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“Medicine is being strangled”: MSF doctor on the collapse of Gaza's health system

“Without an immediate ceasefire and sustained medical and humanitarian access, there will be nothing left to save in Gaza,” says Dr. Mughaiseb. “Not the hospitals. Not the patients. Not the future.”

Patients are lying in corridors of Nasser Hospital in southern Gaza.

With no beds available, corridors and outdoor areas at Nasser Hospital are filled with patients in early August 2025. Israeli forces bombed the hospital compound on August 25, 2025, killing 20 people, including a freelance photographer and journalist who worked with MSF. | Palestine 2025 © MSF

Over the last 22 months, Israel’s all-out war on Gaza, Palestine, has left the Strip’s health care system in tatters. Health facilities and medics have been continuously targeted, leaving 50 percent of all hospitals out of service, and those that remain open are only partially functional. 

The near-total siege on Gaza imposed by Israeli forces since March has left facilities without critical lifesaving supplies, and health care staff without sufficient food. At the same time, in July, facilities across Gaza saw the highest influx of hospital admissions since October 2023. Dr. Mohammed Abu Mughaiseb, deputy medical coordinator for Doctors Without Borders/Médecins Sans Frontières (MSF) in Gaza, speaks to the disastrous situation of health care on the ground and calls, once again, for a ceasefire.
By Dr. Mohammed Abu Mughaiseb, MSF deputy medical coordinator in Gaza

 

Gaza’s health care system is a broken shell, barely functioning, crushed by the deliberate destruction of every aspect of life here, including the very institutions meant to save lives.

What we’re seeing today in our medical facilities is a wave of patients unlike anything that came before. The flood of patients is unprecedented. It’s not just the victims of airstrikes and bombings. It’s people with chronic illnesses who can no longer access treatment.

Patients overflow into the corridors at Nasser Hospital in Gaza, Palestine.
Patients from the overflowing corridors at Nasser Hospital in Gaza in early August 2025. Israeli forces bombed the hospital compound on August 25, 2025, killing 20 people, including a freelance photographer and journalist who worked with MSF. | Palestine 2025 © MSF

Food distribution points have become killing fields

Now we have a new horror: the so-called “food distribution points” supported by Israel through the Gaza Humanitarian Foundation (GHF). Places that are supposed to support starving Palestinians have become killing fields. The attacks at these sites are increasing the daily influx of wounded people, as Israeli forces open fire on civilians gathering for food.

Surgical waiting lists are so long that patients often die before we have the chance to operate. 

In July 2025, MSF teams in Gaza treated hundreds of trauma patients, numbers reaching the highest levels we have ever recorded in the Strip. 1,200 people were hospitalized in just one week at the end of July—a significant increase from June. The World Health Organization (WHO) reported 13,500 injuries in Gaza in July, which is higher than anything we have seen since the first three months of the all-out war in 2023.

Some MSF clinics currently shut their doors by 9:30 am due to overcapacity, after treating more than 200 people in just a few short hours. 

A teenage boy with a bandaged and bloody shoulder lies on a hospital bed in Gaza, Palestine.
Ashraf, 17, went out to find food for his sisters to eat for breakfast. Thirty minutes later he called his mother to tell her he had been shot. | Palestine 2025 © Nour Alsaqqa/MSF

Survivable injuries can be a death sentence in Gaza

These patients we see are only a fraction of the number of people who need medical care. Our teams must limit the number of patients they see each day because without additional medical supplies, beds, or staff, we simply can't provide adequate care for more people. Many people die before they can reach us. Others lie bleeding for hours in overcrowded emergency rooms and in packed corridors. Wounds that would be treatable anywhere else become death sentences here.

We see amputations, gaping infected wounds, shattered bones, and torn arteries. Wounds that need urgent surgery and intensive care. But these lifesaving departments are collapsing. In the remaining hospitals across Gaza, there are not enough painkillers, anesthetics, antibiotics, external fixators for fractures, or surgical instruments.

Patients overflow into the corridors at Nasser Hospital in Gaza, Palestine.
With no beds available inside, corridors and outdoor areas at Nasser Hospital are filled with patients. | Palestine 2025 © MSF

Every hospital is overrun. MSF facilities run at over 100 percent capacity, while some Ministry of Health hospitals have reached over 200 percent, including Al-Shifa Hospital. Surgical waiting lists are so long that patients often die before we have the chance to operate. 

Hunger is another threat, as doctors work 24-hour shifts on one meal a day. Patients with burns, fractures, or massive wounds receive small, nutrient-deficient meals. Without protein or enough calories, bones don’t mend, burns don’t heal, and infections spread.

The flood of patients is unprecedented. It’s not just the victims of airstrikes and bombings. It’s people with chronic illnesses who can no longer access treatment. 

Before October 7, 2023, Gaza’s health system was already fragile. Today, it is barely surviving, overwhelmed by massive patient numbers, collapsing supply chains, deepening hunger, and the targeting of civilians. Preventable deaths and permanent disabilities are our daily reality. At the same time, according to the WHO, at least 14,500 people are in desperate need of medical evacuation for specialized medical care that they cannot receive in Gaza, as there are no services available. Instead of facilitating these evacuations, the Israeli authorities arbitrarily block or delay them

For the 675th time in this war, I say it again: Without an immediate ceasefire, without sustained medical and humanitarian access, there will be nothing left to save. Not the hospitals. Not the patients. Not the future. 

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