Dissent Grows Inside Biden Administration over Gaza Policy as Blinken Holds Talks in Middle East
by Amy Goodman
DemocracyNow!
February 06, 2024
https://www.democracynow.org/2024/2/6/b ... transcript
Secretary of State Tony Blinken is on his fifth trip to the Middle East since Hamas attacked Israel on October 7, reportedly pushing for a pause to Israel’s assault on Gaza and for Hamas to release all remaining hostages. Blinken’s trip to Egypt, Saudi Arabia, Qatar, Israel and the West Bank comes in the wake of U.S. strikes in Syria, Iraq and Yemen against militant groups across the region. “There’s not a lot of goodwill or faith right now for the U.S.,” says Akbar Shahid Ahmed, senior diplomatic correspondent for HuffPost, who lays out where diplomatic negotiations stand today in the Middle East. “The longer there’s a delay here, the more it seems that this deal isn’t achieving what the Palestinians or Hamas might really want.” Ahmed also reports on the different position of Arab states on Palestine, the “culture of impunity” Washington grants Israel, and why the Biden administration is insulated from growing U.S. dissent on Gaza.
Transcript
This is a rush transcript. Copy may not be in its final form.
NERMEEN SHAIKH: This is Democracy Now!, democracynow.org, The War and Peace Report. I’m Nermeen Shaikh, joined by Amy Goodman. Hi, Amy!
AMY GOODMAN: Hi, Nermeen. And welcome to all our listeners and our viewers around the country and around the world. Well, I’m not a NOVID anymore. For four years I somehow avoided getting COVID, but I ended up getting it. Asymptomatic. I’m at the tail end of it. I just have to go from positive to negative. It’s not exactly in my nature to go negative, but I’m really working on it. Until then, Nermeen is there, and I am here. And most importantly, on with the show.
NERMEEN SHAIKH: We look forward to having you back, Amy.
Secretary of State Tony Blinken is heading to Qatar and then to Israel and the West Bank, after holding talks in Egypt and Saudi Arabia. This comes as Israel threatens to launch a ground invasion of the southern Gaza city of Rafah, where over half of all residents of Gaza have sought refuge. Palestinian health officials say Israeli attacks killed 107 Palestinians over the past day, bringing the Palestinian death toll to over 27,500, including over 11,500 children.
This is Blinken’s fifth trip to the Middle East since Hamas attacked Israel on October 7th. The State Department says Blinken is pushing for a pause to Israel’s assault and for Hamas to release all remaining hostages seized nearly four months ago.
On Monday, Blinken met with Saudi Crown Prince Mohammed bin Salman in Riyadh, where they discussed a potential deal involving Saudi Arabia normalizing relations with Israel in exchange for Israel agreeing to a pathway for a Palestinian state. Saudi Arabia is also seeking a new military pact with the United States and U.S. assistance with its nuclear program. This comes as Hamas is reportedly reviewing a truce and hostage deal negotiated in part by mediators from Egypt and Qatar.
Blinken’s trip comes just days after the United States bombed 85 targets in Syria and Iraq in retaliation for a recent drone strike by Iran-backed militants on a base in Jordan that killed three U.S. troops. The U.S. has also repeatedly bombed Yemen over the past two weeks, targeting sites controlled by Houthi forces who have been targeting ships linked to Israel and the United States to protest Israel’s assault on Gaza.
We begin today’s show with Akbar Shahid Ahmed, senior diplomatic correspondent for HuffPost based in Washington, D.C.
Welcome to Democracy Now!, Akbar. We are very happy to have you here. If you could first respond — tell us what’s most important about the meetings that Blinken had already with the crown prince and his meetings today in Egypt. What’s at stake?
AKBAR SHAHID AHMED: Thanks for having me, Nermeen.
Secretary Blinken is hoping that Arab officials will finally believe the U.S. is serious about an end to the carnage in Gaza. It’s a hard ask, because a lot of Arab diplomats, a lot of regional diplomats who are worried about the spiraling conflict feel the Biden administration has no real interest in pressuring Israel to stop. And you’ve got repeated comments from Israeli officials, most recently Israeli Prime Minister Benjamin Netanyahu just yesterday, saying, “We want to see Hamas leaders killed. We want to see months more of war, if not a year,” and ideas for a resettlement of Gaza — extremely controversial proposals.
So, Blinken, on the one hand, is dealing with Israelis who are not saying what Arab diplomats and the U.S. want to hear, he’s representing a president who has a policy of near-total support for Israel, and he’s getting flak from Arab diplomats. Blinken is, of course, a skilled foreign policy official, a skilled mediator, but it’s a very hard task for him, Nermeen, because there’s not a lot of goodwill or faith right now for the U.S.
AMY GOODMAN: Akbar, if you can talk more about what you think took place before the crown prince of Saudi Arabia and Blinken, and the significance of what exactly Saudi Arabia, the United States and Israel are proposing? The Hamas attack on October 7th took place just around the time that Saudi Arabia was going to normalize relations with Israel. Talk about what that would mean and exactly what these proposals are and how possible you think they are.
AKBAR SHAHID AHMED: Absolutely, Amy. So, prior to the October 7th attack, the U.S., Saudi Arabia, Israel were talking about this kind of tripartite deal that would involve the Saudis giving Israel recognition from Saudi Arabia, which is a huge win for Israel, right? After many years of conflict, feeling threatened by its Arab neighbors, this would be the biggest, most important Muslim-majority country in the world, essentially, saying, “We recognize Israel,” and, importantly, without Israel having to make significant concessions on the Palestinian file.
So, that’s where this whole process, while it’s been beneficial for the U.S., for Saudi, for Israel, the Palestinians and their advocates have been saying, “Where are we in this conversation?” So, prior to October 7th, there was already huge anxiety about these talks. There was dissatisfaction. And then the attacks happened. And, you know, no one less than President Biden has said they see that U.S.-Israel-Saudi process as part of the reason for the October 7th attacks, right? It was a way, in part, for Palestinians to kind of bring this issue back on the negotiating table. However, since then, what we’ve seen, four months into this war, is that rather than considering, “Well, maybe this approach got us to conflict,” the Biden administration has doubled down on the U.S.-Saudi-Israel deal. So they’ve taken the Gaza war, and they’ve tied it to what they were doing before the Gaza war.
Their new proposal is we’ll rebuild Gaza using Saudi money. This will be part of the whole package that will get the Israelis to make some significant concessions to Palestinians. It’ll get the Saudis to have the American commitments they want. But in terms of feasibility, it’s quite, I would say, at best, contentious, right? The U.S. officials I talked to within the government, one described this as, quote, “delusionally optimistic.” You’ve got so many parties involved. You do not have a serious commitment from the U.S. to get Palestine anything major — right? — beyond economic guarantees or the reconstruction of Gaza. And then you’ve got what you referenced earlier, Nermeen, the strikes by Iran-backed militias. There are a lot of what’s called spoilers, a lot of other forces around the region who don’t like this deal, who certainly see the deal, especially between Saudi, Israel and the U.S., opponents of Iran, as very risky for Iran and its network.
So, in terms of the actual feasibility of something being approved, I’m skeptical. And it’s important to remember there’s a very short runway now prior to the election. And if the Biden administration wants to get a security treaty with Saudi Arabia through the Senate while they still have control of the Senate, I mean, they’ve only got six months to do it.
AMY GOODMAN: And then, can you talk about what’s happening today with Tony Blinken in Cairo and Qatar before going to Israel and then the occupied West Bank?
AKBAR SHAHID AHMED: Absolutely. So, the Egyptians and the Qataris are critical mediators, because the U.S. does not speak directly to Hamas, which the U.S. lists as a terror organization. So any messages from the U.S. have to go through Qatar and Egypt. And Israel also doesn’t really like directly dealing with Hamas. So, Blinken is in Cairo, and he was in Doha, kind of hoping to get those governments to pressure Hamas.
Now the “yes” is on Hamas’s side. Israel has kind of tacitly agreed to a truce and hostage release. But the longer there’s a delay here, the more it seems that this deal isn’t achieving what the Palestinians or Hamas might really want, right? So, you’ve seen Prime Minister Netanyahu come out and say, “I want to kill Hamas leadership.” That raises the stakes for Hamas, if they’re saying, “Why would we agree to a two-week deal if, after that, you’re just going to come back, invade Rafah, kill our leadership?” So, I think there’s — the prospects of a deal, to me, seem low right now.
Some of the other important sticking points are, of course, there’s broad agreement that the hostages, particularly civilians, particularly older people and children, should be released. That’s kind of generally agreed upon. But the question is: How many Palestinian political prisoners is Israel willing to release in return? There’s a certain Palestinian leader called Marwan Barghouti, really seen as a unifying Palestinian figure, and Hamas has said they want him out of jail. Now, for a lot of Israelis who don’t want to see a kind of unified Palestinian movement, that’s a no-go.
So there are a lot of sticking points here. And it’s up to Secretary Blinken to kind of push everyone towards a median. I think the Qataris can certainly play a very helpful role here with Hamas, but any indication of U.S. seriousness is what’s needed, and we haven’t yet had that, certainly not from President Biden.
NERMEEN SHAIKH: And, Akbar, I mean, as you said, the issue of the release of Palestinian prisoners is something that Netanyahu, at least, has ruled out, as well as the creation of a Palestinian state. So it’s unclear how, you know, these positions can be reconciled, because there’s no incentive for Hamas to go along with this. But I wanted to ask: I mean, Saudi Arabia is also pushing minimally for the minimal condition of the creation of a Palestinian state, but where do other Arab states stand, including Egypt and Qatar, who are the negotiators, as you said, the mediators? Where else do Arab states stand on this? And is it important at all?
AKBAR SHAHID AHMED: You know, it’s critical. I love how you phrase it, Nermeen, because the Saudis certainly want us to think they are pushing for the creation of a Palestinian state, but the language is sort of shifting, right? Sometimes they say “creating a Palestinian state.” Sometimes they say “a pathway towards a Palestinian state” or “irreversible steps.” So, that goalpost is shifting all the time. And I think for the Saudis, in particular, who have, especially under Crown Prince Mohammed bin Salman, really expressed disdain for the Palestinian cause in recent years and the sense that it’s been a burden for the Arab world, and a deep enthusiasm for relations with Israel, for the Saudis, I’d say, kind of limited Palestinian concessions would be acceptable, if they can get some kind of Palestinian window dressing of approval. And I’ve heard from my sources that there are quite conversations going on between the Saudis and maybe some friendly Palestinians who might be willing to bless whatever the Saudis can get.
In terms of other states, Qatar is one of the firmest in terms of wanting to see a resolution here. I think for a lot of states that maybe were not taking the strongest position earlier — so, think about the United Arab Emirates, Bahrain, Morocco, Arab countries that have made deals with Israel — I think, after this war and after the spiraling tensions — right? — the risk of a huge Middle East war, those countries are feeling more and more we need a resolution to the Israeli-Palestinian conflict. That is meaningful.
For Egypt, I think that desire is there, particularly because, because of the strikes you mentioned by the Houthi movement in Yemen, shipping is not going through the Suez Canal as much, and for Egypt, that’s an economic lifeline, right? So they want the war over so the Houthis stop attacking shipping. At the same time, it’s really critical to remember Egypt helped Israel with its blockade of Gaza — right? — for the last 16 years. Egypt has not, for years, wanted to see a strong, independent Palestinian presence. So I think they’ll be weighing that quite cautiously, and they won’t necessarily be such firm advocates for serious Palestinian statehood.
NERMEEN SHAIKH: And, Akbar, you’ve written extensively — at the moment, we see Netanyahu being, you know, singled out as the person who is responsible for the present situation. He certainly hasn’t made it any easier and, arguably, of course, much more brutal. Although as you point out, it’s important to look at the long-term context in Israel and, in particular, U.S. support for Israeli policies, whatever form they’ve taken. So, if you could elaborate on that and what distinctions you see between Netanyahu and his predecessors on the question of Gaza?
AKBAR SHAHID AHMED: Absolutely. So, Netanyahu is an easy bogeyman from a U.S. political standpoint. You’re already seeing Democrats who are kind of struggling, scrambling to defend President Biden’s policy here. They’re saying, “Well, it’s not really about Biden. It’s about Netanyahu.” And given that Netanyahu was so close to former President Trump, opposed President Barack Obama so vocally, for Democratic voters, yes, Netanyahu is an easy bogeyman.
But, absolutely, we have to look at the context. And for the first three years of the Biden administration, two of those years they did not have a Prime Minister Netanyahu. They had a different Israeli government, slightly more moderate, certainly including non-Netanyahu figures. And in that moment, the U.S. did not, Nermeen, try to pursue any kind of progress, right? President Biden didn’t even reverse policies that President Trump had imposed that were anti-Palestinian and pro-Israeli.
So, to me, the thing that needs to be questioned in this moment, certainly, Netanyahu, personally corrupt, attempting to hold onto power for as long as he can, but as one Israeli analyst put it, there’s a, quote, “culture of impunity” — right? — in U.S.-Israel relations. And that’s what really needs to be analyzed right now.
So, if you think about the broader Israeli political establishment, the person who would take over, if Netanyahu were to be unseated in weeks, months, later this year, is someone called Benny Gantz. He’s a former Israeli general. The military is understood to be a bit more pragmatic on the Palestinian issue, just from a strategic and security standpoint, than politicians are. All that said, even a Prime Minister Benny Gantz might not be willing to accept statehood — right? — might not be willing to give Palestinians security control in Gaza.
So, the actual culture of the U.S. and Israel, unfortunately, over decades, has become one in which even these small steps towards progress are so difficult. It’s like pulling teeth. And I just draw people back to the last few examples of effective U.S. leverage over Israel. Interestingly, they’ve been under Republican presidents, George H.W. Bush, George W. Bush, to some extent. But we haven’t seen that in the last 10 or 15 years, and certainly not under Presidents Biden or, really, Obama.
AMY GOODMAN: Akbar, I wanted to talk about the level of dissent in this country and in other countries that are supporting Israel right now. You just wrote a piece about over 800 government officials in the United States and Europe that have anonymously signed a statement that their own governments’ support for Israel is in violation of their values. If you can talk more about that, and also the level at the grassroots in the United States, right up into the White House and the State Department? In fact, let me play a clip. We interviewed Josh Paul, a high-level State Department official, when he quit. You were the one who broke the story about Josh Paul.
AMY GOODMAN: I just have to ask before we go, Josh Paul. We spoke to you soon after you resigned from the State Department in October. This was, of course, in the midst of Israel’s bombardment of Gaza, which came after the October 7th surprise attack on Israel that killed 1,200. Can you talk about the response of your colleagues at the State Department? Have others resigned in other parts of the government?
JOSH PAUL: So, we have seen, certainly from the U.N., a U.N. senior official, Craig Mokhiber, resign. We have not seen, to my knowledge, significant resignations within the U.S. government. But I have heard, and continue to hear, from many of my former colleagues who are really trying to find what mechanisms they can use to slow this down, to change the policy. I fear that their efforts at this point continue to be in vain. I think we need to see a policy change from the top. But I know a lot of good people are continuing to make the argument.
AMY GOODMAN: So, that’s Josh Paul, who quit the State Department. And he is not the only one. And I wanted to get a sense from you how aware is President Biden of the enormous, as our guest yesterday said, Matt Duss, “incandescent” kind of rage in the Democratic base, but also in high levels of the government. We just — Nermeen just read headlines. In Harrisburg, the capital of Pennsylvania, over a hundred people, led by Jewish Voice for Peace, were arrested, demanding a ceasefire and much more. Talk about all these levels of dissent in the United States and outside and what effect it’s having. Is Biden fearful that his very reelection is in jeopardy?
AKBAR SHAHID AHMED: Absolutely, Amy. I’ll start with the letter you mentioned, because it’s a fascinating statement, more than 800 officials in the U.S., in European institutions, in the Netherlands, France, Britain. I just heard from another European official yesterday who just signed the letter. So, the numbers on that letter are just going to keep growing. It’s not closed yet.
I’d say the dissent is — it’s striking because, given the initial attack, there was such deep sympathy for Israel, which is a close U.S. partner. There was such a sense of “We want to do something to help.” But I think it became so clear, within three or four days, to people that President Biden’s approach to helping Israel was not going to be measured or strategic or involve planning, consultation, all of that. It was just, full tilt, whatever they want, whatever the consequences. And I think that’s where you see a lot of dissent come from. It comes from moral reasons, certainly, for some folks within government, from people in the Democratic base, also from strategic considerations — right? — also from a sense of is the U.S. tearing up goodwill and shoving away the good work that we have done over years and decades, particularly after former President Trump, to reestablish America’s reputation in the world, right? Is that all moot now? And I think that’s only grown since October, because President Biden has not been willing to shift in any tangible way.
In terms of his own awareness of that, what’s so striking about this moment, too, is there is a huge national security establishment here in Washington, as I know you both know, so many layers — counterterror, State Department, Treasury. But this policy is being controlled in a group of, I would say, 20 to 30 close officials around the president, right? So, what’s really important to remember there is there is a real filtering of information. And it’s indisputable, of course, President Biden is going to campaign rallies and events, and he’s seeing the protesters. But to what extent is he aware that many of the actual foreign policy and national security experts within his government, who are nonpartisan, are opposed to this policy, I think that’s a little questionable, right? Because advisers around him have their own priorities. A gentleman called Brett McGurk, the top White House Middle East official, who I’ve reported on extensively, is really pushing that U.S.-Saudi-Israel deal, and President Biden has been going along with that.
I think there’s very heated debates in the president’s close circle, but because especially the State Department has been so frozen out at this moment — and the way I’ve heard it from State Department officials is they’ve literally been told, “We understand your concern. Why don’t you try to work on another part of the world? You know, why don’t you look sort of the Pacific or Latin America? Just apply your skills there.” I think that kind of dismissal of this really reasoned dissent, and response to it of listening sessions and town halls and “we feel your pain” — people don’t want their pain to be felt. They want to see a shift. So I think you’ll see even more pushback from within government, certainly from within the party base.
I think one of the important things — and maybe this is how the message will get through to the president — is not necessarily from his White House national security team of Jake Sullivan, Brett McGurk, Tony Blinken, but maybe through his political contacts. Right? You’ve seen multiple Democratic senators, Chris Van Hollen, importantly, of Maryland, but many others, Chris Coons even, of Delaware, who’s personally close to the president, they’ve publicly started to say, “OK, we need to see a shift from Israel.” So, once those lawmakers, once governors, once others who are actually elected officials start standing up, you might see a shift from the president. But right now there’s still a wariness even on those fronts. I reported yesterday that this new bipartisan border package that was unveiled had Democratic senators agreeing to defund the U.N. agency for Palestinians. That’s a reversal from the Biden administration’s own policy, a reversal from Democrats, a triumph from Republicans. So, I think as soon as elected Democrats kind of find that assertiveness, that’s when you might start to see a shift from the president.
NERMEEN SHAIKH: Well, we’ll just be speaking to a doctor who’s recently returned from Gaza, where we’ll discuss what’s happening with UNRWA in Gaza. Thank you so much, Akbar Shahid Ahmed, senior diplomatic correspondent for HuffPost, based in Washington, D.C.
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“Unconscionable”: American Pediatrician Who Worked in Gaza Hospital Recalls Horrors of Israel’s War
by Amy Goodman
DemocracyNow!
February 06, 2024
https://www.democracynow.org/2024/2/6/p ... transcript
Democracy Now! speaks with Dr. Seema Jilani, a pediatrician who spent two weeks in Central Gaza volunteering in the Al-Aqsa Hospital emergency room. “I saw the fall of a hospital before my very own eyes,” says Jilani, who shares recorded voice notes from her time in the besieged territory while trying to save children in a health system collapsing under Israeli pressure and bombing. “I have never treated this many war-wounded children in my career.” Finally, Jilani shares why she continues to serve as a doctor in war zones with the International Rescue Committee. “It is the absolute honor of my life to serve the people of Gaza,” she says. “It is all of our responsibility to consider those orphans, consider those families who are completely bereft of any and all human dignity that has been taken from them. … Their fate will sit with us.”
Transcript
This is a rush transcript. Copy may not be in its final form.
NERMEEN SHAIKH: We spend the rest of the hour with an American doctor who just spent two weeks in central Gaza. Dr. Seema Jilani is a pediatrician who volunteered in the Al-Aqsa Hospital emergency room as part of a team of doctors with the International Rescue Committee, where she’s senior technical adviser and leads their emergency health responses globally. The team included doctors from both IRC and Medical Aid for Palestinians.
Before she joins us, we’ll play some of Dr. Jilani’s voice notes that she recorded in Al-Aqsa Hospital’s emergency room and also at night in the compound housing the emergency medical team.
DR. SEEMA JILANI: We’re in the resuscitation room in Al-Aqsa Hospital. It’s a mass casualty, where the site of the mass casualty was a school. Of the five casualties, four are children. So, he was injured in the first day of the war.
UNIDENTIED: Yeah.
DR. SEEMA JILANI: And now we’re day 82.
UNIDENTIED: Yeah.
DR. SEEMA JILANI: And he’s waiting.
UNIDENTIED: Yeah.
DR. SEEMA JILANI: I’m so sorry.
I can hear the — I can hear the airstrikes coming in now. It’s about 2 a.m. And this is the sound of drones right outside my window, and also overhead flying more airplanes, I believe. I can’t sleep, so I decided to do this voice note. It’s a very specific hellscape that exists here in Gaza when you’re cursed enough to hear the words from a doctor that say, “Whose body part is that? Don’t carry it through the halls. I don’t want children seeing that.” And that is a quote from one of my colleagues in the emergency room, where we saw a leg being carried, a lower leg with the boot still on, sock still on. And it was being carried through the emergency room.
We have arrived here at Al-Aqsa Hospital emergency room. And what I’m seeing here is children lying on the ground, a double amputation on one child. And there are no beds available, so people are literally just on the ground seeking treatment. We’ve already had three parents come up to us and ask — they see the stethoscope, and they ask me, “Can you come see my child? Can you come see my child?” And I’m waiting for the local doctors to come in to be able to guide us through what we need to do and do a handover. There is one child that I’m looking at, approximately 8 years old, at the — lying on the ground. Next to him is a woman in a wheelchair who’s waiting to be seen. The one on the ground has bandages on bilateral lower extremities going all the way up, and looks like he’s been brought in overnight.
And we’re hearing right now that it was a terrible, terrible night because of the bombing in al-Maghazi, where people had been told to evacuate and then, subsequently, were bombed. There are definitely more people here than yesterday, and yesterday was very full. So, no beds available. As I said, people — there’s not really room or space for us to breathe or think. There’s a gentleman here that’s sobbing in front of me and being comforted by maybe his son, maybe a stranger. I don’t know. But he’s an older gentleman with a bandage on his head, and he’s just sitting and holding his head in his hands, crying and head hung low. And then there’s one, two, three, four, six children in my line of sight right now in the corner that need medical attention urgently, one of whom is crying, a little boy around 6 or 7 years old, wiping his tears. I can’t see the injuries clearly, but we’ll get started to work today to see how we can support and help them through this — through their tragedy.
UNIDENTIFIED: Rockets. They’re rockets. And they’re nearer than they were before.
DR. SEEMA JILANI: That feels very close.
UNIDENTIFIED: Because you don’t get to hear — you don’t get to hear much whistle before it comes.
DR. SEEMA JILANI: One morning, we arrived to a nurse who was quietly sobbing in the corner. His colleague had been killed the night before, and he had tried to resuscitate him in the emergency room. He is dignified in his grief. I asked, “Should we leave?” But instead, he just thanks us for our presence and asks us to see a few patients on his behalf. He just could not face the grueling work and the patients outside the room right now. I felt rewarded if I could be helpful to this one person in this one moment. As I was rounding about two hours later, I raised my head from a patient to see him, again, right back at work, as if nothing had happened.
The next day, we see a 23-year-old patient with his lower leg blown off so badly, it’s disconnected from its upper leg, floppy. I look down to plant my stethoscope on his chest, only to find him still wearing his UNRWA, or U-N-R-W-A, vest as a staff member. The only comfort I can provide him is to wipe the dried blood off his face, to moisten his dry lips as he yearns for some water, quietly lifting his neck for a little more. I quieten his fear with a wet washcloth to his forehead and some whispers of sweetness, of calm. None of these interventions are morphine. He died on the floor of a Gaza emergency room with little more than my hand in his hand and a washcloth to his forehead.
NERMEEN SHAIKH: Those were voice notes recorded by Dr. Seema Jilani, a senior emergency health technical adviser and pediatrician who traveled to Gaza to volunteer in the Al-Aqsa Hospital emergency room as part of a team of doctors from the IRC and Medical Aid for Palestinians. Dr. Jilani previously worked in Gaza and the West Bank in 2005 and 2015. She’s also a freelance journalist who was nominated for a Peabody Award for her 2006 radio documentary, Israel and Palestine: The Human Cost of the Occupation. She joins us now from Brussels.
Dr. Seema Jilani, welcome back to Democracy Now! Those were immensely haunting notes, voice notes, that you made. If you could talk about your journey to Gaza in December, where you went from, how long you stayed, and what you witnessed?
DR. SEEMA JILANI: We departed Cairo on December 25th as part of an emergency medical team with the IRC and Medical Aid for Palestinians in partnership. From Cairo, we arrived through the Sinai, which itself is a militarized zone, and then El-Arish, and then — overnighted there, and then, following that, completed the two-day journey to Rafah and crossed over into the Gaza Strip as a team and later went to our guesthouse. And the drive from the Rafah border all the way up to the guesthouse, which should only have been a few kilometers, maybe 10 at most, maybe seven, took several hours, two to three hours, if I recall, because everyone was leaving and evacuating from the north.
There were people piled into cars, vans, if they were lucky, because fuel is such a precious commodity. There were babies falling asleep. There were pets and cats and dogs and families and blankets and mattresses, any food items you can imagine piled into donkey carts, and people hanging off, trying to evacuate. It was a sea of human tragedy coming straight to the border, straight into southern Rafah. And it was quite a harrowing scene, people that were barefoot, looking for shelter, looking for garbage bags to put up tents, looking for lumber. Quite, quite something. And I’ve worked in several areas of conflict, and it was quite staggering.
AMY GOODMAN: Dr. Jilani, it must be just incredible for you to listen back to what you were saying, so immediate, as you whispered into your microphone, whether you were holding the hand of a dying man or with a baby or in the barracks where you were staying. The place where the doctors slept, does that even exist anymore?
DR. SEEMA JILANI: Our guesthouse was bombed shortly after I left. And I am not sure of — it’s certainly not functional or able to be resided in. I don’t know of how it looks anymore. But certainly, it has been bombed, yes.
AMY GOODMAN: And one of the people you describe helping on the floor of the hospital — and I was wondering if you can talk about the significance of Al-Aqsa, and what does it mean for so many hospitals not to be functioning — was wearing an UNRWA vest. It is the center of controversy right now. Netanyahu talks about getting rid of UNRWA the way he talks about getting rid of Hamas. Talk about the central role UNRWA plays, whether we’re talking about education, whether we’re talking about hospitals.
DR. SEEMA JILANI: I worked at Al-Aqsa Hospital, which was one of the last remaining hospitals in the middle part of Gaza, or central Gaza. It was a lifeline hospital providing critical, critical services. And from the time that I arrived to the two weeks, I saw its decline. I saw the fall of a hospital before my very own eyes. And, you know, in war, we’re used to talking about the fall of cities, the fall of Mosul or Saigon. And suddenly, we’ve normalized, somehow, the fall of Al-Shifa Hospital and the fall of Al-Aqsa Hospital. We’ve normalized the fall and complete dismantling of healthcare infrastructure, totally paramount to saving lives not only in a war zone, but in an otherwise high-functioning, high-capacity society. And it’s unconscionable that we continue to watch this unfold.
In terms of UNRWA, it provides services throughout the region. I have worked in the West Bank and in Gaza. I’ve worked in Lebanon, in Shatila refugee camp, in Burj al-Barajneh. They provide schooling services. I’ve been to their schools. They provide health services, education. And so, the thought of defunding such an organization that provides jobs, education, healthcare, other services that are not otherwise available, really is deeply disturbing, as we’re now producing a generation of orphans, a generation of children with new disabilities, who will then have no access to healthcare, education or other services that would be able to, in some way, help relieve some of their pain and get them back to a functioning society.
NERMEEN SHAIKH: And, Dr. Jilani, you have spoken about the fact that many patients may not have survived, but their pain would certainly have been eased, if the proper medical supplies were made available, if, minimally, medication — you spoke specifically of morphine — could be administered to ease their pain. I mean, if you could explain, you know, how you work under conditions where you don’t have access to even minimal medical supplies, and what it is that you’re calling for?
DR. SEEMA JILANI: Well, it’s the doctors and nurses and healthcare staff of Gaza who have displayed just absolute colossal bravery in how their see their patients, many of whom haven’t been paid, many of whom are themselves displaced, four or five times over, scavenging for food, water, shelter, and then showing up to work, as I mentioned in one of those notes, strenuously to serve their communities, and then coming to a workplace that doesn’t have what they need to be able to treat their patients with dignity. There is no death with dignity in Gaza on the floor of an emergency room.
At the beginning of my time in Gaza, we did have access to morphine. But by the end, there was no access. And at that point, it becomes a very cruel and inhumane situation to have someone actively dying without any pain — or, comfort to offer them. There was, I recall vividly, a young boy that had come in, not for a life-threatening injury, but for stitches because of some deep lacerations. And we would usually use ketamine in a situation like that, because it’s safe, and in children it provides both pain relief and amnesia, so they’re not retraumatized from the procedure. Of course, we didn’t have ketamine. And so I tried any distraction measures I could with this young boy. I have sort of flashing lights in my arsenal as a pediatrician. I have some toys. And he just was screaming through the pain.
And then, when I tried to ask him questions and engage him to distract him, because that’s a mechanism, a coping mechanism, we can use, you know, every question is a landmine. What I would typically say in the U.S. is, “Who’s your best friend?” Well, his best friend probably or might be dead. “What’s your favorite food?” I don’t know the last time this young child ate, and would probably retraumatize him further. You know, “Are you closer to your mom or dad?” She came in as an orphan with only extended family members. There is no part or no prism or facet of their life that has been left untouched. It is completely devastated and in a cataclysmic situation.
AMY GOODMAN: Can you talk more about being a pediatrician in a war zone, and also people seeing you as a foreigner coming in? And you — parts we didn’t play — talk about people just coming up to you and saying, “Ceasefire.”
DR. SEEMA JILANI: Yeah, absolutely. People, as the days went on, more and more crowded into the hospital seeking safe shelter. And so you would see entire families perched on blankets. And so, you would — they would recognize us as foreigners. And their little blankets served as their bedroom, their coffee room, their breakfast room, their kitchen. Just in the hopes that the hospital would keep them safe, and they would see us and turn to us and see us as foreigners and say, “Ceasefire?” or, even more heartbreakingly so, “Take me with you.” Well, where can we go? Where is safe?
In terms of being a pediatrician, I’ve worked in war zones. I’ve worked in refugee rescue boats off the coast of Libya. I’ve worked in Iraq, Afghanistan, Pakistan, Lebanon and Egypt. I have never treated this many war-wounded children in my career. No system is built to withstand what these people are going through.
On one day, as you saw, four out of five of the children whom we were actively resuscitating, which means trying to bring back from the brink of death, four of five of my patients were under the age of 15, so children. And the extent of the injuries, the scale and magnitude and severity, especially in terms of burns, is also something that I’ve not witnessed, borne witness to before. We had an approximately 11-year-old girl whose face was completely charred black, and her arms were flexed and contractured and sort of waxy because the burns had penetrated all the way down to the very flesh of her. And the smell of burnt flesh permeated the entire emergency room and will stay with me for a very long time.
NERMEEN SHAIKH: Dr. Seema Jilani, we only have a minute, but if you could say — it’s already so unbearable to just hear accounts of what you’re saying — why do you do this work? And what has it been like for you, from one war zone to the next, and now in a place like Gaza, as you say, where you’ve never seen so many children in an emergency room of the hospital?
DR. SEEMA JILANI: It is the absolute honor and privilege of my life to be able to be let into people’s moments, whether they are tragic moments of death and pain or whether they are a new baby being born and counseling a new mother on breast-feeding. It is the absolute honor of my life to serve the people of Gaza. And I am so lucky to have served alongside these towering heroes that are nurses and doctors and people that are serving their communities. And that’s why I will keep going back and keep doing this work.
And on the flip side of that, I would say it is all of our responsibility to consider those orphans, consider those families, who are completely bereft of any and all human dignity, that has been taken from them. And it sits with us. Their fate will sit with us.
NERMEEN SHAIKH: Dr. Seema Jilani, thank you so much for joining us. Dr. Jilani, senior technical adviser at the International Rescue Committee, where she leads their emergency health responses globally. She’s recently joined an emergency team of doctors from IRC and Medical Aid for Palestinians who went to central Gaza to volunteer in the Al-Aqsa Hospital.