On 29 February 2024, I presented in a panel at the Erasmus Medical Centre in Rotterdam on “The right to healthcare under fire”. The event was organised by Artsen Voor Gaza (Doctors for Gaza) a Dutch group of physicians, medical students and medical researchers. Alongside compelling presentations from Dr. Loes de Kleijn, Dr. Kamal El Mokayad and Haya Al Farra, I spoke of the legal context of the ongoing, genocidal violence in Gaza and more importantly what can be done.
The War in Gaza has a context
Since the attacks in Southern Israel and Israel’s operation in Gaza called “Iron Swords” from October 2023, Israel has destroyed the majority of Gaza’s infrastructure, including its medical infrastructure. As I wrote already on 12 October 2023, the war in Gaza has an important context. Unfortunately, as the Israeli Professor of History Ilan Pappe has observed, there is an active effort to de-historicize the conflict, which serves as a backing to Israel in its genocidal violence against Palestinians in Gaza.
Despite Israel’s withdrawal of settlements and redeployment of forces in 2005, Israel has continued to occupy the 365 km2 territory of Gaza, including mounting a siege that has severely restricted basic needs. The majority of Gazans are under the age of 20 and have never left the territory. Most are refugees (and their descendants), forcibly displaced from their homes in 1948, which are maintained by what a Palestinian Professor of History, Nur Masalha describes as a politics of denial.
From a humanitarian angle, most Gazans have been largely dependent on direct United Nations assistance ever since the ‘Nakba’ in 1948, and in particular the United Nations Relief and Works Agency (UNRWA). This makes it all the more concerning that states have been seeking to defund UNRWA, following (as yet unfounded) Israeli allegations that its staff were complicit in the October attacks, a move described as “reckless” by a senior, Washington-based analyst.
“I am so scared”
So often we hear Palestinians referred to as statistics. While this potentially enables people to process the horrors of what is happening, as the poet and commentator Ramsey Nasr reminds us, those who have been killed had names, and we must remember them.
Two names and stories of two Gazans among the more than 30.000 (at the time of writing) who have been killed since October 2023 were recalled during the Event at Erasmus Medical Centre. One who was remembered was Hind Rajab. She was 5 or 6 years old when her family car came under fire by Israeli soldiers in Gaza City on 29 January 2024, she made a phone call to the Palestinian Red Crescent. “I am so scared,” she said. “Call someone to come get me, please.” Sadly, after more than two weeks of frantic efforts to reach her, Hind’s body was recovered a few days later on 3 February, along with those of relatives and two Red Crescent rescue workers that had been sent to find her. Their family car was riddled with bullets.
Another Gazan who was remembered was Refaat Alareer, a Palestinian Professor, poet and activist from Gaza who taught English literature at the Islamic University of Gaza.
The Functions of International Law in relation to Atrocity Crimes
The case brought by South Africa against Israel on genocide charges has raised the prospect of international law, and international legal institutions, finally serving to help end the bloodshed and longstanding impasse between Israel and the Palestinians. In this context, it is worthwhile to understand the functions of international law in seeking to prevent, protect against and seek accountability for atrocity crimes.
First, in its regulatory function, international law sets limits on military conduct, in particular to prevent the commission of atrocity crimes, including the crime of apartheid and the crime of genocide. Secondly, in its protection function, international law aims to protect civilians and humanitarian workers (and civilian and humanitarian infrastructure). Finally, and perhaps most importantly in the present context, international law has an accountability function; this comprises a collective obligation to investigate and prosecute individual violators, including war crimes directed against civilian medical personnel and the crime of genocide.
Accordingly, various, specific measures protect medical personnel and infrastructure, including Article 19 of the Geneva Conventions that they “may in no circumstances be attacked, but shall at all times be respected and protected by the Parties to the conflict”. Article 8 of the Rome Statute of the International Criminal Court provides that individuals who are found to have been “intentionally directing attacks against buildings, material, medical units and transport, and personnel using the distinctive emblems of the Geneva Conventions in conformity with international law” have committed war crimes.
Preliminary Measures by the International Court of Justice
After two days of oral hearings on 11 and 12 January 2024 from legal teams representing South Africa and Israel, the ICJ came back on 26 January with a set of Provisional Measures, as requested by South Africa. Each of the Provisional Measures were separately voted upon, all of which received an overwhelming majority, including the following:
“The State of Israel shall take immediate and effective measures to enable the provision of urgently needed basic services and humanitarian assistance to address the adverse conditions of life faced by Palestinians in the Gaza Strip.”
In justifying these measures, the Court “took note” of several statements by United Nations officials, including a statement made by the United Nations Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Mr Martin Griffiths, on 5 January 2024:
“Gaza has become a place of death and despair… Medical facilities are under relentless attack. The few hospitals that are partially functional are overwhelmed with trauma cases, critically short of all supplies, and inundated by desperate people seeking safety. A public health disaster is unfolding. Infectious diseases are spreading in overcrowded shelters as sewers spill over. Some 180 Palestinian women are giving birth daily amidst this chaos… “the health-care system in Gaza is collapsing”.
So, what can be done, beyond the Courts?
It’s hard not to feel sceptical about the potential of the Courts to change Israel’s behaviour. Israel’s responses since the 26 January 2024 Preliminary Measures were issued suggest that the ICJ has little to no deterrent effect. In fact, Israel not only failed to comply with these preliminary measures, it actually stepped up its military campaign. 5-year old Hind died a mere 3 days after the ICJ issued its judgement.
But international law has relevance beyond the courts. As legal mobilization researchers argue, international law can be seen as not only an imperial project, as Erakat eloquently explains, but also as a legitimate source of disruption, resistance and liberation.
For example, international law represents a legitimate basis for boycotting corporations that are complicit in atrocity crimes, such as Israeli Universities and McDonalds, just as was done during the South African anti-apartheid movement.
Another form of legal mobilization, as Dr. Claudia Saba has argued, is the delivery of humanitarian aid, as the “Free Gaza” movement have been doing, using small civilian boats to try and alleviate the desperate circumstances caused by Israel’s decades-long siege of Gaza.
Further forms of legal mobilization are protests and sit-ins, as the Public Interest Litigation Project has been preoccupied with, and what Doctors for Gaza in The Netherlandshave been engaged with since October 2024.
In other words, addressing violations of the right to health care through legal mobilization involves more than just “winning” in court. It takes on many different forms. These different forms of legal mobilization serves to galvanise social justice struggles.
What legal mobilization will not do is bring back the hundreds of health workers who have been killed in Gaza, let alone Hind Rajab or Refaat Alareer. However, it may serve to hold those responsible for killing them.
Opinions expressed in Bliss posts reflect solely the views of the author of the post in question.
About the author:
Dr. Jeff Handmaker is Associate Professor of Legal Sociology, based at the International Institute of Social Studies in The Hague.
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