Blockades
After Gaza elected Hamas in 2006, Israel began a land air and sea blockade banning, a litany of items from entering, included medical equipment such as x-ray machines, electronic imaging scanners, lab equipment and elevators for hospitals.
The level of medical services available falls far short of residents’ needs, and there is a constant shortage of medicines and medical equipment. In 2022, as in previous years, patients who need medical care unavailable in Gaza are the ones to pay the price: Israel forces them to file for permits to leave the Gaza Strip in an exhausting bureaucratic process, extending also to the persons accompanying them. The criteria for approving these requests are unknown and the grounds for rejection are never disclosed. Many of the requests go unanswered, and patients must apply time and again without knowing whether they will ever get the permit they desperately need to reach hospital in the West Bank, East Jerusalem or Israel.
In keeping with its past policy, Israel rejected thousands of applications in 2022, denying more than 20,000 requests by patients and persons escorting them to access medical care in hospitals outside Gaza. Some applicants received no answer at all by the scheduled appointment.
According to World Health Organization (WHO) figures, 20,411 applications for medical exit permits from the Gaza Strip were submitted in 2022. About 51% were for treatment in East Jerusalem hospitals, about 31% for hospitals elsewhere in the West Bank, and about 18% for hospitals within Israel. The Israeli DCO rejected 6,848 (34%) of the applications, in some cases directly informing patients their application was denied and in others providing no response before the scheduled appointment. Of the applications submitted, 9,641 were for women, 2,935 (30%) of which were rejected; 6,254 were for minors, 1,906 (30%) of which were rejected; and 3,875 were for patients over the age of 60, 843 (22%) of which were rejected. Additionally, 219 patients were called in for interrogation by the Israel Security Agency at Erez Crossing as a condition for examining their application, including 66 cancer patients, 38 women, and 26 patients over the age of 60. The vast majority of these – 91% – were rejected.
Total blockade - After Oct. 7, Israel imposed a total blockade, which has made it hard to determine how many Gazans have stared to death due to the ensuing famine, the whole of Gaza, 2.2M people, were subjected to food insecurity at an emergency level, the highest number of people facing catastrophic hunger ever recorded on the IPC scale, making it the most intense man-made famine since the Second World War.
Airstrikes destroyed food infrastructure, such as bakeries, mills, and food stores.
Israel rejected over 100 aid requests since Gaza ceasefire, UN says. The United Nations said on Thursday that Israeli authorities have rejected more than 100 requests to bring relief materials into Gaza since the ceasefire began nearly a month ago.
UNWRA Contingncy - The Israeli Foreign Ministry drafted a document detailing a three stage plan to push UNWRA out of Gaza. (Stage 1: Smear UNRWA; Stage 2: Reduce its operations in Gaza; Stage 3: Replace it completely to destroy Palestinians' right of return.) This coincided perfectly with the ICJ citing UNRWA as a source for the on-going genocide.
Other means
ZAKA - In 2015, the Israel Medicine Association issued guidelines regarding “mass casualty incidents” and how to prioritize the order of medical attention according to the injury severity following objective medical standards. In response, ZAKA’s “operation unit commander” stated that “he puts aside medical consideration and decisions are made on who deserves treatment based on whether they are Jewish.” This policy was dictated by the religious ruling by Rabbi Chaim Kanievsky, who said during the discussion: “If it’s clear he is an Arab, don’t save him.”
Crown Heights Incident - The Crown Heights riots in Brooklyn occurred in 1991 after a Hasidic man crashed his car into a pair of seven year old black children. The Jew, who had a few scratches, was rushed to hospital by a private Hatzolah ambulance, which refused to pick up the two gentile children, one of which died and the other was left severely injured.
Killing/detaining doctors
Gaza war (2026) - Israeli Defense Minister Yoav Galen ordered over one million residents in Gaza's north to relocate south or be killed: ''Those who want to save their life, please go south.''
Gaza's north contains all of Gaza City and the largest hospital in all of the Gaza Strip, Al-Shifa. Four hospitals in the northern Gaza Strip were rendered no longer functioning, and another 21 were ordered by Israel to evacuate. The doctors refused to evacuate, saying that the evacuation would cause the death of many patients, and the UN warned that the fuel for the generators in the hospitals would run out, endangering the lives of thousands of hospitalized patients. Dr. Muhammad Abu Silima: ''It's absolutely impossible to evacuate the hospital. There is nowhere in Gaza that can accept the number of patients in our intensive care unit, or neonatal intensive care unit, or even the operating rooms. If someone doesn't die from the bombardment, then he'll die from the lack of medical service.''
The NYT reports that while fleeing, an Israeli airstrike struck a convoy of vehicles trying to flee the north along a main highway, according to the Palestinian Health Ministry in Gaza, killing 70 people and injuring 200.
Cutting off Electricity
Israeli protesters preventing food aid
Israeli protesters blocking food aid: ''No, they don't deserve it. What I care? Kill them. What I care?''
Israeli protesters blocking food aid: ''...and as the bible says this place is for us, it's promise for us... so they can starve to death.''
Member of the Knesset, Moshe Arbel, dancing in a ring, blocking aid trucks from Joran into Gaza:
Footage 8:
Israeli protested cheering after the succeed in forcing an aid truck to turn around:
The Flour Massacre (2/29) - On video, the IDF opened fire on thousands of civilians waiting for food aid southwest of Gaza City, causing trucks to speed off running over more. At least 112 Palestinians were killed and more than 750 were wounded.
6/1/25 - On the first day of GHF distributions in southwestern Rafah, Israeli forces fired tanks and quadcopters into the crowd, killing 31 Palestinians. The IDF stated it fired "warning shots".
6/3 - Israeli tanks and helicopters fired near the al-Alam roundabout in western Rafah, killing at least 27 people waiting for aid. Doctors treated dozens of victims with severe 5.56mm and 7.62mm bullet wounds.
6/11/25 - Separate military strikes and gunshots targeted civilians waiting near the Netzarim Corridor (central Gaza) and Rafah (southern Gaza), killing 44 to 60 Palestinians in a single night.
6/17 - Israeli tanks and drones shelled a massive crowd waiting for flour trucks near a stuck vehicle in Khan Younis. Local health authorities confirmed 51 to 59 people were killed and over 200 were injured.
6/20 - Israeli forces opened fire at a GHF distribution hub near Nuseirat, killing 23 Palestinians and wounding 100. UN children's agency UNICEF publicly warned that the highly restricted, militarized GHF centers were turning food acquisition into a "death trap".
7/11–12 - Israeli forces fired upon an aid queue in Rafah, killing 10 people. By this date, the UN officially verified that 798 aid-related deaths had occurred since the GHF's inception.
7/14 - Israeli artillery shelled the GHF distribution site in the As Shakoush area of northwestern Rafah, killing two and injuring nine.
7/19–20 - Gunfire at a northern Gaza distribution point killed 93 Palestinians waiting for UN aid lorries. Simultaneously, live ammunition fire at a southern location killed over 30 others.
7/30 - On July 30, Israeli forces opened fire near the Netzarim and Murag corridors, killing 49 Palestinians in a single day as they attempted to reach newly permitted aid trucks.
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