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Congress must uphold US law and suspend security assistance to Israel

MSF USA joins more than 80 organizations calling on the US to end support for atrocities in Gaza and secure a surge in humanitarian aid.

A large crowd of Palestinian aid seekers in Gaza, where starvation has taken hold.

Palestinians are risking their lives to access food at distribution sites run by the so-called Gaza Humanitarian Foundation. More than 1,000 people have been killed while seeking aid, the vast majority at GHF sites. | Palestine 2025 © MSF

Doctors Without Borders/Médecins Sans Frontières in the United States (MSF USA) joined more than 80 other organizations today in an open letter to the US Congress calling for urgent action in response to Israel’s near total siege and restrictions on humanitarian aid in Gaza. We are witnessing an engineered humanitarian catastrophe and mass starvation in the Gaza Strip. Lawmakers must use all available tools, including the suspension of US security assistance in compliance with section 620I of the Foreign Assistance Act, to end the atrocities and secure a surge in lifesaving humanitarian assistance to people in Gaza.

Dear Members of Congress,


We, the undersigned organizations, write to express our grave concern regarding the preventable humanitarian catastrophe and mass starvation in the occupied Gaza Strip. We urge you to use all available tools, including the suspension of US security assistance in compliance with section 620I of the Foreign Assistance Act, in order to secure an immediate surge in humanitarian assistance and an end to the ongoing atrocities. As many of our organizations argued previously, continued US security assistance to Israel despite Israel’s near total siege and restrictions on humanitarian aid is a violation of US law. We urge you to take swift action to comply with the law and end US support for the catastrophic suffering Israel has imposed on Palestinians in Gaza.

As the United Nations and humanitarian organizations have been warning, starvation and the humanitarian crisis are rapidly worsening throughout Gaza. The humanitarian system is being deliberately and systematically dismantled by the Israeli government’s blockade and restrictions. Alarmingly, the latest Integrated Food Security Phase Classification (IPC) warned on July 29 that the worst-case scenario—famine—is currently unfolding in Gaza. In addition, the IPC states that “humanitarian aid remains extremely restricted due to requests for humanitarian access being repeatedly denied and frequent security incidents. Despite the easing of the blockade on May 19, only a trickle of humanitarian assistance, mainly food, has entered the Gaza Strip.” Food assistance, however, requires extraordinary risks to access. According to the UN Human Rights Office, the Israeli military has killed more than 400 Palestinians and injured more than 3,000 since May 27 while trying to access aid.

Unconditional US security assistance in violation of the law and continued support for the Israeli government as it restricts aid with impunity has resulted in an engineered humanitarian catastrophe in Gaza. 

Since October 7, 2023, the Israeli government has dramatically tightened restrictions on US humanitarian assistance into the Gaza Strip. The government has fully blocked the entry of humanitarian aid at various times, most recently between March and May of this year; conducted military strikes on humanitarian workers and sites; destroyed critical infrastructure essential to the survival of the civilian population; implemented a deadly new aid distribution mechanism that reduces the number of distribution sites across Gaza; and repeatedly killed civilians seeking assistance.

Such restrictions and attacks have been documented repeatedly throughout the war and therefore cannot be seen as isolated instances, but the policy of the government of Israel. Human Rights Watch determined that the Israeli government was committing a war crime by using starvation of civilians as a weapon of war in the Gaza Strip; and Oxfam documented war crimes committed by the Israeli government due to its destruction and weaponization of water in Gaza.

Meanwhile, the United States continues to provide Israel with unconditional arms transfers and other military support. Congress has appropriated more than $21 billion in security assistance for Israel since October 7, 2023. In part to fulfill that assistance appropriated by Congress, the Biden and Trump administrations have announced more than $30 billion in potential arms sales, including a sale two months ago for munition guidance kits that have been documented to have been used unlawfully in Gaza.  

Israel’s restrictions on humanitarian aid are not only morally indefensible, they also violate both international and US law. Section 620I of the Foreign Assistance Act (22 U.S.C. § 2378–1) prohibits the United States from providing security assistance or arms sales to any country that “prohibits or otherwise restricts, directly or indirectly, the transport or delivery of United States humanitarian assistance.”

Unconditional US security assistance in violation of the law and continued support for the Israeli government as it restricts aid with impunity has resulted in an engineered humanitarian catastrophe in Gaza. We urge you to take all actions at your disposal to end US support for these horrors, enforce US compliance with the law, and use your leverage to bring about an immediate and permanent end to the atrocities, the release of hostages and unlawfully detained prisoners, and access to lifesaving humanitarian assistance.

Sincerely,

National and International Organizations:

A New Policy 
Action Corps 
American Friends Service Committee 
Amnesty International USA 
Arms Control Association 
Cairo Institute for Human Rights Studies (CIHRS) 
Center for Civilians in Conflict (CIVIC) 
Center for International Policy Advocacy 
Center for Jewish Nonviolence 
Church World Service 
Coalition for Peace Action (CFPA) 
CODEPINK Women for Peace 
Community Alliance for Peace and Justice (CAPJ) 
DAWN 
Demand Progress 
Disciples Palestine Israel Network 
Doctors Against Genocide 
Doctors Without Borders/ Médecins Sans Frontières USA 
Episcopal Peace Fellowship Palestine Justice Network 
Evangelical Lutheran Church in America (ELCA) 
Foreign Policy for America 
Freedom Forward 
Friends Committee on National Legislation 
Friends of Sabeel North America (FOSNA) 
Healthcare Workers for Palestine 
Historians for Peace and Democracy 
Human Rights First 
Human Rights Watch 
Institute for Policy Studies, New Internationalism Project 
Just Foreign Policy 
MADRE 
MedGlobal 
Middle East Democracy Center (MEDC) 
MPower Change Action Fund 
National Priorities Project at the Institute for Policy Studies 
Our Revolution 
Oxfam America 
Pax Christi USA 
Peace Action 
Refugees International 
Sisters of Mercy of the Americas – Justice Team 
The Episcopal Church 
The Quincy Institute for Responsible Statecraft 
The Tahrir Institute for Middle East Policy (TIMEP) 
The United Methodist Church – General Board of Church and Society 
Unitarian Universalist Peace Ministry Network 
United Church of Christ 
United Church of Christ Movement for Palestinian Solidarity (UCC MPS) 
Women for Weapons Trade Transparency 
Win Without War

State and Local Organizations:

Bethlehem Neighbors for Peace 
Brooklyn For Peace 
California Palestine Solidarity Coalition 
Delawareans for Palestinian Human Rights 
East Brunswick, NJ for Ceasefire 
Evanston Ceasefire 
Genesee Valley Citizens of Peace 
Global Justice Committee, New York Progressive Action Network 
McKean County Green Party 
Progressive Democrats of America – Central New Mexico 
Maine Coalition for Palestine 
MARUF CT (Muslim Advocacy for Rights, Unity and Fairness) 
Massachusetts Peace Action 
MO Utopia Project 
Minnesota Peace Project 
News and Letters Committees 
NJ Peace Action 
NH Peace Action 
North Carolina Dems for Palestinian Lives 
North Carolina Peace Action 
NY8 Neighbors for a Gaza Ceasefire 
Pax Christi New York State 
Peace, Justice, Sustainability NOW! 
Peace Action of San Mateo County 
Peace Action Maine 
Peace Action New York State 
Peace & Social Justice Committee of the 15th Street Friends Meeting (Quakers) 
Peace and Justice Coalition of Prince Georges County MD 
Plymouth for Palestine 
Raising Luminaries 
SE MA Coalition for a Free Palestine 
Showing Up For Racial Justice (SURJ) Bay Area 
Southern Oregon Peace Vets 
United Methodists for Kairos Response (UMKR) 
WESPAC Foundation, Inc.

How MSF is responding to the war in Gaza