
Hypocrisy about Gaza in the NEJM. Hipocresía acerca de Gaza en el NEJM. ENGL ESP
ENGLISH
See update (10 April 2025) at the end of the Spanish comment
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Perspective
Health Care Bridges — Pathways toward Trust in Gaza and Beyond
The NEW ENGLAND JOURNAL of MEDICINE
March 27, 2025
October 7, 2023, two Palestinian physicians awoke to the sounds of bombs exploding and rockets falling. Dr. Abu Fraiha rushed to Soroka Medical Center, the largest trauma center in southern Israel. She spent the day in the hospital’s emergency department treating hundreds of patients who were running away from terror attacks initiated by Hamas, most of them with gun- shot wounds and blast injuries. Many were dead on arrival, their bodies so desecrated that it took days to identify them.
Less than 25 miles away, Dr. Ahmed’s hospital in Khan Younis, Gaza, was bombed, so he went to help out in the Indonesian Hospi- tal, near the opposite end of the Gaza Strip. In the next few days there, he encountered utter chaos: hundreds of patients flooded in, having escaped from bombings by the Israel Defense Forces, with severe burns, amputated limbs, and blast injuries. The hospital struggled to cope, with injured patients being treated on the floor owing to a lack of beds, un- dergoing painful procedures with no anesthetics, and taken care of only by junior physicians and med- ical students, without any mem- bers of the skilled trauma team available to manage the over- whelming number of critical cas- es.
A week later, Dr. Ahmed was forced to leave his home and suddenly found himself the sole doctor caring for 20,000 people in a refugee camp in southern Gaza, treating everything from acute respiratory infections to chronic illnesses, and managing infectious outbreaks in dire con- ditions.
...
March 26, 2025
The World’s Top Medical Journal Is Giving Cover to Genocide
The New England Journal of Medicine has finally broken its silence on Gaza, only to obscure the truth of an American-backed Israeli genocide unfolding in real time.
Last Friday (21st March 2025), Israeli forces, just days after killing over 200 children in a single 24-hour period, blew up the only cancer hospital in Gaza, along with an adjacent medical school. By then, it was clear that Israel had fully resumed its war on Gaza’s hospitals, health workers, and essential health infrastructure.
The next morning, The New England Journal of Medicine published its first-ever article acknowledging the devastation in Gaza. Over the preceding 17 months of what UN investigations and others have declared is an unambiguously genocidal Israeli assault on Palestinian civilians, the NEJM, which is widely regarded as the world’s most influential medical journal, had received countless submissions on the subject and rejected every single one of them. Amid these decisions, the Journal was subjected to repeated criticism for silence and hypocrisy in the face of one of the most pressing, preventable public health catastrophes in recent history.
At long last, the Journal’s silence has been broken. Its long-awaited intervention comes in the form of an article titled “Health Care Bridges—Pathways toward Trust in Gaza and Beyond.” A piece on such a charged subject would have been carefully edited by the Journal’s staff, including, most likely, its editor in chief. For a powerful American institution that has waited until now to address US-backed violence in Gaza, the article is as evasive and anti-political as we might have expected.
The piece—written by Yasmeen Abu Fraiha, a Palestinian citizen of Israel, Israelis Noam Alon and Avner Halperin, and Abdalrahman Ahmed, a Palestinian from Gaza—rejects any rigorous accounting of Israel’s crimes against Gaza’s medical infrastructure in favor of gauzy platitudes about how healthcare can be an avenue for “building trust” between two warring populations. “The four of us, Palestinians and Israelis, firmly believe in the need to foster hope and build trust,” the authors write. “While watching hospitals turn into battlefields, we’ve also witnessed firsthand the power of healthcare to overcome animosity and bridge the divides between populations in conflict.” It takes great pains to describe the destruction of Gaza’s hospitals and the deaths of its doctors and patients as an unfortunate byproduct of war, as though bombs simply fell from the sky independent of anyone motivated by genocidal intent and without any connection to a long-standing colonial project.
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ESPAÑOL
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Why is the New England Journal of Medicine promoting 'health bridges' while Gaza's hospitals burn?
The journal promotes medical 'bridges to peace' while ignoring Israel's systematic destruction of Gaza’s health system as part of its genocidal assault on Palestinian life,There has been no report on the systematic targeting of the Palestinian healthcare system, no call for accountability or justice for the more than 1,200 medical workers killed, and no condemnation of the incarceration and torture of hundreds more. Instead, the journal offers a narrow appeal to build trust through joint health programmes.
This editorial decision is deeply political. It promotes a depoliticised narrative of health as a "bridge to peace" at the expense of an ethical commitment to confront the ongoing destruction of the Palestinian healthcare system, Israel's culpability for these crimes, and the structures of power that enable and sustain such violence.
These are not background conditions; they are the central obstruction to any serious effort towards peace.
False equivalence
The article's problematic framing is evident from the outset. It opens with parallel narratives from an Israeli and a Palestinian doctor, each presented as a victim of violence.
While the emotional experiences of both individuals warrant consideration, the structural asymmetry between them is entirely ignored. One works in a fully resourced trauma centre in Israel. The other is violently displaced and left as the sole doctor for 20,000 others in a refugee camp in southern Gaza.
Nowhere do the authors acknowledge that the Palestinian healthcare system has been systematically dismantled, while Israel's remains intact
By presenting these narratives side by side, the article constructs a false equivalence - portraying both as equally harmed and jointly responsible for the breakdown of trust that the authors claim must now be rebuilt.
Nowhere do the authors acknowledge that the Palestinian healthcare system has been systematically dismantled, while Israel's remains intact - and in many cases, actively serves its war effort.
This article reflects a broader pattern within medicine, medical institutions and the editorial cultures of leading journals - one that erases Palestinians, dehumanises their experience, and sidelines their political rights.
As healthcare workers and public health advocates, we have a responsibility to expose and challenge these narratives before they become the basis for further harm. We join others in doing so here.

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