3/22/2024

Bay Area United Against War Newsletter, March 23, 2024

  


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Pita bread made from animal feed.

See Gaza Strip Access Restrictions.pdf since 2007 at:

https://en.wikipedia.org/wiki/File:Gaza_Strip_Access_Restrictions.pdf

Palestinians killed and wounded by Israel:
As of March 23, 2024the total number of Palestinians killed by Israel is now over 32,070,* 74,412 wounded, and more than 435 Palestinians have been killed and 4,600 wounded by Israel in the occupied West Bank and East Jerusalem.***  The Palestinian Prisoners Society (PPS) and the Detainees and Ex-Detainees Affairs Commission released a new tally of Palestinians detained by "Israel", revealing that the number of Palestinian prisoners in the West Bank has risen to more than 6,115.

Israel lowers its estimated October 7 death toll from 1,400 to 1,147—590 Israeli soldiers killed since ground invasion, 3,221 wounded**


*This figure was confirmed by Gaza’s Ministry of Health on Telegram channel. Some rights groups put the death toll number at more than 40,000 when accounting for those presumed dead.

** This figure is released by the Israeli military, showing the soldiers whose names “were allowed to be published.”


*** The death toll in West Bank and Jerusalem is not updated regularly. According to PA’s Ministry of Health on March 6, this is the latest figure.


Source: mondoweiss.net

 
FROM THE RIVER TO THE SEA PALESTINE WILL BE FREE!
END ALL U.S. AID TO ISRAEL!
FOR A DEMOCRATIC, SECULAR PALESTINE!

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Boris Kagarlitsky is in Prison!

On February 13, the court overturned the previous decision on release and sent Boris Kagarlitsky to prison for five years.

Petition in Support of Boris Kagarlitsky

We, the undersigned, were deeply shocked to learn that on February 13 the leading Russian socialist intellectual and antiwar activist Dr. Boris Kagarlitsky (65) was sentenced to five years in prison.

Dr. Kagarlitsky was arrested on the absurd charge of 'justifying terrorism' in July last year. After a global campaign reflecting his worldwide reputation as a writer and critic of capitalism and imperialism, his trial ended on December 12 with a guilty verdict and a fine of 609,000 roubles.

The prosecution then appealed against the fine as 'unjust due to its excessive leniency' and claimed falsely that Dr. Kagarlitsky was unable to pay the fine and had failed to cooperate with the court. In fact, he had paid the fine in full and provided the court with everything it requested.

On February 13 a military court of appeal sent him to prison for five years and banned him from running a website for two years after his release.

The reversal of the original court decision is a deliberate insult to the many thousands of activists, academics, and artists around the world who respect Dr. Kagarlitsky and took part in the global campaign for his release. The section of Russian law used against Dr. Kagarlitsky effectively prohibits free expression. The decision to replace the fine with imprisonment was made under a completely trumped-up pretext. Undoubtedly, the court's action represents an attempt to silence criticism in the Russian Federation of the government's war in Ukraine, which is turning the country into a prison.

The sham trial of Dr. Kagarlitsky is the latest in a wave of brutal repression against the left-wing movements in Russia. Organizations that have consistently criticized imperialism, Western and otherwise, are now under direct attack, many of them banned. Dozens of activists are already serving long terms simply because they disagree with the policies of the Russian government and have the courage to speak up. Many of them are tortured and subjected to life-threatening conditions in Russian penal colonies, deprived of basic medical care. Left-wing politicians are forced to flee Russia, facing criminal charges. International trade unions such as IndustriALL and the International Transport Federation are banned and any contact with them will result in long prison sentences.

There is a clear reason for this crackdown on the Russian left. The heavy toll of the war gives rise to growing discontent among the mass of working people. The poor pay for this massacre with their lives and wellbeing, and opposition to war is consistently highest among the poorest. The left has the message and resolve to expose the connection between imperialist war and human suffering.

Dr. Kagarlitsky has responded to the court's outrageous decision with calm and dignity: “We just need to live a little longer and survive this dark period for our country,” he said. Russia is nearing a period of radical change and upheaval, and freedom for Dr. Kagarlitsky and other activists is a condition for these changes to take a progressive course.

We demand that Boris Kagarlitsky and all other antiwar prisoners be released immediately and unconditionally.

We also call on the authorities of the Russian Federation to reverse their growing repression of dissent and respect their citizens' freedom of speech and right to protest.

Sign to Demand the Release of Boris Kagarlitsky

https://freeboris.info

The petition is also available on Change.org

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*Major Announcement*

Claudia De la Cruz wins

Peace and Freedom Party primary in California!




We have an exciting announcement. The votes are still being counted in California, but the Claudia-Karina “Vote Socialist” campaign has achieved a clear and irreversible lead in the Peace and Freedom Party primary. Based on the current count, Claudia has 46% of the vote compared to 40% for Cornel West. A significant majority of PFP’s newly elected Central Committee, which will formally choose the nominee at its August convention, have also pledged their support to the Claudia-Karina campaign.

 

We are excited to campaign in California now and expect Claudia De la Cruz to be the candidate on the ballot of the Peace and Freedom Party in November.

 

We achieved another big accomplishment this week - we’re officially on the ballot in Hawai’i! This comes after also petitioning to successfully gain ballot access in Utah. We are already petitioning in many other states. Each of these achievements is powered by the tremendous effort of our volunteers and grassroots organizers across the country. When we’re organized, people power can move mountains!

 

We need your help to keep the momentum going. Building a campaign like this takes time, energy, and money. We know that our class enemies — the billionaires, bankers, and CEO’s — put huge sums toward loyal politicians and other henchmen who defend their interests. They will use all the money and power at their disposal to stop movements like ours. As an independent, socialist party, our campaign is relying on contributions from the working class and people like you.

 

We call on each and every one of our supporters to set up a monthly or one-time donation to support this campaign to help it keep growing and reaching more people. A new socialist movement, independent of the Democrats and Republicans, is being built but it will only happen when we all pitch in.

 

The Claudia-Karina campaign calls to end all U.S. aid to Israel. End this government’s endless wars. We want jobs for all, with union representation and wages that let us live with dignity. Housing, healthcare, and education for all - without the lifelong debt. End the ruthless attacks on women, Black people, immigrants, and LGBTQ people. These are just some of the demands that are resonating across the country. Help us take the next step: 

 

Volunteer: https://votesocialist2024.com/volunteer

 

Donate: https://votesocialist2024.com/donate

 

See you in the streets,

 

Claudia & Karina

 

Don't Forget! Join our telegram channel for regular updates: https://t.me/+KtYBAKgX51JhNjMx

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We are all Palestinian

Listen and view this beautiful, powerful, song by Mistahi Corkill on YouTube at:

https://www.youtube.com/watch?v=MQwuhbLczgI

Greetings,

Here is my new song and music video, We are all Palestinian, linked below. If you find it inspiring, please feel free to share with others. All the best!

Mistahi

Thousands at stadium sing, "You'll Never Walk Alone," and wave Palestinian flags in Scotland.


We are all Palestinian


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Labor for Palestine

Thousands of labor representatives marched Saturday, December 16, in Oakland, California. —Photo by Leon Kunstenaar

Video of December 16th Labor rally for Palestine.

 

Bay Area Unions and Workers Rally and March For Palestine In Oakland

https://youtu.be/L9k79honqIA


For More Information:

bayarealabor4palestine@gmail.com

Production of Labor Video Project

www.labormedia.net

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https://www.youtube.com/watch?v=W0ad3mEylwY

Just Like The Nazis Did

By David Rovics

 

After so many decades of patronage

By the world’s greatest empire

So many potential agreements

Were rejected by opening fire

After crushing so many uprisings

Now they’re making their ultimate bid

Pursuing their Final Solution

Just like the Nazis did

 

They forced refugees into ghettos

Then set the ghettos aflame

Murdering writers and poets

And so no one remember their names

Killing their entire families

The grandparents, women and kids

The uncles and cousins and babies

Just like the Nazis did

 

They’re bombing all means of sustaining

Human life at all

See the few shelters remaining

Watch as the tower blocks fall

They’re bombing museums and libraries

In order to get rid

Of any memory of the people who lived here

Just like the Nazis did

 

They’re saying these people are animals

And they should all end up dead

They’re sending soldiers into schools

And shooting children in the head

The rhetoric is identical

And with Gaza off the grid

They’ve already said what happens next

Just like the Nazis did

 

Words of war for domestic consumption

And lies for all the rest

To try to distract our attention

Among their enablers in the West

Because Israel needs their imports

To keep those pallets on the skids

They need fuel and they need missiles

Just like the Nazis did

 

They’re using food as a weapon

They’re using water that way, too

They’re trying to kill everyone in Gaza

Or make them flee, it’s true

As the pundits talk of “after the war”

Like with the Fall of Madrid

The victors are preparing for more

Just like the Nazis did

 

But it’s after the conquest’s complete

If history is any guide

When the occupying army

Is positioned to decide

When disease and famine kills

Whoever may have hid

Behind the ghetto walls

Just like the Nazis did

 

All around the world

People are trying to tell

There's a genocide unfolding

Ringing alarm bells

But with such a powerful axis

And so many lucrative bids

They know who wants their money

Just like the Nazis did

 

There's so many decades of patronage

For the world's greatest empire

So many potential agreements

Were rejected by opening fire

They're crushing so many uprisings

Now they're making their ultimate bid

Pursuing their final solution

Just like the Nazis did

  Just like the Nazis did

    Just like the Nazis did


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Free Julian Assange




Immediate Repeated Action Needed to Free Assange

 

Please call your Congressional Representatives, the White House, and the DOJ. Calls are tallied—they do count.  We are to believe we are represented in this country.  This is a political case, so our efforts can change things politically as well.  Please take this action as often as you can:

 

Find your representatives:

https://www.congress.gov/members/find-your-member

 

Leave each of your representatives a message individually to: 

·      Drop the charges against Julian Assange

·      Speak out publicly against the indictment and

·      Sign on to Rashida Tlaib's letter to the DOJ to drop the charges: 

           202-224-3121—Capitol Main Switchboard 

 

Leave a message on the White House comment line to 

Demand Julian Assange be pardoned: 

             202-456-1111

             Tuesday–Thursday, 11:00 A.M.–3:00 P.M. EST

 

Call the DOJ and demand they drop the charges against Julian Assange:

             202-353-1555—DOJ Comment Line

             202-514-2000 Main Switchboard 


Sign the petition:

https://dontextraditeassange.com/petition/


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Mumia Abu-Jamal is Innocent!

FREE HIM NOW!

Write to Mumia at:

Smart Communications/PADOC

Mumia Abu-Jamal #AM-8335

SCI Mahanoy

P.O. Box 33028

St. Petersburg, FL 33733


Join the Fight for Mumia's Life


Since September, Mumia Abu-Jamal's health has been declining at a concerning rate. He has lost weight, is anemic, has high blood pressure and an extreme flair up of his psoriasis, and his hair has fallen out. In April 2021 Mumia underwent open heart surgery. Since then, he has been denied cardiac rehabilitation care including a healthy diet and exercise.

Donate to Mumia Abu-Jamal's Emergency Legal and Medical Defense Fund, Official 2024

Mumia has instructed PrisonRadio to set up this fund. Gifts donated here are designated for the Mumia Abu-Jamal Medical and Legal Defense Fund. If you are writing a check or making a donation in another way, note this in the memo line.

Send to:

 Mumia Medical and Legal Fund c/o Prison Radio

P.O. Box 411074, San Francisco, CA 94103

Prison Radio is a project of the Redwood Justice Fund (RJF), which is a California 501c3 (Tax ID no. 680334309) not-for-profit foundation dedicated to the defense of the environment and of civil and human rights secured by law.  Prison Radio/Redwood Justice Fund PO Box 411074, San Francisco, CA 94141


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Leonard Peltier “Why?” (Henry CrowDog)


Leonard Peltier Update—Experiencing the Onset of Blindness

 

Greetings Relatives,

Leonard is in trouble, physically. He is experiencing the onset of blindness. He is losing strength in his limbs. His blood sugar is testing erratically. This, on top of already severe conditions that have become dire. Leonard has not seen a dentist in ten years. His few remaining teeth are infected. He is locked down, in pain.

As always, Leonard’s fortitude remains astonishing. He is not scared of dying. He does not want to die in lockdown.

Our legal team has an emergency transfer underway. They are going to extraordinary lengths. We must get a top ophthalmologist to him. Thanks to your calls, the BOP did see him. They told him a specialist would be 8 - 10 weeks out.

Leonard does not have eight to ten weeks. He needs emergency care immediately.

If you can, please donate to this GoFundMe. Every penny matters. If you cannot, please share. If you are so inclined, go to www.freeleonardpeltiernow.org and contact the officials listed.

https://www.gofundme.com/f/help-leonard-peltier-get-medical-care-freedom?utm_campaign=p_cp+fundraiser-sidebar&utm_medium=copy_link_all&utm_source=customer

As always, thank you for your support.

 

Dawn Lawson

Personal Assistant Leonard Peltier

Executive Assistant Jenipher Jones, Esq.

Secretary Leonard Peltier Ad Hoc Committee

1-800-901-4413

dawn@allfiredup.blue

www.freeleonardpeltiernow.org




Leonard Peltier Update - Not One More Year

 

Coleman 1 has gone on permanent lockdown.

The inmates are supposed to be allowed out two hours a day. I have not heard from Leonard since the 18th. 

The last time I talked to Leonard, he asked where his supporters were. He asked me if anyone cared about these lockdowns.

Leonard lives in a filthy, cold cell 22 to 24 hours a day. He has not seen a dentist in ten years. I asked him, “On a scale of 1 to 10, is your pain level at 13?” He said, “Something like that.” Leonard is a relentless truth-teller. He does not like it when I say things that do not make sense mathematically. 

That is why Leonard remains imprisoned. He will not lie. He will not beg, grovel, or denounce his beliefs. 

Please raise your voice. Ask your representatives why they have abdicated their responsibility to oversee the Bureau of Prisons and ensure they adhere to Constitutional law.

Uhuru, The African People’s Socialist Party, has stepped up for Leonard. NOT ONE MORE YEAR.

 

Fight for Free Speech – YouTube:

https://www.youtube.com/watch?v=FM8GDeGv90E

 

Leonard should not have spent a day in prison. Click “LEARN” on our website to find out what really happened on that reservation: 

www.freeleonardpeltiernow.org


Self Portrait by Leonard Peltier


Write to:

Leonard Peltier 89637-132

USP Coleman 1

P.O. Box 1033

Coleman, FL 33521

Note: Letters, address and return address must be in writing—no stickers—and on plain white paper.

Video at:

https://www.youtube.com/watch?v=jWdJdODKO6M&feature=youtu.be


Sign our petition urging President Biden to grant clemency to Leonard Peltier:

 

https://www.freeleonardpeltier.com/petition

 

Email: contact@whoisleonardpeltier.info

Address: 116 W. Osborne Ave. Tampa, Florida 33603


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Updates From Kevin Cooper 

A Never-ending Constitutional Violation

A summary of the current status of Kevin Cooper’s case by the Kevin Cooper Defense Committee

 

      On October 26, 2023, the law firm of Orrick, Herrington & Sutcliffe, LLP wrote a rebuttal in response to the Special Counsel's January 13, 2023 report upholding the conviction of their client Kevin Cooper. A focus of the rebuttal was that all law enforcement files were not turned over to the Special Counsel during their investigation, despite a request for them to the San Bernardino County District Attorney's office.

      On October 29, 2023, Law Professors Lara Bazelon and Charlie Nelson Keever, who run the six member panel that reviews wrongful convictions for the San Francisco County District Attorney's office, published an OpEd in the San Francisco Chronicle calling the "Innocence Investigation” done by the Special Counsel in the Cooper case a “Sham Investigation” largely because Cooper has unsuccessfully fought for years to obtain the police and prosecutor files in his case. This is a Brady claim, named for the U.S. Supreme court’s 1963 case establishing the Constitutional rule that defendants are entitled to any information in police and prosecutor's possession that could weaken the state's case or point to innocence. Brady violations are a leading cause of wrongful convictions. The Special Counsel's report faults Cooper for not offering up evidence of his own despite the fact that the best evidence to prove or disprove Brady violations or other misconduct claims are in those files that the San Bernardino County District Attorney's office will not turn over to the Special Counsel or to Cooper's attorneys.

      On December 14, 2023, the president of the American Bar Association (ABA), Mary Smith, sent Governor Gavin Newsom a three page letter on behalf of the ABA stating in part that Mr.Cooper's counsel objected to the state's failure to provide Special Counsel all documents in their possession relating to Mr.Cooper's conviction, and that concerns about missing information are not new. For nearly 40 years Mr.Cooper's attorneys have sought this same information from the state.

      On December 19, 2023, Bob Egelko, a journalist for the San Francisco Chronicle wrote an article about the ABA letter to the Governor that the prosecutors apparently withheld evidence from the Governor's legal team in the Cooper case.

      These are just a few recent examples concerning the ongoing failure of the San Bernardino County District Attorney to turn over to Cooper's attorney's the files that have been requested, even though under the law and especially the U.S. Constitution, the District Attorney of San Bernardino county is required to turn over to the defendant any and all material and or exculpatory evidence that they have in their files. Apparently, they must have something in their files because they refuse to turn them over to anyone.

      The last time Cooper's attorney's received files from the state, in 2004, it wasn't from the D.A. but a Deputy Attorney General named Holly Wilkens in Judge Huff's courtroom. Cooper's attorneys discovered a never before revealed police report showing that a shirt was discovered that had blood on it and was connected to the murders for which Cooper was convicted, and that the shirt had disappeared. It had never been tested for blood. It was never turned over to Cooper's trial attorney, and no one knows where it is or what happened to it. Cooper's attorneys located the woman who found that shirt on the side of the road and reported it to the Sheriff's Department. She was called to Judge Huff's court to testify about finding and reporting that shirt to law enforcement. That shirt was the second shirt found that had blood on it that was not the victims’ blood. This was in 2004, 19 years after Cooper's conviction.

      It appears that this ongoing constitutional violation that everyone—from the Special Counsel to the Governor's legal team to the Governor himself—seems to know about, but won't do anything about, is acceptable in order to uphold Cooper's conviction.

But this type of thing is supposed to be unacceptable in the United States of America where the Constitution is supposed to stand for something other than a piece of paper with writing on it. How can a Governor, his legal team, people who support and believe in him ignore a United States citizen’s Constitutional Rights being violated for 40 years in order to uphold a conviction?

      This silence is betrayal of the Constitution. This permission and complicity by the Governor and his team is against everything that he and they claim to stand for as progressive politicians. They have accepted the Special Counsel's report even though the Special Counsel did not receive the files from the district attorney that may not only prove that Cooper is innocent, but that he was indeed framed by the Sheriff’s Department; and that evidence was purposely destroyed and tampered with, that certain witnesses were tampered with, or ignored if they had information that would have helped Cooper at trial, that evidence that the missing shirt was withheld from Cooper's trial attorney, and so much more.

      Is the Governor going to get away with turning a blind eye to this injustice under his watch?

      Are progressive people going to stay silent and turn their eyes blind in order to hopefully get him to end the death penalty for some while using Cooper as a sacrificial lamb?


An immediate act of solidarity we can all do right now is to write to Kevin and assure him of our continuing support in his fight for justice. Here’s his address:

Mr. Kevin Cooper

C-65304. 4-EB-82

San Quentin State Prison

San Quentin, CA 94974

 

Call California Governor Newsom:

1-(916) 445-2841

Press 1 for English or 2 for Spanish, 

press 6 to speak with a representative and

wait for someone to answer 

(Monday-Friday, 9:00 A.M. to 5:00 P.M. PST—12:00 P.M. to 8:00 P.M. EST)


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The writers' organization PEN America is circulating this petition on behalf of Jason Renard Walker, a Texas prisoner whose life is being threatened because of his exposés of the Texas prison system. 


See his book, Reports from within the Belly of the Beast; available on Amazon at:

https://www.amazon.com/Reports-Within-Belly-Beast-Department-ebook/dp/B084656JDZ/ref=cm_cr_arp_d_product_top?ie=UTF8

Petition: https://actionnetwork.org/petitions/protect-whistleblowers-in-carceral-settings


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Tell Congress to Help #FreeDanielHale

 

I’m pleased to announce that last week our client, Daniel Hale, was awarded the Sam Adams Award for Integrity in Intelligence. The “Corner-Brightener Candlestick” was presented to Daniel’s friend Noor Mir. You can watch the online ceremony here.

As it happens, this week is also the 20th anniversary of the first drone assassination in Yemen. From the beginning, the drone assassination program has been deeply shrouded in secrecy, allowing U.S. officials to hide significant violations of international law, and the American Constitution. In addition to the lives directly impacted by these strikes, the program has significantly eroded respect for international law and thereby puts civilians around the world in danger.

Daniel Hale’s revelations threw a beam of light into a very dark corner, allowing journalists to definitively show that the government's official narrative was a lie. It is thanks to the great personal sacrifice of drone whistleblowers like Hale that public understanding has finally begun to catch up to reality.

As the Sam Adams Associates note:

 “Mr. Hale was well aware of the cruel, inhumane and degrading treatment to which other courageous officials have been subjected — and that he would likely suffer the same. And yet — in the manner of his famous ancestor Nathan Hale — he put his country first, knowing what awaited him at the hands of those who serve what has become a repressive Perpetual War State wreaking havoc upon much of the world.”


We hope you’ll join the growing call to pardon or commute Hale’s sentence. U.S. citizens can contact your representatives here.

Happy new year, and thank you for your support!

Jesselyn Radack
Director
Whistleblower & Source Protection Program (WHISPeR)
ExposeFacts

Twitter: @JesselynRadack

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Resources for Resisting Federal Repression

https://www.nlg.org/federalrepressionresources/

 

Since June of 2020, activists have been subjected to an increasingly aggressive crackdown on protests by federal law enforcement. The federal response to the movement for Black Lives has included federal criminal charges for activists, door knocks by federal law enforcement agents, and increased use of federal troops to violently police protests. 

 

The NLG National Office is releasing this resource page for activists who are resisting federal repression. It includes a link to our emergency hotline numbers, as well as our library of Know-Your-Rights materials, our recent federal repression webinar, and a list of some of our recommended resources for activists. We will continue to update this page. 

 

Please visit the NLG Mass Defense Program page for general protest-related legal support hotlines run by NLG chapters.

 

Emergency Hotlines

If you are contacted by federal law enforcement, you should exercise all of your rights. It is always advisable to speak to an attorney before responding to federal authorities. 

 

State and Local Hotlines

If you have been contacted by the FBI or other federal law enforcement, in one of the following areas, you may be able to get help or information from one of these local NLG hotlines for: 

 

Portland, Oregon: (833) 680-1312

San Francisco, California: (415) 285-1041 or fbi_hotline@nlgsf.org

Seattle, Washington: (206) 658-7963

National Hotline

If you are located in an area with no hotline, you can call the following number:

 

National NLG Federal Defense Hotline: (212) 679-2811


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Articles

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1) Congress Seeks to Bar Funding for U.N. Agency for Palestinians

A bill would bar support for the agency, UNRWA, amid accusations that some employees were Hamas fighters. Other countries are scrambling to make up the looming shortfall.

By Adam Rasgon and Robert Jimison, March 20, 2024

Adam Rasgon reported from Jerusalem and Robert Jimison from Washington.

https://www.nytimes.com/2024/03/20/world/middleeast/unrwa-senate-gaza.html

A crowd of men, some holding up green cards, gather outside a concrete building

Palestinians gathered to receive aid outside an UNRWA warehouse in Gaza City on Monday. Credit...Mahmoud Issa/Reuters


The United States would cut off funding for the main U.N. agency that provides aid to Palestinians in Gaza under a spending agreement on track to soon become law, according to two people familiar with the plan.

 

The ban, part of a massive spending bill negotiated by lawmakers and the White House that is expected to clear Congress by this weekend, would create a shortfall of hundreds of millions of dollars for the agency, known as UNRWA. That could have disastrous consequences for Gazans, who are facing an acute hunger crisis and displacement in crowded shelters and tent encampments.

 

The move would also put Washington at odds with its Western allies over how to respond to the humanitarian crisis in Gaza amid accusations that Hamas fighters have infiltrated the agency.

 

The U.S. has unilaterally taken other steps to ameliorate the deprivation in Gaza, including pressuring the Israelis to allow more aid into the enclave, conducting airdrops of food and announcing a plan to construct a pier to deliver aid by sea.

 

Though before the war UNRWA employees filled a broad array of civil functions in the territory, operating schools and providing health services, they have since become the main resource on the ground for delivering aid to the territory’s besieged residents. As Congress bans funding for the agency, U.S. officials are seeking alternative organizations to tackle the distribution of food in particular.

 

But as the U.S. courts other agencies to help fill the void in Gaza, some of America’s closest allies are scrambling to ensure funding for the agency continues.

 

The suspension of funding is planned through March 2025 and extends a pause that the White House and lawmakers from both major U.S. parties supported after Israel accused at least 12 UNRWA employees in January of participating in the Oct. 7 attack on southern Israel led by Hamas. Efforts are underway to impose a longer-lasting funding ban, according to people familiar with the negotiations.

 

“Not a single taxpayer dollar should go to UNRWA after the serious allegations of its members participating in the October 7th attacks,” Senator James Risch of Idaho, the top Republican on the Foreign Affairs Committee, said in a statement to The New York Times.

 

The loss of American support would hamper the agency’s ability to deliver food and health services in Gaza. The United States has paid the plurality of the agency’s overall budget, including $370 million in 2023. As of earlier this month, UNRWA had enough funds to continue its operations until the end of May, according to Scott Anderson, the agency’s deputy director for Gaza.

 

Philippe Lazzarini, UNRWA’s commissioner general, said he feared that U.S. efforts to suspend funding would have drastic effects on agency services in Gaza, particularly schooling. “I really hope that the U.S. will continue to show their solidarity,” he said.

 

The agreement, which is the product of long and painstaking negotiations, is expected to easily pass Congress.

 

Senator Chris Van Hollen, Democrat of Maryland, said he opposed the ban on funding.

 

“To punish over two million innocent people in Gaza and UNRWA beneficiaries throughout the region for these actions is not just misguided — it’s unconscionable,” he said on Wednesday.

 

The White House appeared to be holding out hope for the possibility of eventually restoring funding to UNRWA, which supports Palestinian refugees across the Middle East, once the agency concludes its investigation and takes steps toward reform.

 

“There is no other organization that has the reach, the tentacles and the distribution capabilities that UNRWA has in Gaza. That’s just a fact,” said John F. Kirby,  the White House National Security Council spokesman.

 

“Obviously UNRWA is going to have to reform itself, clearly, because that’s just unacceptable behavior by anybody,” he added.

 

U.N. officials said they had fired 10 of the original 12 employees accused of participating in the Oct. 7 attack or its aftermath and that two others were dead. António Guterres, the U.N. secretary-general who described himself as “horrified by these accusations,” ordered an investigation into the agency and has implored those nations that suspended their aid payments to reconsider.

 

Over the past two weeks, Canada, Sweden, Iceland and Australia, which suspended funding for UNRWA after Israel’s accusations were made public in January, have said that they would renew it. A host of other countries, including Germany, UNRWA’s second-biggest backer, are expected to make similar announcements in the coming months, according to five European diplomats, who spoke on condition of anonymity because they were not authorized to communicate with the news media.

 

On Wednesday, a Saudi-funded humanitarian agency pledged to increase its funding for the agency by $40 million, according to a statement.

 

“We welcome the decisions of donor countries to restore funding, but we are not out of the woods,” said Juliette Touma, the communications director for UNRWA.

 

But while America’s allies look for ways to fund and potentially reform the agency — like stepping up enforcement of its rules that require employees to maintain neutrality  — Washington is seeking other alternatives.

 

Humanitarian officials, however, have questioned whether other U.N. agencies or smaller relief organizations are capable of distributing large amounts of aid independently while the war between Israel and Hamas is raging.

 

Israeli officials recently met in Washington with members of Congress and the Biden administration and shared new evidence that they said showed UNRWA employees had connections with militant groups in Gaza, according to an Israeli official with knowledge of the matter, who spoke on the condition of anonymity to discuss an ongoing investigation. The New York Times has not seen the material Israeli officials presented to members of Congress.

 

Last week, he said, Israeli officials shared materials with visiting investigators from the U.N. Office of Internal Oversight who are conducting an inquiry into whether UNRWA employees have ties to Hamas. He said Israel was committed to ensuring the continued flow of aid to Gaza, but not through UNRWA.

 

Earlier in the war, the distribution of food aid was primarily overseen by UNRWA. But more recently, a patchwork of aid agencies, convoys operated by local businessmen and airdrops by foreign governments have become involved in the delivery of desperately needed food.

 

Distribution, particularly in northern Gaza, has been slowed by lawlessness, violence and Israel denying convoys entry.

 

At least twice in recent weeks, attempts to distribute food ended in bloodshed as hungry Palestinians seeking aid were killed. In the deadliest such event, more than 100 people were killed in Gaza City on Feb. 29, according to local health authorities, who attributed the deaths to Israeli troops firing on the crowd. The Israeli military acknowledged opening fire, but said most of the deaths had occurred when people stampeded or were run over by trucks.

 

On Monday, the U.N.-backed organization that monitors food insecurity warned that “famine is imminent” in Gaza.

 

Both Republicans and Democrats have proposed the World Food Program as an alternative, according to UNRWA supporters who recently visited Congress and spoke on the condition of anonymity to discuss their private meetings.

 

But the World Food Program, or W.F.P., has fewer than 100 staff members in Gaza compared to the 13,000 on UNRWA’s payroll, 3,000 of whom have kept working during the war.

 

“The World Food Program’s mandate is to deliver food assistance to hungry and vulnerable people,” the agency said in a statement. “We are ready to further step up our food assistance in Gaza, with the necessary funding. We cannot replace the critical functions of UNRWA in Gaza, including the running of shelters and health clinics.”

 

Israel has also engaged with the W.F.P., along with other organizations, about playing a larger role in Gaza, according to the Israeli official who discussed the recent Washington meetings, and who spoke on the condition of anonymity to discuss the deliberations.

 

But moving employees from one organization to another would be complicated, said Jamie McGoldrick, a top U.N. relief official in Jerusalem. For example, W.F.P.’s employees in Gaza are generally paid about three times as much as their UNRWA counterparts, he said.

 

As Washington looks for alternatives to UNRWA, some countries have decided to restore their funding, based on reassurances the agency has given about improving its employee vetting process and its enforcement of ethics rules.

 

Other donor nations, according to UNRWA officials and the European diplomats, are seeking additional information from the U.N. office overseeing the inquiry into Israel’s allegations, as well as the results of an independent review being conducted by Catherine Colonna, a former French foreign minister. Ms. Colonna is expected to release an interim update on Wednesday and her final report on April 20.

 

Many European countries are looking to see that UNRWA is taking the investigation seriously, one of the European diplomats said, adding that evidence of “credible efforts” to reform was important. “The overall sense is things are going quite well,” the diplomat said.

 

Hugh Lovatt, a senior fellow at the European Council on Foreign Relations, said the push in European capitals to restore funding was a recognition that Europe had “overreacted” when faced with the allegations.

 

Nevertheless, the European Union has said future funding for UNRWA is contingent on the agency allowing E.U.-appointed experts to audit the organization; increasing the staff of its internal investigations and ethics departments; and making employees sign conflict-of-interest declarations, according to written correspondence between the UNRWA commissioner-general, Mr. Lazzarini, and Oliver Varhelyi, a senior E.U. official.

 

UNRWA, according to the correspondence between Mr. Lazzarini and Mr. Varhelyi, also agreed to hand over a list of its employees to Israeli authorities every three months, including their Palestinian ID numbers; to confirm that financial institutions had vetted its staff against a list of people under E.U. sanctions; and to allow a third party to monitor employees’ compliance with training on humanitarian principles and neutrality.

 

Israeli officials had previously complained that UNRWA had handed over its employee lists only once a year, without their national ID numbers. Access to the ID numbers, diplomats said, would likely make it easier for Israel to check its databases for specific UNRWA employees with criminal histories.

 

Johnatan Reiss contributed reporting.


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2) Russia and China Veto U.S.-Led Cease-Fire Resolution at U.N.

By Alan Yuhas and Victoria Kim, March 22, 2024

https://www.nytimes.com/live/2024/03/22/world/israel-hamas-war-gaza-news

An urban landscape clouded with smoke.

Smoke billowing in the Gaza Strip seen from a U.S. military aircraft dropping aid on Thursday. Credit...Giuseppe Cacace/Agence France-Presse — Getty Images


Russia and China on Friday vetoed a U.S. resolution at the United Nations Security Council that called for “an immediate and sustained cease-fire” as part of a deal in Gaza, rejecting a measure that included some of Washington’s strongest language since the start of the war.

 

The U.S.-backed resolution reflected the Biden administration’s growing frustration with Israel’s conduct in the war, and had been intended to put pressure on Israel not to attack the southern Gaza city of Rafah, where hundreds of thousands of civilians are sheltering.

 

But international divisions, including over Washington’s own use of its veto power in the Council and its refusal to call for a permanent cease-fire, appeared to doom the resolution on Friday.

 

Eleven members voted in favor of the resolution, but three nations, including two permanent members with veto power, Russia and China, voted against it. Algeria also voted against the measure and Guyana abstained.

 

After the vote, the U.S. ambassador, Linda Thomas-Greenfield, defended the resolution, saying it was brought forward “in good faith after consulting with all Council members and after multiple rounds of edits.”

 

She said Russia and China vetoed the resolution for two reasons: They had refused to condemn Hamas, and they “simply did not want to vote for a resolution that was penned by the United States because it would rather see us fail than to see this Council succeed.”

 

Ms. Thomas-Greenfield said the U.S. draft would have put the Security Council’s weight behind diplomatic efforts “to secure an immediate and sustained cease-fire as part of a deal that leads to the release of all hostages that will allow much more humanitarian aid to get into Gaza.”

 

Russia’s ambassador to the United Nations, Vasily Nebenzya, had denounced the U.S.-backed measure before the vote, calling it a “hypocritical initiative” and “a diluted formulation” regarding a cease-fire.

 

“To save the lives of peaceful Palestinians, this is not enough,” he said. The draft, he asserted, was written with U.S. political interests in mind, to “ensure the impunity of Israel” and to undermine the authority of the Council.

 

He urged Council members to vote against the resolution, saying, “We cannot allow the Security Council to become an instrument in advancement of Washington’s destructive policy in the Middle East.”

 

The United States had vetoed three previous resolutions demanding a stop to fighting in Gaza, arguing that the measures could disrupt hostage negotiations and staunchly defending Israel’s right to defend itself after the Hamas-led attack of Oct. 7. In each of those earlier Security Council votes, the United States was the only vote against the resolutions. Russia and Britain abstained from the first vote, in October, and Britain abstained from the votes in December and February.

 

But as the death toll has mounted in Gaza, where the health authorities say more than 30,000 people have been killed, and as hunger and disease worsen around the territory, President Biden and other U.S. officials have grown increasingly critical of Israel’s prime minister and his handling of the war. In his State of the Union address this month, Mr. Biden called for the prime minister, Benjamin Netanyahu, to let more aid into Gaza and do more to protect civilians.

 

Secretary of State Antony J. Blinken, who met with Mr. Netanyahu and other Israeli leaders in Tel Aviv on Friday, has said that an immediate cease-fire would allow for the release of hostages and a “surge” in humanitarian aid to alleviate the acute suffering among the territory’s 2.2 million civilians.

 

The urging of an “immediate” cease-fire was a shift from a draft Security Council resolution that the United States circulated last month, which had called for a temporary cease-fire “as soon as practicable.”

 

A delegation of mediators from Israel, Egypt, Qatar and the United States were meeting in Doha, Qatar’s capital, on Friday to “advance the release of hostages” still being held in Gaza, according to the office of Israel’s prime minister, Benjamin Netanyahu. A U.S. official confirmed that William Burns, the director of the Central Intelligence Agency, would travel to Qatar on Friday for negotiations.

 

In December, the Security Council adopted a resolution that called for “urgent and extended humanitarian pauses and corridors” to allow aid to reach civilians in Gaza. But that measure stopped short of demanding a cease-fire. The United States and Russia abstained from that vote.


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3) Israel designates more West Bank land for possible settlement use.

By Aaron Boxerman, March 22, 2024

"Israel has occupied the West Bank since 1967, and the country presides over a dual system in the territory. Roughly 500,000 Jewish Israelis reside in settlements and enjoy lives largely indistinguishable from their compatriots within the country’s internationally recognized borders. Their 2.7 million Palestinian neighbors are subject to Israeli military rule and tight restrictions on their movement."

https://www.nytimes.com/live/2024/03/22/world/israel-hamas-war-gaza-news

Bezalel Smotrich, with a beard in a dark suit and white shirt, sits in a dark chair.

Bezalel Smotrich, Israel’s hard-right finance minister, said more than 2,500 acres of West Bank territory had been designated as state land this year. Credit...Ronen Zvulun/Reuters


Israel has designated more than 2,500 acres of West Bank land this year as territory that could be used for settlements, a top Israeli minister said Friday, despite U.S. criticism of settlements.

 

Secretary of State Anthony J. Blinken, who arrived in Israel on Friday, has ratcheted up criticism of settlement construction in recent weeks as tensions between Washington and Jerusalem have flared.

 

Bezalel Smotrich, Israel’s hard-right finance minister, said Israeli authorities had reclassified on Thursday an area of about 2,000 acres in the northern Jordan Valley as “state land.” An additional area of roughly 700 acres in the central West Bank were classified as state land last month, he said. The designation could allow Israel to build or expand Israeli settlements in those places, among other purposes, although that prospect is probably distant.

 

“Even as there are those at home and abroad who seek to cast doubt on our right to both Israel and to Judea and Samaria, we are advancing settlement,” Mr. Smotrich said, using the Hebrew name for the West Bank.

 

Among other things, Israeli surveyors determined that the area was neither registered to private owners or being cultivated, a spokesman for Mr. Smotrich said. He denied the announcement had been timed for Mr. Blinken’s visit.

 

Israel has occupied the West Bank since 1967, and the country presides over a dual system in the territory. Roughly 500,000 Jewish Israelis reside in settlements and enjoy lives largely indistinguishable from their compatriots within the country’s internationally recognized borders. Their 2.7 million Palestinian neighbors are subject to Israeli military rule and tight restrictions on their movement.

 

Peace Now, an anti-settlement group, says the Israeli authorities have classified an area of the West Bank similar to what Mr. Smotrich announced as state land this year — a decades-long peak.

 

Biden administration officials have repeatedly condemned settlement expansion in the West Bank as an obstacle to the longstanding U.S. goal of a two-state solution. Palestinians hope the West Bank will one day become part of an independent state.

 

Last month, after Mr. Smotrich announced the construction of over 3,000 new housing units in settlements, Mr. Blinken called them “inconsistent with international law,” reverting to a decades-old U.S. position.


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4) Doctors bring harrowing stories from Gaza hospitals to Washington.

By Anushka Patil, March 22, 2024

https://www.nytimes.com/live/2024/03/22/world/israel-hamas-war-gaza-news




















In the aftermath of a missile strike in Khan Younis, Gaza, in January, a stream of victims was brought to the Nasser Hospital. Credit...Courtesy of Zaher Sahloul (Screenshot)


The memories are indelible. Screaming families carrying bloodied loved ones through the doors of an overcrowded hospital. A boy trying to resuscitate a child who looked not much older than himself. A 12-year-old with shrapnel wounds to his head and abdomen being intubated on the ground.

 

What he saw that January day at the Nasser Hospital in Khan Younis in southern Gaza — after a missile strike on an aid distribution site — has haunted Dr. Zaher Sahloul, an American critical care specialist with years of experience treating patients in war zones, including in Syria and Ukraine.

 

He and other volunteer doctors who have returned from besieged hospitals in Gaza took their firsthand accounts to Washington this week, hoping to convey the suffering to the Biden administration and senior government officials and to press for an immediate cease-fire.

 

Dr. Sahloul showed American officials — including members of Congress and officials from the White House, State Department, Defense Department and the United States Agency for International Development — a photo of the 12-year-old boy and his death certificate. The child never woke up from surgery after being intubated, the doctor said, and the hospital could not reach his family amid a near-total communications blackout.

 

Two other doctors in the delegation — Amber Alayyan, a Paris-based deputy program manager for Doctors Without Borders, and Nick Maynard, a British surgeon — said that medical system in Gaza had been wiped out by the war between Israel and Hamas.

 

“This is the deliberate destruction of the whole health care system,” Dr. Maynard said in an interview.

 

He described operating on chest injuries from explosions with few anesthetics or antibiotics at the Al-Aqsa Hospital in Deir al Balah in central Gaza in December and January. “The lack of pain relief was particularly disturbing because we saw lots of children with awful burns,” he said.

 

There was a limited supply of sterile gloves and surgical drapes, and the hospital’s record-keeping abilities had collapsed, rendering follow-up care nearly impossible, he said. Dr. Maynard said he walked through hallways packed with displaced people to check on patients he had operated on and sometimes failed to find them.

 

Also in the delegation was Thaer Ahmad, a Palestinian American emergency medicine physician. He was with Dr. Sahloul in January as Israeli forces encircled Khan Younis and began closing in on Nasser Hospital, the largest still functioning in the enclave at the time.

 

“I had to go,” Dr. Ahmad said in an interview. “They’re my people.”

 

He said that he had a toddler and a 2-month-old baby at home in Chicago when he traveled to Gaza. He contrasted his wife’s experience of delivery — in a safe, well-resourced hospital with an obstetrician she knows well — with the plight of pregnant women in Gaza, who have been starving and giving birth in shelters.

 

Not long after the doctors left Gaza, Nasser Hospital was raided by Israeli forces in what the military said was a search for Hamas members, weapons and the bodies of Israeli hostages. Before that, fighting had raged around the sprawling hospital for weeks, devastating the surrounding area.

 

The Israeli military said at the time that its operation was “conducted to ensure minimal disruption to the hospital’s ongoing activities.” Videos from the raid depicted chaos inside the damaged, smoke-filled hospital, punctuated by automatic gunfire and explosions, and health ministry described rapidly deteriorating conditions, and said patients had died from a lack of power and oxygen, and video footage from the scene.

 

“I will regret, for the rest of my life, leaving when I did,” Dr. Ahmad said.


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5) Israel’s Supreme Court asks authorities to hold off on the deportation of Gazan cancer patients.

By Cassandra Vinograd, March 22, 2024

https://www.nytimes.com/live/2024/03/22/world/israel-hamas-war-gaza-news

Israeli flags line the top of a building. Trees are in the foreground.

Israel’s Supreme Court asked the Israeli government to hold off on deporting a group of cancer patients from Gaza. Credit...Abir Sultan/EPA, via Shutterstock


Gazans who had been receiving medical treatment in Israel were to be deported back to the Palestinian territory on Thursday but have received a temporary reprieve from Israel’s Supreme Court.

 

The Supreme Court decision came in response to a last-minute petition filed by rights organizations and 13 cancer patients on Wednesday evening asking for the deportation to be blocked. The court asked the Israeli government to hold off on any action until it had time to review the petition.

 

Tamir Blank, the lead attorney for the patients, said on Thursday that seven names had been added to the petition since the decision.

 

“We’re making the argument that Israel created such conditions in Gaza that it cannot sustain people who have cancer and nobody with cancer can survive there for a reasonable amount of time,” he said.

 

The Israeli government said in a court filing on Thursday that it agreed to the court’s request not to deport any of the patients while the petition was under review. It also asked for 30 days to prepare its own response to the petition.

 

COGAT, the Israeli agency that oversees policy for the Palestinian territories and that was named along with the government in the petition, did not respond to questions about the petition or the patients involved. It said in a statement that “at present, Gazan residents and their escorts, who have received medical treatment in Israeli hospitals and who are not in need of further medical care, are returned to the Gaza Strip.”

 

“We emphasize that as of this moment, the coordination of the return of the Gazan patients has stopped and the issue is being discussed in court,” the statement added.

 

Months of bombardment and dire shortages of supplies since the war began in October have brought Gaza’s already struggling health care system to what aid organizations have said is the brink of collapse. Israel has raided several of Gaza’s main medical complexes, saying it is rooting out Hamas activity, a charge health officials deny.

 

The health care system was ill equipped to provide advanced cancer treatment even before the war. To get treatment in Israel, Gazans had to navigate several obstacles, including getting the Palestinian Authority’s Health Ministry to agree to absorb the cost of treatment and the Israeli authorities to issue a permit to cross the border.

 

Since the war began, Israel has sent some Palestinian workers back to Gaza, and rights groups say some Gazans receiving medical treatment have chosen to go back.

 

The 20 people named on the petition, most of whom are cancer patients and the majority of whom are adults, according to Mr. Black, do not want to return to Gaza. All of them were in Israel before the war began, mostly at hospitals in occupied East Jerusalem.

 

They were scheduled for deportation because they were no longer receiving “active treatment,” according to the attorney, rights groups and a hospital.

 

Dr. Fadi Atrash, the head of the Augusta Victoria Hospital in East Jerusalem, said that the Israeli authorities had contacted his hospital last week for an updated list with the names and statuses of Gazan patients. The hospital was told that 11 cancer patients who were no longer receiving active treatment would be sent back to Gaza this week, he said.

 

Completing chemotherapy or radiation is not the end of treatment for cancer patients, the doctor and rights groups argued. Patients might need hormone therapies, and require follow-ups and regular checkups, none of which are feasible in Gaza.

 

“Sending them back to Gaza — it’s like putting them in a higher risk to be killed because it’s a war zone,” Dr. Atrash said.

 

Aseel Aburass, the director of the department for occupied Palestinian territories at Physicians for Human Rights-Israel, which took the lead on the petition, said that it was “crazy” to send the patients back to a war zone when they need follow-up care.

 

“They’re still weak and their immune system is weak,” she said, adding: “This is a death sentence.”

 

Myra Noveck and Johnatan Reiss contributed reporting.


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6) The D.E.A. Needs to Stay Out of Medicine

By Shravani Durbhakula, Dr. Durbhakula is an anesthesiologist and pain medicine physician from Nashville, March 22, 2024

https://www.nytimes.com/2024/03/22/opinion/dea-opioids-restrictions-overdoses.html

A “no exit” sign shaped like a pill on top of a solid black background.

Ben Hickey


Even when her pancreatic cancer began to invade her spine in the summer of 2021, my mother-in-law maintained an image of grace, never letting her own pain stop her from prioritizing the needs of others. Her appointment for a nerve block was a month away, but her pain medications enabled her to continue serving her community through her church. Until they didn’t.

 

Her medical condition quickly deteriorated, and her pain rapidly progressed. No one questioned that she needed opioid medications to live with dignity. But hydrocodone, and then oxycodone, became short at her usual pharmacy, and then at two other pharmacies. My mother-in-law’s 30-day prescriptions were filled with only enough medication to last a few days, and her care team required in-person visits for new scripts. Despite being riddled with painful tumors, she endured a tortuous cycle of uncertainty and travel, stressing her already immunocompromised body to secure her medications.

 

My mother-in-law’s anguish before she passed away in July 2022 mirrors the broader struggle of countless individuals grappling with pain. I’m still haunted by the fact that my husband and I, both anesthesiologists and pain physicians who have made it our life’s work to alleviate the suffering of those in pain, could not help her. It is no wonder that our patients are frustrated. They do not understand why we, doctors whom they trust, send them on wild goose chases. They do not understand how pharmacies fail to provide the medications they need to function. They do not understand why the system makes them feel like “drug seekers.”

 

Health care professionals and pharmacies in this country are chained by the Drug Enforcement Administration. Our patients’ stress is not the result of an orchestrated set of practice guidelines or a comprehensive clinical policy, but rather one government agency’s crude, broad-stroke technique to mitigate a public health crisis through manufacturing limits — the gradual and repeated rationing of how much opioids can be produced by legitimate entities. This is a bad and ineffective strategy to solving the opioid crisis, and it’s incumbent on us to hand the reins of authority over to public health institutions better suited to the task.

 

Since 2015, the D.E.A. has decreased manufacturing quotas for oxycodone by over 60 percent and for hydrocodone by about 72 percent. Despite thousands of public comments from concerned stakeholders, the agency has finalized even more reductions throughout 2024 for these drugs and other commonly prescribed prescription opioids.

 

In theory, fewer opioids sold means fewer inappropriate scripts filled, which should curb the diversion of prescription opioids for illicit purposes and decrease overdose deaths — right?

 

I can tell you from the front lines, that’s not quite right. Prescription opioids once drove the opioid crisis. But in recent years opioid prescriptions have significantly fallen, while overdose deaths have been at a record high. America’s new wave of fatalities is largely a result of the illicit market, specifically illicit fentanyl. And as production cuts contribute to the reduction of the already strained supply of legal, regulated prescription opioids, drug shortages stand to affect the more than 50 million people suffering from chronic pain in more ways than at the pharmacy counter.

 

Doctors may be forced to ration medications, or choose which patients out of a qualifying group actually receive scripts, and drug prices may increase for consumers. In an aging population with increasing pain medication needs, more patients may struggle more frequently to fill prescriptions that treat their pain; and because of known treatment biases in pain medicine, women and people of color could be disproportionately affected, widening existing disparities.

 

Paradoxically, the D.E.A.’s production cuts may drive patients to seek opioids on the illicit market, where access is easy but drugs are laced unpredictably with fentanyl, xylazine and other deadly synthetics. My patients confide that they cannot go through cycles of pain relief and withdrawal and cannot spend hours in the emergency room; in their minds, they have no choice but to turn to the streets.

 

We’ve seen this play out before: When the D.E.A. made legal access to products containing hydrocodone more difficult in 2014, the sale of opioids through online illicit markets increased to 13.7 percent of all drug sales from an estimated 6.7 percent, and sales shifted toward more potent opioids like fentanyl.

 

The D.E.A. isn’t new to these criticisms. As recently as January it insisted that manufacturing issues or other supply-chain disruptions were the real issues limiting patient access to pain medication, not manufacturing quotas or the imposition of limits. And the agency suggested that action would be taken if the Food and Drug Administration told it about shortages, which the F.D.A. hasn’t so far. But when more than a third of health care professionals attest that their patients’ struggle to fill opioid scripts, something is clearly not working. The D.E.A.’s responses read more like a deflection of blame than a serious strategy.

 

My profession makes me acutely aware of opioid risks, including addiction and overdose, but at times, and under careful dosing and monitoring, opioids are the right choice for our patients. Still, some health care providers are reluctant to prescribe them, even for cancer pain where opioids are a mainstay of treatment. Many cited opioid dispensing at pharmacies as a barrier.

 

This is concerning since untreated pain is associated with decreased immunity, a worsening of depression, reduced mobility and adverse effects on quality of life. Ineffective pain management has also been associated with increased medical costs. Among people with sickle cell disease, for instance, 10 percent of patients account for 50 percent of emergency room visits. Although they suffer from other possibly contributing disorders, the common feature among them is chronic pain.

 

Dangerous prescription drugs require safeguards, but a scalpel has more promise than a sledgehammer. The D.E.A., an agency staffed with law enforcement officials, is not equipped to distinguish appropriate from inappropriate prescribing, and it has in the past apparently confused inappropriate with criminal. Instead of itself defining medical aptness, the D.E.A. should pass the baton to our nation’s public health agencies.

 

Collaboratively, the Centers for Disease Control and Prevention, the Food and Drug Administration and the Department of Health and Human Services can take a tailored, more precise approach to opioids that is informed by medical and clinical acumen. The F.D.A. in particular should strengthen existing risk evaluation and mitigation strategies programs, which place controls on individual medications and respond to signs of inappropriate prescribing. Although such programs have not always responded effectively, they can be improved with planning, time and resources. And lastly, the government should strip the D.E.A. of its authority to suspend providers’ controlled substance licenses when dangers arise and should hand that power over to these public health agencies.

 

As the rates of chronic pain rise, I fear the future. Our medical students report reservations about treating pain patients, and while a dedicated medical school pain curriculum can shift attitudes, few schools offer one. The number of unfilled pain medicine fellowship training positions has more than doubled in the last three years, and pain physicians are leaving the specialty. For the field to recover, the thoughtful consideration of clinicians must be empowered by our nation’s health entities. It is time for the D.E.A. to stop meddling in medicine.


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7) Gaza’s Shadow Death Toll: Bodies Buried Beneath the Rubble

With hand tools and bare hands, families and rescuers continue to search broken buildings for missing friends and relatives.

By Vivian Yee, Iyad Abuheweila, Abu Bakr Bashir and Ameera Harouda, Vivian Yee reported from Cairo, Iyad Abuheweila from Istanbul, Abu Bakr Bashir from London and Ameera Harouda from Doha, Qatar, March 23, 2024

https://www.nytimes.com/2024/03/23/world/middleeast/gaza-missing-bodies-deaths.html

A cloud of smoke or dust rises as people are seen inspecting the remains of a destroyed building.

Palestinian rescuers at the scene of a destroyed building after an airstrike in Gaza City in October. Credit...Samar Abu Elouf for The New York Times


A curly-haired young man shakes as he bends over the mound of smashed concrete that used to be his friend’s home. He clutches his rain-spotted iPhone in his trembling hands, but there is no answer. “Please God, Ahmed,” he sobs in a video posted on social media. “Please God.”

 

A father crawls over a mountain of gray concrete shards, his right ear pressed to the dust. “I can’t hear you, love,” he tells his absent children in a different video shared on Instagram and verified by The New York Times. He scrabbles over a few yards to try again. “Salma! Said!” he yells, hitting his dusty hammer against the mute concrete over and over, before breaking down. “Said,” he cries, “didn’t I tell you to take care of your sister?”

 

Another man on another rubble heap is looking for his wife and his children, Rahaf, 6, and Aboud, 4. “Rahaf,” he cries, leaning forward to scan the twisted pile of gray before him. “What has she done to deserve this?”

 

Gaza has become a 140-square-mile graveyard, each destroyed building another jagged tomb for those still buried within.

 

The most recent health ministry estimate for the number of people missing in Gaza is about 7,000. But that figure has not been updated since November. Gaza and aid officials say thousands more have most likely been added to that toll in the weeks and months since then.

 

Some were buried too hastily to be counted. Others lie decomposing in the open, in places too dangerous to be reached, or have simply disappeared amid the fighting, the chaos and ongoing Israeli detentions.

 

The rest, in all likelihood, remain trapped under the rubble.

 

The piles of debris have been multiplying ever since Oct. 7, when Hamas attacked Israel, killing about 1,200 people, according to Israeli officials. Israel launched its retaliatory war, and the number of search-and-rescue operations — both professional and, increasingly, amateur — also soared.

 

After airstrikes, a small crowd of would-be rescuers gathers. In Instagram videos like the ones described above, the searchers — a mix of professional civil defense workers, family members and neighbors — can be seen clambering over and onto the dusty wreckage of homes and buildings to dig.

 

But hopes dwindle quickly. The people they are looking for are usually found dead beneath the wreckage — days, weeks or even months later.

 

The buried make up a shadow death toll in Gaza, a leaden asterisk to the health ministry’s official tally of more than 31,000 dead, and an open wound for families who hope against hope for a miracle.

 

Most families have accepted that their missing are dead, and it is unclear how much of the estimate of those unaccounted for is already reflected in the official death toll. The continuing shelling, crossfire and airstrikes often make it too dangerous to sift through the wreckage for the bodies. Other times, relatives are too far away to do so, having separated from the rest of their families in the search for somewhere safer to go.

 

Photographs that have emerged of Gaza’s rubble heaps testify to families’ intention to recover the dead someday: “Omar Al Riyati and Osama Badawi are under the rubble,” reads the spray paint on a tarp draped across the door of one blown-out building.

 

“Forty days my family has been under the rubble, and we can’t reach them,” Salem Qassem said in November. He had fled Beit Hanoun in northern Gaza for nearby Jabalia early in the war, four days before he heard that his father was dead.

 

He rushed back to Beit Hanoun as soon as he could, he said, to find his father’s three-story house had been reduced to rubble. The people who had been there — his father, his father’s wife, his sisters and his brother — were nowhere to be found.

 

He tried to dig, he said, but fled when the neighborhood came under renewed attack. Now, even if he could get past the Israeli military still operating in the area, he said, “I won’t find bodies. I’ll find ashes.”

 

When a multistory building collapses, it is impossible to comb the hill of debris without heavy machines or fuel to power them. Often, neither is available.

 

Gaza has been under a debilitating blockade jointly enforced by Israel and Egypt since Hamas took control of the strip in 2007, and the types of equipment typically used to rescue people after earthquakes and other events of mass destruction are largely forbidden from entering the territory.

 

Across all of Gaza, Ahmed Abu Shehab, a civil defense worker in the territory, is aware of only two excavators available for the task. Without them, rescuers rely on shovels, drills and their own hands: a grimly monotonous mission, undertaken mostly by men running on anger and grief but little food, water or rest.

 

Last fall, Mr. Abu Shehab said he was part of a team that used bulldozers and an excavator to pull dozens of people from the ruins of a three-story house — a lengthy job, given the size of the building. It took 48 hours to reach the people inside. By then, all of them had died, he said.

 

In late October, when an airstrike brought down a multistory building in Al Nuseirat, there was so much wreckage that a bulldozer first had to come and clear the road, said Ahmed Ismael, 30. The two families in the building next door were not spared: More than a dozen people died there, including several children, said Mr. Ismael, a nurse whose cousin’s family was among the dead.

 

The extended family had sought refuge there after leaving their own home in Sheikh Radwan, in Gaza City, early in the war, Mr. Ismael said. They had chosen to split up between several locations, so that if a group sheltering in one place was killed, the others might survive.

 

That was what happened. Searchers had managed to pull some bodies from the second floor by digging with their hands, but Mr. Ismael said his cousin, Salwa, one of her sons and her brother, Mahmoud, were still buried. So were five members of the family hosting them.

 

The bulldozer was no help. The buildings had been too massive, and after clearing the road, the driver told the diggers that he did not have enough fuel in any case, Mr. Ismael said.

 

Calling 101, the Gaza equivalent of 911, is of little use: Communications networks are weak, erratic or nonfunctional. Instead, many people have taken to braving the heavy fighting and rubble-choked streets to request help in person at civil defense headquarters.

 

Even if they do get through, the lack of fuel, along with continuing attacks, means ambulances and rescue workers are hard-pressed to move around Gaza to answer their pleas.

 

Since mid-November, after the Israeli military occupied most of northern Gaza and Gaza City, Palestinian Red Crescent Society teams have been unable to enter that part of the strip freely, said Nebal Fesakh, a spokeswoman for the group. There is nothing they can do to respond to desperate calls on the 101 line from people trapped there, or to treat the wounded, to take away a body, to dig for the missing.

 

“Unfortunately, we just felt helpless because we were completely denied access to those areas,” Ms. Fesakh said. “Thousands of people are still stuck under the rubble, and now they’ve most probably died because it’s been so long.”

 

Nevin Almadhoun, 40, was on the other end of Gaza, in a school turned shelter in the southern city of Rafah, when she was told that an Israeli airstrike had hit the building where her brother, Majed, and his family had been staying in the north.

 

She felt an impulse to get up and go back, to help dig for them with her bare hands. But there was no way to get around the Israeli forces that had cut off the northern part of the strip from the south.

 

Other relatives went to the site and began heaving the stones and shards of concrete away by hand, she said. She begged them to try to find at least one person alive. Anyone.

 

They said there was no hope, Ms. Almadhoun recalled. Majed and his family had been staying in the basement. The entire building had fallen in on them.

 

After days of searching, the diggers managed to recover them, one by one: her brother, his wife, two sons and two daughters.

 

It took longest to find Siwar, 14, a high school basketball player who hoped to become a trainer. Her uncle, who was among the searchers, said he dreamed one night that Siwar was calling him from a particular spot. He found her body there the next morning.

 

“When I heard that they were killed, I started to cry, to shout, but no one can hear you — you’re alone in a strange place,” Ms. Almadhoun said. “But when they told me they got them out, I took some comfort. Because lots of people are not.”

 

All of them were buried in the family plot in Beit Lahia. After she returns to northern Gaza, Ms. Almadhoun said, “we want to visit their graves, to find a place to cry for them.”

 

She does not know when that will be.

 

Nada Rashwan contributed reporting from Cairo.


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