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Wednesday, May 21, 2025

What happens when Israel attacks a hospital

Tareq S. Hajjaj
The Israeli army is besieging yet another hospital in north Gaza, following the same playbook it has used throughout the war to invade and destroy Gaza's hospitals.
Palestinians arrive at the Indonesian Hospital in Beit Lahia, northern Gaza, after an Israeli airstrike on their neighborhood, May 16, 2025. (Photo: Omar Ashtawy/APA Images) 
 Palestinians arrive at the Indonesian Hospital in Beit Lahia, northern Gaza, after an Israeli airstrike on their neighborhood, May 16, 2025. (Photo: Omar Ashtawy/APA Images)
When the doctors and patients inside the Indonesian Hospital in north Gaza heard the sound of Israeli tanks approaching and the buzzing of quadcopter drones in the sky, a sinking and all-too-familiar feeling set in. After 19 months of Israeli attacks on hospitals across the Strip, their turn had come.  
It began at around 2:30 a.m. local time on Sunday, May 18, after a violent night of air raids targeting northern Gaza and the areas around the hospital, forcing residents to flee for their lives. Then the artillery shelling and drone fire began.
“We saw [the Israeli army] and witnessed heavy gunfire and tank shells exploding around us and near us,” Bashar Ahmad, a patient at the hospital, told Mondoweiss. “No one dared look outside the windows of the departments or leave the doors, because anyone who was spotted was shot at. The quadcopters swarmed around the hospital like flies, and we had no idea what they were up to.”
Under heavy fire from the military, some patients, their families, and the displaced people who were sheltering in the hospital were forced to leave. Familiar scenes of desperate people dragging their sick relatives, still in hospital beds, across the rubble-strewn streets of Gaza played out once again. Those whose health conditions prevented them from moving remained in the hospital, only to be surprised by the arrival of tanks and bulldozers.
The bulldozers and tanks carried out extensive destruction on the hospital grounds, including its walls and surrounding areas. Patients, doctors, and displaced families inside the hospital were afraid of being killed or arrested while lying in their hospital beds, according to eyewitness testimony gathered for Mondoweiss.
“They bombed two electricity generators in the hospital, and left one still working,” said Yousef Ezz al-Din, a nurse working at the Indonesian Hospital in northern Gaza. “No one can reach the remaining generator to fill it with diesel, which will run out within hours. The army shoots at anyone who steps outside.”
“Everyone in the hospital is a patient who was already suffering before the siege, due to the lack of medicine and supplies,” Ezz al-Din continued.
Hours after the bulldozers and tanks had arrived, Israeli infantry forces joined them and surrounded the hospital, blocking off any exit. The director of the Indonesian Hospital, Marwan Sultan, told Al Jazeera that the Israeli army had surrounded the hospital and was shooting at anyone who moved. “Israeli aircraft targeted the intensive care unit inside the hospital,” he added
In this invasion, the Israeli army did not send any evacuation orders or advance warning, hospital staff and patients told Mondoweiss. The arrival of the army was so sudden that it left people little time to flee, resulting in yet another case of hospital staff, patients, and families trapped inside a Gaza hospital, awaiting their death.
The siege of the Indonesian Hospital came a day after the Israeli army launched its expanded and wide-ranging military campaign to permanently “conquer” the Strip. The eventual objective of the assault, dubbed “Operation Gideon’s Chariots,” is to facilitate the expulsion of Palestinians from Gaza via “voluntary migration,” as repeatedly voiced by Israeli government officials — most recently, by Netanyahu today in a televised address.
A page out of the playbook
At this point in Israel’s genocidal war, there is a familiar playbook for how Israeli forces go about invading hospitals in Gaza. That playbook is now being used in the Indonesian Hospital, the last functioning medical institution in northern Gaza — albeit with some modifications —  following the Israeli army’s destruction of Kamal Adwan Hospital at the end of last year.
This is what happens when the Israeli army puts a hospital in Gaza under siege.
It usually starts with evacuation orders for the surrounding areas, followed by heavy bombardment and shelling. Then the hospital itself might receive an evacuation order, or it might be targeted ahead of the arrival of ground forces. When ground forces arrive, they place the hospital under siege.
At this point, the Israeli army will have put out several unsubstantiated claims regarding a Hamas “command-and-control” center in the hospital as cover for an impending incursion into its facilities. The army would then likely invade, expelling the hospital’s residents and patients, arresting members of its staff, and in some cases conducting field executions of alleged “Hamas operatives” in the hospitals. Previous reports of mass graves found on hospital grounds show that many of the bodies were of hospital staff in scrubs and patients with medical catheters still attached.
The Israeli army did this at al-Shifa Hospital in Gaza City in March 2024, Nasser Hospital in Khan Younis in April 2024, and Kamal Adwan Hospital in Beit Lahia in December 2024. It will likely now do the same at the Indonesian Hospital in northern Gaza.
This Israeli playbook has been used so many times that the people trapped inside the Indonesian Hospital tell Mondoweiss they know exactly what is coming.
‘Save us before it’s too late’: screams falling on deaf ears
According to eyewitnesses, eight doctors and nurses are currently inside the Indonesian Hospital, along with over thirty patients and their family members. They say they were surprised that the hospital was surrounded, as they had expected to receive an evacuation warning first, like with Kamal Adwan Hospital, which had been besieged for over 75 days before it was cleared.
Yet sudden invasions of hospitals have not been unheard of throughout the war, as in the case of the Israeli army’s surprise attack on al-Shifa during its second invasion of the compound in March 2024. According to patients and hospital staff, this is the model the Israeli army appears to be using for the Indonesian Hospital during its current siege of the compound.
Speaking from inside the hospital, Bashar Ahmad describes the assault on patients and the wounded as “the most despicable human act.” He says those inside were among the most vulnerable — immobile and bedridden, receiving treatment and unable to flee.
“They bombed everything around the hospital — homes, farmland, even houses they had already destroyed, they bombed again,” Ahmad says. “They struck two electricity generators to plunge us into total darkness. They terrorize us while we are weak and sick, without food, water, or any of the basic necessities of life.”
This kind of direct targeting and bombing of hospital grounds has become more prominent during recent weeks, with the army bombing the facilities of two hospitals in Khan Younis last week. An army drone targeted Nasser Hospital’s burn unit on May 13, killing renowned Gaza journalist Hasan Eslayeh, among others. The following day, the Israeli army dropped 9 bunker-buster bombs over several areas within the European Hospital compound, killing over 28 people in an alleged attempt to assassinate Hamas leader Muhammad Sinwar.
Ahmad explains that everyone sheltering inside the Indonesian hospital is forced to constantly lie on the ground, as any movement could be fatal. “No one can move, no one can do anything. We try to leave, but the army shoots at us directly. They’re targeting us with firebelts around the hospital. The situation is dire — we are under siege,” he says.
This is also a familiar strategy. During the Israeli army’s first siege of al-Shifa Hospital in November 2023, patients and hospital staff were shot through windows by snipers, while others trying to leave were also targeted. The bodies of over 100 martyrs were left to rot in the courtyard, as dogs began to eat at their bodies.
Contact with the Indonesian Hospital may soon be cut off as Israeli forces continue to target the facility’s infrastructure. On Sunday, the military struck two of the hospital’s three electricity generators, threatening to cut off the last remaining power source for the medical facility.
“Our phones could die at any moment — our batteries are running out,” Ahmad says. “The screams of women and children make it even harder. They cry out constantly in fear as gunfire and shells explode around us.”
Ahmad says that the families trapped in the hospital are screaming at the top of their lungs, asking to be evacuated, but the sound of the shells and bullets drowns out their voices. “We are trying to contact international organizations to get us out of the hospital, but we don’t know who to call or to whom to appeal,” he explains. “All we want is to get out and save the lives of those still breathing.”
As of the time of writing, the Israeli army has not stormed the hospital, despite its tight siege over the compound and shooting at anyone who tries to leave.
‘We are families, nurses, and doctors’
As the siege began without warning, it left hospital residents without adequate food or water for days, further exacerbating the already prevalent famine conditions in Gaza. Youssef Ezz al-Din describes the situation as unbearable. “A few patients and nurses are trapped inside the Indonesian Hospital with no supplies,” the Indonesian Hospital nurse says. “The hospital was completely unprepared to cope with the siege.”
“We are calling on you to take action to save us before it’s too late,” he states. “Get us out of the hospital. We are civilian families, nurses, and doctors, and we have nothing to do with any of this.”
Khairallah Hamto, a north Gaza resident accompanying his sick brother at the hospital, says that “everyone is terrified” from the sounds of tanks.
“We are living amid difficult humanitarian conditions,” he says. “We cannot endure these conditions for long. We have nothing.”
Muhammad al-Shareef gathered testimony from the Indonesian Hospital for this report.

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