Israel’s methodical destruction in Gaza has taken on many forms—photograph by Mohammed Ibrahim.

A week after the Hamas attacks on October 7, 2023, a large explosion incinerated a parking lot near the busy Al-Ahli Arab Hospital in Gaza City, killing more than 470 people. It was a horrifying, chaotic scene. Burnt clothing was strewn about, scorched vehicles piled atop one another, and charred buildings surrounded the impact zone. Israel claimed the blast was caused by an errant rocket fired by Palestinian extremists, but an investigation by Forensic Architecture later indicated that the missile was most likely launched from Israel, not from inside Gaza.

In those first days of the onslaught, it wasn’t yet clear that wiping out Gaza’s entire healthcare system could conceivably be part of the Israeli plan. After all, it’s well known that purposely bombing or otherwise destroying hospitals violates the Geneva Conventions and is a war crime, so there was still some hope that the explosion at Al-Ahli was accidental. And that, of course, would be the narrative that Israeli authorities would continue to push over the nearly two years of death and misery that followed.

A month into Israel’s Gaza offensive, however, soldiers of the Israel Defense Forces (IDF) would raid the Indonesian Hospital in northern Gaza, dismantling its dialysis center with no explanation as to why such life-saving medical equipment would be targeted. (Not even Israel was contending that Hamas was having kidney problems.) Then, in December 2023, Al-Awda Hospital, also in northern Gaza, was hit, while at least one doctor was shot by Israeli snipers stationed outside it. As unnerving as such news stories were, the most gruesome footage released at the time came from Al-Nasr children’s hospital, where infants were found dead and decomposing in an empty ICU ward. Evacuation orders had been given and the medical staff had fled, unable to take the babies with them.

For those monitoring such events, a deadly pattern was beginning to emerge, and Israel’s excuses for its malevolent behavior were already losing credibility.

Shortly after Israel issued warnings to evacuate the Al-Quds Hospital in Gaza City in mid-January 2024, its troops launched rockets at the building, destroying what remained of its functioning medical equipment. Following that attack, ever more clinics were also targeted by Israeli forces. A Jordan Field Hospital was shelled that January and again this past August. An air strike hit Yafa hospital early in December 2023. The Nasser Medical Complex in Khan Younis in southern Gaza was also damaged last May and again this August, when the hospital and an ambulance were struck, killing 20, including five journalists.

While human-rights groups like the International Criminal Court, the United Nations, and the Red Cross have condemned Israel for such attacks, its forces have continued to decimate medical facilities and aid sites. At the same time, Israeli authorities claimed that they were only targeting Hamas command centers and weapons storage facilities.

The Death of Gaza’s Only Cancer Center

In early 2024, the Turkish-Palestinian Friendship Hospital, first hit in October 2023 and shuttered in November of that year, was in the early stages of being demolished by IDF battalions. A video released in February by Middle East Eye showed footage of an elated Israeli soldier sharing a TikTok video of himself driving a bulldozer into that hospital, chuckling as his digger crushed a cinderblock wall. “The hospital accidentally broke,” he said. Evidence of Israel’s crimes was by then accumulating, much of it provided by the IDF itself.

When that Turkish-Palestinian Friendship Hospital opened in........

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