Gaza’s Hospitals Overwhelmed by Injured from Israel’s Military Campaign

 Palestinians walk and travel along a street, in an area where houses have been destroyed in Israeli strikes, amid the Israel-Hamas conflict, in Khan Younis, in the southern Gaza Strip, June 9, 2024. (Reuters)
Palestinians walk and travel along a street, in an area where houses have been destroyed in Israeli strikes, amid the Israel-Hamas conflict, in Khan Younis, in the southern Gaza Strip, June 9, 2024. (Reuters)
TT

Gaza’s Hospitals Overwhelmed by Injured from Israel’s Military Campaign

 Palestinians walk and travel along a street, in an area where houses have been destroyed in Israeli strikes, amid the Israel-Hamas conflict, in Khan Younis, in the southern Gaza Strip, June 9, 2024. (Reuters)
Palestinians walk and travel along a street, in an area where houses have been destroyed in Israeli strikes, amid the Israel-Hamas conflict, in Khan Younis, in the southern Gaza Strip, June 9, 2024. (Reuters)

Hazem Farjallah wails as he lies in the Gaza hospital corridor, his head bandaged and his aunt by his side, days after he was injured by Israeli bombardment and with little prospect of adequate medical care.

Hazem, 10, has not spoken since he was injured in Thursday's strike on a UN school being used as a shelter and the shrapnel wounds are visible on his back, chest and head.

"He's been lying on the ground for days. He's supposed to be in the intensive care unit. There are no mattresses," said his aunt, Umm Nasser in a video obtained by Reuters. Hazem is now in a bed but had to manage on the floor until Monday.

His plight shows the dire condition of Gaza's damaged, under equipped and understaffed hospitals eight months into Israel's military campaign against Hamas after the group's attack on Israeli communities on Oct. 7.

The collapse in Gaza's health system in the face of massive Israeli bombardment has complicated a host of other unfolding disasters, from the hunger crisis to spreading disease. It has left those with chronic conditions unable to access basic care.

But the war has also brought sudden influxes of badly injured people to the few remaining hospitals even as they struggle to access medical supplies, overwhelming doctors and nurses coping with restricted space and terrible injuries.

In Al-Aqsa hospital in Deir al-Balah in the central Gaza Strip, where Hazem is lying injured, there are not even enough stands to hold up IV drips. Hazem's aunt said she had had to hold up the packet of medicine so it would flow.

Other injured people in the hospital made the same observation and some could be seen lying with a friend or relative holding aloft the medicine pack.

"We placed the injured along the internal corridors and in between beds. There is no room at all inside this hospital for the injured. We had them sleep in external tents," said Doctor Khalil al-Dakran of al-Aqsa hospital.

There were now four or five times more injured people at the hospital than there were beds for them to use, he said.

LIFE-CHANGING INJURIES

Some of the injured are in critical condition. Raed Abu Youssef's four-year-old son Tawfik was hit in the head with shrapnel during Israel's bombardment of Nuseirat refugee camp on Saturday during the operation to rescue hostages.

He was taken to hospital but was so badly injured that rescuers could not find a pulse and the family believed he had died. Abu Youssef was actually digging the child's grave when he heard news Tawfik was still alive in al-Aqsa hospital.

However, his injuries still threaten his life and will certainly change it.

"It's good we were able to save his life, but we can't do more. He would definitely need closer follow up. Part of his brain will be lost," said surgeon Omar Abu Taqia.

"He definitely needs to travel because the resources are limited," he said.



France Is Facing an Election like No Other. Here’s How It Works and What Comes Next

 Ballots are seen at a polling station inside the Petit Poucet school during France's crunch legislative elections at the Vallee du Tir district in Noumea, in France's Pacific territory of New Caledonia, on June 30, 2024. (AFP)
Ballots are seen at a polling station inside the Petit Poucet school during France's crunch legislative elections at the Vallee du Tir district in Noumea, in France's Pacific territory of New Caledonia, on June 30, 2024. (AFP)
TT

France Is Facing an Election like No Other. Here’s How It Works and What Comes Next

 Ballots are seen at a polling station inside the Petit Poucet school during France's crunch legislative elections at the Vallee du Tir district in Noumea, in France's Pacific territory of New Caledonia, on June 30, 2024. (AFP)
Ballots are seen at a polling station inside the Petit Poucet school during France's crunch legislative elections at the Vallee du Tir district in Noumea, in France's Pacific territory of New Caledonia, on June 30, 2024. (AFP)

French voters are being called to the polls on Sunday for an exceptional moment in their political history: the first round of snap parliamentary elections that could see the country’s first far-right government since the World War II Nazi occupation — or no majority emerging at all.

The outcome of the vote, following the second round on July 7 and a hasty campaign, remains highly uncertain as three major political blocs are competing: the far-right National Rally, President Emmanuel Macron’s centrist alliance, and the New Popular Front coalition that includes center-left, greens and hard-left forces.

Here’s a closer look:

How does it work? The French system is complex and not proportionate to nationwide support for a party. Legislators are elected by district. A parliamentary candidate requires over 50% of the day’s vote to be elected outright Sunday.

Failing that, the top two contenders, alongside anyone else who won support from more than 12.5% of registered voters, go forward to a second round.

In some cases, three or four people make it to the second round, though some may step aside to improve the chances of another contender — a tactic often used in the past to block far-right candidates.

Key party leaders are expected to unveil their strategy in between the two rounds. This makes the result of the second round highly uncertain, and dependent on political maneuvering and how voters react.

The far-right National Rally, ahead in all preelection opinion polls, hopes to win an absolute majority, or at least 289 out of the 577 seats.

The National Assembly, the lower house, is the more powerful of France’s two houses of parliament. It has the final say in the law-making process over the Senate, dominated by conservatives.

Macron has a presidential mandate until 2027, and said he would not step down before the end of his term.

A person casts their vote at a polling station in the Magenta district during the first round of France's crunch legislative elections in Noumea in the first constituency of the French Pacific territory of New Caledonia, on June 30, 2024. (AFP)

What's cohabitation? If another political force than his centrist alliance gets a majority, Macron will be forced to appoint a prime minister belonging to that new majority.

In such a situation — called "cohabitation" in France — the government would implement policies that diverge from the president’s plan.

France’s modern Republic has experienced three cohabitations, the last one under conservative President Jacques Chirac, with Socialist Prime Minister Lionel Jospin, from 1997 to 2002.

The prime minister is accountable to the parliament, leads the government and introduces bills.

"In case of cohabitation, policies implemented are essentially those of the prime minister," political historian Jean Garrigues said.

The president is weakened at home during cohabitation, but still holds some powers over foreign policy, European affairs and defense because he is in charge of negotiating and ratifying international treaties. The president is also the commander-in-chief of the country’s armed forces, and is the one holding the nuclear codes.

"It’s possible for the president to prevent or temporarily suspend the implementation of a certain number of the prime minister’s projects, since he has the power to sign or not sign the government’s ordinances or decrees," Garrigues added.

"Yet the prime minister has the power to submit these ordinances and decrees to a vote of the National Assembly, thus overriding the president’s reluctance," he noted.

A car drives past electoral posters, Thursday, June 27, 2024 in Strasbourg, eastern France. (AP)

Who leads defense and foreign policies? During previous cohabitations, defense and foreign policies were considered the informal "reserved field" of the president, who was usually able to find compromises with the prime minister to allow France to speak with one voice abroad.

Yet today, both the far-right and the leftist coalition's views in these areas differ radically from Macron’s approach and would likely be a subject of tension during a potential cohabitation.

According to the Constitution, while "the president is the head of the military, it's the prime minister who has the armed forces at his disposal," Garrigues said.

"In the diplomatic field also, the president’s perimeter is considerably restricted," Garrigues added.

The National Rally’s president, Jordan Bardella, said that if he were to become prime minister, he would oppose sending French troops to Ukraine — a possibility Macron has not ruled out. Bardella also said he would refuse French deliveries of long-range missiles and other weaponry capable of striking targets within Russia itself.

If the leftist coalition was to win the elections, it could disrupt France's diplomatic efforts in the Middle East.

The New Popular Front's platform plans to "immediately recognize the Palestinian state" and "break with the French government’s guilty support" for Israeli Prime Minister Benjamin Netanyahu's government.

Macron previously argued the recognition of the Palestinian state should take place at a "useful moment," suggesting the Israel-Hamas war doesn't not allow such a move at the moment.

French member of parliament and previous candidate for French presidential election Marine Le Pen (R) attends French extreme right party Rassemblement National (RN, National Front) press conference ahead of legislative elections, Paris, France, 24 June 2024. (EPA)

What happens if there's no majority? The president can name a prime minister from the parliamentary group with the most seats at the National Assembly — this was the case of Macron’s own centrist alliance since 2022.

Yet the National Rally already said it would reject such an option, because it would mean a far-right government could soon be overthrown through a no-confidence vote if other political parties join together.

The president could try to build a broad coalition from the left to the right, an option that sounds unlikely, given the political divergences.

Experts say another complex option would be to appoint "a government of experts" unaffiliated with political parties but which would still need to be accepted by a majority at the National Assembly. Such a government would likely deal mostly with day-to-day affairs rather than implementing major reforms.

If political talks take too long amid summer holidays and the July 26-Aug. 11 Olympics in Paris, Garrigues said a "transition period" is not ruled out, during which Macron's centrist government would "still be in charge of current affairs," pending further decisions.

"Whatever the National Assembly looks like, it seems that the Constitution of the 5th Republic is flexible enough to survive these complex circumstances," Melody Mock-Gruet, a public law expert teaching at Sciences Po Paris, said in a written note. "Institutions are more solid than they appear, even when faced with this experimental exercise."

"Yet there remains another unknown in the equation: the population’s ability to accept the situation," Mock-Gruet wrote.