand
Starting point is 00:47:17 the scale of the problem and again they're not really engaging with well how can we support Sudan you know and it was a debate and the discussion that we wanted to have more publicly but people just weren't interested in engaging in that debate publicly people were going oh, it's bad over there in Sudan. There is something different about somewhere in Africa where people are these people over there in Africa, not really thinking that Sudan has a highly intelligent cohort, the population has huge academic institutions.
Starting point is 00:47:47 It's not some kind of people's vision of what Africa is. And I do wonder whether sometimes, yeah, exactly, people's vision of Ethiopia in the 80s. And even that wasn't quite the real vision anyway. But I think that's part of the problem is people do. and it's normal people do struggle a little bit sometimes to empathise with something so far and with a culture they can't relate to etc and also the media i mean you know it is more difficult for the and i'm not blaming the media here but it's difficult for the media to get
Starting point is 00:48:20 into those parts of Sudan and in the same way it's difficult for us to get into those parts of Sudan on the walk with Rosie, just reminding you that if you are able to make a donation to MSF to help support them in the work they're doing in Sudan, in Gaza, in so many other areas of conflict around the world, there is a link in the description of today's podcast. Thank you. I appreciate it. Right now, back to my conversation with Natalie. What are the times that you remember as being some of the hardest and some of the most rewarding? Like, what were the days that were hardest for you?
Starting point is 00:49:08 I mean, I think that the toughest ones were probably the places with the most extreme levels of violence. So, you know, I talked about Syria and the north of Yemen and somewhere like Central African Republic, where I worked in 2014, I think it was, yeah, when it was in the midst of like an extremely violent civil war and you're working, you know, you're despondent because you're working alongside local colleagues who are experiencing this. It's not just that they're, you know, like me, I can get in and I can usually get out. It's not always so simple as that, but I'm there because I've chosen to be there and they haven't chosen to be there. And so, you know, like in Syria, when we were going to support Aleppo, we were living in a sort of,
Starting point is 00:49:52 that didn't have electricity and didn't have running water. We didn't have any mobile phone networks. And we were under the sort of missiles. And we were sort of essentially sheltering in a kitchen because that didn't at least have windows. And you're there with your Syrian colleagues who are sort of sheltering with you, kind of, and they don't know what's going on.
Starting point is 00:50:12 And they have things like, you know, maybe one of their family members has been arrested and detained or maybe someone's being killed. And you're sort of there going, what are we doing here? I mean, what are we trying to achieve? by doing this and it can it just makes you feel a bit helpless and a bit hopeless and you think oh you know the worst thing that could happen here is that I get killed and then probably MSF
Starting point is 00:50:33 would think again about whether we can safely work here and then any form of assistance we're trying to provide would be pointless it's almost a bit futile to put yourself in that in that situation what keeps you going then in those moments when you're having those feelings because there's sometimes the most funny ridiculous moments as well so again thinking about that kitchen in Syria, we had quite, it becomes just so kind of crazy, little things become hilarious. So you become a bit hysterical, you become a bit like, whatever, you know, there's that kind of mash kind of comedy that goes on, which is, you know, all a bit sort of tongue-in-cheek and a bit cynical and whatever, but it, it kind of keeps you going somehow, you're sort of there crouching
Starting point is 00:51:12 in this kitchen, and you're going, this is stupid, why is the kitchen safer than any other room? Or in Yemen, when planes would fly around in the sky, the staff in the hospital that was working at, They weren't MSF staff, they were local staff for the Ministry of Health that wasn't functioning anymore. And they would, every time they saw a plane, they would run out into the grounds of the hospital. And there was a waste pit that we dug there where they put all the kind of hospital waste, old dressings and things like that. And it was covered by a mattress. We did fix it. But when we first arrived there, it was just a pit in the ground covered by an old mattress.
Starting point is 00:51:46 And they would run out and jump into this pit and put the mattress over their heads. And I would, it was somehow like, comic, it was just ridiculous. And afterwards we'd have to have that kind of frank conversation about, well, you know, the hospital has a staircase and there's therefore sort of three levels of concrete above you and the stairs and everything. So isn't that a bit safer than sheltering under a mattress? In the medical waste pit. Exactly.
Starting point is 00:52:10 But it becomes a bit comedic or, you know, in the kitchen in Syria, we'd start, we'd light a pashisha and then sort of sitting around going, well, if we're going to die, we may as well, you know, be smoking a shisha and doing all the things that I wouldn't normally do, but you just think, well, it may as well. So that kind of bonds you build with those people in the most, in the most difficult circumstances, kind of keep you going, I guess. And what else do you do, like, do you get a day off in those circumstances? And then what do you do with a day off?
Starting point is 00:52:38 You try to. I mean, it's, those are the most extreme ones. And a lot of places we work are not that extreme. So I don't want to paint a picture of all doing that. Those are the kind of the worst and the best times. a lot of times you actually running a humanitarian project is a bit like running any other kind of thing,
Starting point is 00:52:55 activity and particularly if you become like the project manager you have to deal with a lot of bureaucracy and a lot of frustration and tiredness is just from kind of filling in forms and sending emails and responding to emails and all their usual stuff and so you make people have days off and there's never a moment when you should say
Starting point is 00:53:12 oh you can't have a day off you need to keep working I've had times what's happened to me where people have kind of gone oh you're getting a bit frazzled, you need a day off. What you can do on your day off is a bit, can sometimes be a bit limited, it depends where you are, you might be lucky in working in, you know, in Addis Ababa bar and you can go and eat in some restaurants and go and see some music, or you might be working in, like, the bush in Central African Republic like I was, where somebody said, you need a day off, here's my laptop, here's my hard drive, it was full of like all the classic movies, and I sat there
Starting point is 00:53:41 and watched, you know, The Godfather 1, 2 and 3 back to back, just because it was something to do, really but you do have to force people to take that time out and if you're staying long term in a place we make sure that people leave and go somewhere and go and sit on a beach somewhere or go and do something different go to the gym yeah go to the gym not feel guilty about it really right and is it possible to engage with things that are totally removed from where you are like to listen to stupid podcasts or whatever it might be i always do i mean when i first joined msf You know, there wasn't streaming so much, and I didn't always have the internet, but my iPod was like my biggest thing, and I would go and, like, download,
Starting point is 00:54:24 particularly music, I'm big into music and stuff like that. And the one rule I had when I joined MSF was, I used to work as a medic at Glastonbury Festival, and when I joined MSF, I was still doing that, and I worked as a medic on the stages, actually. Oh, yeah. So, yeah, it was amazing. I mean, I used to work in the medical tent, and then over time got that slot of being the doctor for the pyramid stage and the other stage. and you would work like a couple of six hour shifts which meant you got to watch the bands
Starting point is 00:54:49 and then otherwise you were free to go to the festival so when I joined MSF they said oh sometimes people are a bit like oh they need Christmas off or they need certain times off and I was like I need Glastonbury off yeah and it became a bit legendary because you know I would be somewhere and they would go oh yeah so and I was in what was called the emergency team so you have to respond you know you sign a year long contract
Starting point is 00:55:11 and they can send you wherever they want but I had it sort of written almost into my contact that I would be coming out for Glastonbury and sometimes your places where it's quite difficult to get out the second time I went to Yemen we got there by boat from Djibouti and the boat only runs twice a week and I was like nope I need to be on that boat because I need to get back and I need to go to Glastonbury and Emily Ivers comes and picks you up in a chopper it's weird because I actually haven't been to Glass to me for years and years now I go to Green Man instead but um oh yeah I'm older now but yeah green man's nice also end of the road
Starting point is 00:55:41 have you been there I have love End of the Road is great who are some of the people that you remember seeing from the side of the stage at Glastonbury that you were thrilled to? I saw the Rolling Stones. Oh, right. Yeah, that was pretty incredible. I think Arcade Fire was one. And did you have to administer emergency assistance for any of the Rolling Stones? I mean, the stage medics, to be honest, I also used the work at Redding Festival,
Starting point is 00:56:02 and mainly your role for the stage medic, I mean, you have to be ready, and it's covering those first few roads of the crowd, particularly, because while you've got sort of first day tents and stuff back there, if you're trapped in those first few roads, rows, you can't get out. And what happens? The worst memory of being side of stage was Lana Del Rey. I mean, I quite like Lana Del Rey's music, but live, I'm not such a huge fan, but it was quite a long time ago. She was on in the daytime. She wasn't headlining. It was quite hot. And a lot of teenage girls had been like waiting to see Lana Del Rey and they were all on the front rows. And I think they got the impression. If you come over the barrier, somehow you get lifted over the barrier, then
Starting point is 00:56:45 somehow you get run off backstage. Uh-huh. And so we had all these teenage girls sort of fainting. And I'm not sure if they were really fainting because they were seeing Lana Del Rey or they were false painting. It was a little bit unclear. But they were all kind of getting hauled over the barriers by the security guards. And then they get run to the side to get assessed.
Starting point is 00:57:03 Usually not by it. There's a kind of a lot of nurses and first aiders and there's any really one doctor. So I didn't have to assess them so much. Yeah. But yeah, they're getting assessed and then they kind of, you know, they really want to stay there. They're really like, oh, no. no and so they're kind of still kind of going oh no can I can I just go I don't feel very well can I lie down backstage and you're like even if you go backstage at Glastonby you're not going to meet Lana del Rey she's in her like truck somewhere she is but so most of the work you end up doing is really if there's something a crush at the front or if someone actually comes over and is sick so um most of the time you're not doing very much at all you're just watching the bands right right yeah it's great it was the best job yeah and then if someone is listening to this and they're thinking I want to work for MSF.
Starting point is 00:57:46 What kind of attributes do you think they need to have? What do you screen for when you're talking to people who want to join? It's a really good question. I mean, first of all, we're not all doctors. I am a doctor, but that's actually relatively unusual in the job I'm doing now, which is more sort of, you know, executive management or whatever. But we're not all doctors. We do medical things, so we have a lot of doctors and nurses,
Starting point is 00:58:11 but we also have all those other support people. So we do need people to be expert somehow, mostly, and experienced. We're not taking, in the medical side, people out of medical schools. We're not taking people in their first few years of medical school. I worked for the NHS for sort of eight or nine years before I joined MSF, and I wonder now if I would have been recruited because they might have had someone more experience than me. So there's the kind of technical side of things of, you know,
Starting point is 00:58:38 demonstrating how you're going to be useful if you work for MSF. And then I think there's, they sort of, their recruitment is quite interesting because it's not a sort of test, it's more kind of discussion. And they start talking to you about, you know, what is your experience of working in difficult environments of living maybe in rough conditions, things like that. And they're, they're quietly judging you about how much do we think you're going to be able to cope if you actually go out there. Have you been to Glastonbury? Well, I did use it. Yeah. I used Glastonbury in the medical tent, particularly in the medical tent.
Starting point is 00:59:11 The stage is a bit different, but the medical tent at Glastonbury, I mean, it is a bit like working in a war zone, you know, if you can work under a tent, I mean, the luxury of Glastonbury is you have a helicopter on standby, but you're still having to make those judgment calls in a field of people who are maybe taking a few things or drunk a few things. Glastomby was weird. You'd have people who wanted to give birth at Glastonbury. One year, I had three pregnant women in labor come to the medical tent and say, I know, I want to have my baby here. And you're showing them this, like, dirty medical. They're content with people with, you know, gastroenteritis, you know, lying on the floor. And I know, I want to have my baby at Glastonbury because they feel it somehow spiritual and mystic and whatever. So I told that story and they were like, oh, if you can do that, you can probably survive South Sudan or somewhere. Fair enough.
Starting point is 00:59:58 What kind of perception do you think people have of the work that you do? I mean, I suppose people like to bandy around the word heroes when you're working in those kinds of situations. Is that how you see it? I really hate the concept of humanitarian heroes. I really just kind of detest it. There's a whole thing about it. And I get why humanitarian organizations do it to try and convince people to support their work, but I really don't like it. For me, I went to go and work for a humanitarian organization to go and see something a bit different and go somewhere a bit different. And there's a need for people to do that, but there's also a need for people to carry on staying working in the NHS and doing the job I did before and there's no better or no
Starting point is 01:00:41 worse I think sometimes it's almost a privilege to be able to go and do that though with the world being in such a it feels like it's such a giant burning mess right now that I'm lucky enough to be able to think oh I'm I'm somehow directly helping people I mean you're on the front line or less directly helping people now but still working for an organization that is helping those people and it can sometimes feel like like for everybody else, oh God, they're better than I am because they're doing that. And I think there are different ways for everybody to kind of express their solidarity with people living in crisis and to do something about the situation that's going on in the
Starting point is 01:01:17 world. And of course, you know, my job is to say that people can always support MSF and that helps, you know, and we're very reliant on people, you know, particularly financially supporting us. That's not the only way they can act, I guess. And you can act by engaging in something really simple, like your local community or whatever. And you know the concept of humanitarianism doesn't need to be these kind of international aid workers humanitarianism is essentially about humanity and and just kind of putting that principle of humanity first and i think that's why i hate the whole humanitarian hero's kind of slogan because i think it really demeans all those other people who are doing such amazing work elsewhere i won't use
Starting point is 01:01:55 it anymore then please don't no i get it i think that's a worthwhile thing to say i'm very worthwhile. Very worthy. You're my hero. Wait. Continue. Hey, welcome back, podcasts. That was Natalie Roberts talking to me there.
Starting point is 01:02:30 UK. of Medcins Saint-Frontierre. I'm very grateful to her for making the time to come and talk to me. Final reminder, please, don't forget. There's a link in the description if you are able to make a donation to MSF to support their work.
Starting point is 01:02:47 Thanks also, if you came along to the Mannington Bookbash at beautiful Mannington Hall in North Norfolk, last weekend I was there waffling with the owner of my local independent bookshop in Norwich, the book hive. Henry, he was talking to me about I Love You Buy,
Starting point is 01:03:10 and yeah, we had a good chat. I played pizza time on my guitar with a backing beat. I don't know, it was fine, but it was a bit like seeing one of your very young children doing a recital at a school performance. Anyway, it was nice to meet some of you afterwards and sign some books, And it was great to meet Nigel Plainer, actor, comedian, writer,
Starting point is 01:03:37 and, of course, Star of the Young Ones. He played Neil the Hippie. And I was interviewing him about his book that he's just written a memoir called Young Once, in which he talks all about his career with particular focus on his time with the comic strip gang, Peter Richardson, Alexei Sale, Adrian Edmondson, Rick Mail,
Starting point is 01:03:59 Dawn French, Jennifer Saunders, amazingly talented group of people, so many of whom featured in the young ones, which was a really important show for me and a lot of people of my generation. We were just exactly the right age, I think. It came out in 1982, so I was 13. And I think I was initially a little bit scared by it.
Starting point is 01:04:25 Or maybe just put off because my dad hated it so much. He thought it was, I don't know what he thought. He just thought it was frightening because it was anarchic. And they used to say, before the show would go out, no, time for anarchic comedy on BBC 2 or wherever it was. I think it was BBC 2 with the young ones. And my dad would stand over in the corner of the room and go, Anarchic, and then shuffle out.
Starting point is 01:04:57 So much of that show is now. ingrained in my consciousness on quite a deep level, many lines. And at one point in my conversation with Nigel, we were talking about the fact that there was a certain amount of snootiness in the alternative comedy scene when it came to American performers and just the tone of American showbiz in general, the kind of glitzy, slightly insincere sheen of performers, like, you know, the Rat Pack and Dean Martin and that kind of thing,
Starting point is 01:05:34 which along with a kind of prevailing entertainment culture of blokes in suits telling mother-in-law jokes that there was in the UK, they were in opposition to, I suppose. Anyway, I said, like, was it you that was in that sketch in the young ones, Nigel, where it's these two cheesy entertainers and they're playing golf or something maybe? And they start singing this weird song. I'm tying my dog to the railroad track.
Starting point is 01:06:04 Chew-choo train's going to break his back. They used to call him Spot, but now he's called Splat. It's a fairly dark song. Sorry, Rosie. It doesn't sound very funny. It's a satire, Rosie. Not funny. Anyway, but Nigel said, oh, I wrote that bit.
Starting point is 01:06:23 And for a few seconds, we started singing it together. And afterwards, I was remembering that Charlie Brooker really liked that bit as well, I think, when Charlie was on my podcast, I think we also sang that together. Anyway, it was a kind of surreal moment, but it was good fun. I really like meeting. Nigel and I recommend his book. If you're a comedy fan, definitely worth picking up. And then I was on Radio 2, talking to Sarah Cox, who's filling in for Scott Mills. She was asking me about the book and she played Doing It Wrong. So that's cool that Doing It Wrong's been on radio too.
Starting point is 01:07:04 I guess we'll be playing Doing It Wrong as well as many other great tracks and perhaps a couple of covers, maybe even a new number or two, on the 13th and 14th of October at the Norwich Arts Centre, where I'll be performing with the Adam Buxton Band, who are Joe Mount of Metronomy, my producer on the album, plus Gabriel Stebbing and Michael Lovett, former and current members, respectively, of Metronomy. I think the 13th is sold out, but they may, as I speak, still be a few tickets left for the 14th.
Starting point is 01:07:40 Hope to see you there. But before that, there's the Wimbledon Literature Festival. I think there's still a few tickets left for that. Me and Samira Ahmed on stage, talking about I love you bye. and other bits and pieces, followed by signing. That's at the end of next week, as I speak, 10th of October at 8pm at the New Wimbledon Theatre. And if you can't make that, or even if you can, I'll try and keep it varied and dig out some other stuff for my appearance at the Royal Festival Hall at the London Literary Festival on the 26th of October at 7.30.
Starting point is 01:08:19 That'll be a show made up of two halves in the first. half myself and a moderator. I'm not sure exactly who it'll be yet, but hopefully someone nice, a friend of the podcast, chatting to me about, I Love You Bye, and TV in the 90s, that kind of thing, more clips. And in the second half, I think I'm going to play a song or two with Michael from the Adam Buxton band on stage, as well as taking questions from the audience and then signing books afterwards. So I hope you can make it along to one of those. Links in the description for tickets.
Starting point is 01:08:58 Oh, it's quite hot now, isn't it, Doug? Okay, that's pretty much it for this episode. Thank you very much, once again, to Natalie Roberts and all at MSF. Thank you to Seamus Murphy Mitchell for additional conversation editing and general production support.
Starting point is 01:09:18 Thanks to everyone who works very hard at ACAST, liaising with my sponsors. Thanks particularly to Joe Copman, who is leaving ACAST after being there over a decade, and Joe is one of the people who welcomed me to ACAST, originally all the way back in 2015, and has been one of the people who's really looked after me since. Thank you so much, Joe, wishing you all the best for whatever you do going forward. but thanks especially of course to you thank you for coming back thank you for listening to this episode
Starting point is 01:09:56 as well as all the other episodes and listening right to the end you are a special friend I think we both know that you're a cut above the average listener I appreciate all of them who dip in
Starting point is 01:10:11 but it's different isn't it to the hardcore who go right to the end and listen of this stuff. I appreciate it. Come here. Let's have a creepy hug. Hey. Good to see you. You're the best. And until next time, we share the same outer space. Please go carefully. And for what it's worth, I love you. Bye! Like and subscribe
Starting point is 01:10:53 Like and subscribe Like and subscribe Like and subscribe Please like and subscribe Give me like a smile and a thumbs up Nice like a smile and a thumbs up Give me like a smile and a thumbs on Nice like a fan for me bum's up
Starting point is 01:11:08 Like and subscribe Like and subscribe Like and subscribe Please like and subscribe Give me like a smile and a thumbs up Nice like a pint for me bum's up Give me like a smile on a thumbs up Nice like a fan for me bum's on
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Starting point is 01:11:46 So, I'm a I'm Thank you. We're going to be. You know, Thank you.

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