Jacob J. Lew and David Satterfield
Ahumanitarian crisis is unfolding in the Gaza Strip. Since the March 2025 breakdown of a cease-fire between Israel and Hamas, conditions have worsened dramatically, and the potential for widespread starvation is real. Thousands of containers with food, medical supplies, and shelter materials remain stranded at border crossings on both sides, awaiting Israeli clearance to enter Gaza and conditions for safe passage free from seizure by desperate Gazan civilians, Hamas or gang attacks within the enclave. At least several hundred truckloads of food aid must enter daily to avert a wider catastrophe.
Many parties bear responsibility for this crisis. First and foremost, Hamas launched a war with the brutal October 7, 2023, attacks on Israel; because Hamas fighters live and fight in civilian areas and in tunnels running underneath them, Hamas invited an Israeli response that would put millions of people at risk. Gazan civilians have suffered hardships and deaths at an unfathomable scale since the start of the war, and outside organizations attempting to meet humanitarian needs are struggling to deliver aid in the midst of intense combat and disorder in a dense urban environment.
From the very beginning, U.S. President Joe Biden was steadfast in his support of Israel’s right to defend itself in Gaza and defeat Hamas as a military threat. But his administration, in which we both served, also made clear that Israel was responsible for exercising care to limit civilian harm and to ensure access to food, medical care, and shelter. As the U.S. ambassador to Israel (Lew) and as the U.S. special envoy for Middle East humanitarian issues (Satterfield), we communicated these dual positions in our daily engagements with Israeli leaders at all levels. And we pressed all parties to coordinate so that enough lifesaving supplies reached Gaza, even if inconsistently.
There was still too much scarcity and precarity, and for months following the October 2023 attacks on Israel, some commentators labeled the situation in Gaza a famine. But although the results of our work never satisfied us, much less our critics, in reality the efforts we led in the Biden administration to keep Gaza open for humanitarian relief prevented famine. The fact remains that through the first year and a half of relentless war, Gazans did not face mass starvation because humanitarian assistance was reaching them.
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