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Siege of Gaza: MSF denounces new aid mechanism proposed by US and Israel

Conditioning lifesaving assistance would violate humanitarian principles and turn aid into a tool of coercion.

Displaced Palestinians wait in line to get the clean water from a water station in Tal Al-Sultan, a neighborhood in the southern Gaza town of Rafah.

Palestinians line up for water at an MSF distribution in Rafah in January 2024. Gaza has faced severe shortages of essential supplies since the start of the war, but the total siege imposed by Israeli authorities since March 2 has exacerbated the already-dire crisis. | Palestine 2024 © MSF

As hunger deepens and Gaza's health system collapses, the US and Israel are pushing a new aid mechanism, which raises widespread ethical, legal, security, and logistical concerns, said Doctors Without Borders/Médecins Sans Frontières on Wednesday.

The plan—centered around the so-called Gaza Humanitarian Foundation—seeks to bypass UN-led coordination and place aid delivery under direct Israeli control, effectively forcing a militarized system on humanitarian organizations, donors, and civilians, said MSF.

The United States, the UN, EU member states, and all those with influence over Israel must urgently use their political and economic leverage to stop the instrumentalization of aid.

Avril Benoît, CEO of MSF USA

Rather than facilitate access, the plan threatens to further institutionalize obstruction, instrumentalize aid, and entrench the Israeli occupation. By conditioning lifesaving assistance on displacement and compliance with Israeli screening, the plan violates humanitarian principles. Making aid conditional on forced displacement and vetting of the population would be another tool in the ongoing campaign of ethnic cleansing of the Palestinian population. MSF firmly rejects and condemns this plan of full control over who receives aid. We  cannot accept a system which subjugates humanitarian aid to military and occupation objectives.

We are witnessing, in real time, the creation of conditions for the eradication of Palestinian lives in Gaza, said MSF.

People hold empty pots waiting for a food distribution in Gaza.
Children wait in line for food at a community kitchen in northern Gaza in February. | Palestine 2025 © Nour Alsaqqa/MSF

The obstruction of humanitarian aid is a direct violation of UN Security Council Resolution 2720, which calls for the unimpeded delivery of humanitarian aid to civilians. Claims that aid is being diverted by Hamas remain unverified and in no way justify such measures. As the occupying power, Israel must facilitate impartial humanitarian assistance for the population in need.

“The United States, the UN, EU member states, and all those with influence over Israel must urgently use their political and economic leverage to stop the instrumentalization of aid,” said Avril Benoît, CEO of MSF in the United States. “Humanitarian supplies, food, fuel, and medicines must be allowed to reach the people of Gaza now. Humanitarian aid must reach all the people who desperately need it.”

A baby is screened for malnutrition in Gaza.
A 5-month-old child is screened for severe acute malnutrition at Nasser Hospital. | Palestine 2025 © Nour Alsaqqa/MSF

Since Israel’s resumption of attacks and its total blockade of aid launched on March 2, Gaza has become hell on earth for Palestinians. The survival of Palestinians lies at the mercy of Israeli authorities, who are denying the entire population access to food, water, medical care, and shelter. Israel continues to pursue its campaign of ethnic cleansing by deliberately destroying the conditions necessary for life.

Organizations including World Central Kitchen and the World Food Programme (WFP) have announced that they have no more food stocks available in Gaza. Most community kitchens and bakeries have closed. MSF medical teams in Gaza City have seen a 32 percent increase in the number of patients presenting with malnutrition over the past two weeks.

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Dwindling fuel stocks are limiting the ability to desalinate and distribute water. The health facilities that are still functioning—already critically inadequate in number and capacity for the population—are still being attacked and are suffering from rapidly diminishing stocks of medications and other essential supplies. MSF teams in Gaza have not been able to receive any supplies for 11 weeks and face critical shortages of essential medical items such as sterile compresses and sterile gloves.

A young girl with burn injuries plays with toys in Gaza.
This 4-year-old child was severely burned and lost her mother and two siblings in an Israeli airstrike that struck their tent in Al-Mawasi, Khan Younis. She is unable to heal properly because of the lack of proper nutrition and protein. | Palestine 2025 © Nour Alsaqqa/MSF

Israel’s evacuation orders and established no-go military zones now cover 70 percent of Gaza. The population has been forcibly transferred from one place to another, while not a single area of Gaza has been spared from attacks. The desperateness of the situation is such that MSF teams have treated and discharged patients only to see them return with new injuries.

Israel’s plan to instrumentalize aid is a cynical response to the very humanitarian crisis they created. If they wished, Israel and its allies could lift the blockade today and let humanitarian aid reach all those in Gaza whose survival depends on it.

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