Dr. Jacob Smith (name changed) is a North American physician who has visited Gaza several times, working at several hospitals there in both clinical and training roles. I spoke with him about the medical system in Gaza and the state of Gaza under the current, post August-2014 intensified siege.
Justin Podur: Describe your work in Gaza's medical system.
Jacob Smith: I was initially asked several years ago by the Ministry of Health in Gaza to participate in a needs assessment for one of the subspecialties. At the time I knew very little about Gaza, wasn't involved in politics, and knew very little even about the history of the region. As a physician what I saw was a tremendously poor humanitarian situation that was in large part man-made. Most times humanitarian crises result from earthquakes, tornadoes, natural disasters. This disaster is entirely man-made. The health system is the area I'm exposed to most. But it's one small nidus of a multifactorial problem. The health system needs work, but so does the water system, so does rebuilding people's homes, there are huge needs in every area. Politically, the most important thing would be getting the borders open so people can export and import - these are simple things that people in a Western society simply take for granted. The blockade prevents medical supplies, medications, training of doctors. The actualization of an independent, sovereign people requires that they can interact with other people. To be able to be empowered to overcome poverty and other challenges, is really not something that they can do under blockade.
JP: Give us some examples of how the siege plays out in the medical system.