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There can be no dispute that measures of collective punishment against the civilian population of Gaza are illegal under international humanitarian law. Fuel and food cannot be withheld or wielded as reward or punishment. But international law was tossed aside long ago. The blockade has been presented as punishment for the democratic election of Hamas, punishment for its subsequent takeover of Gaza, and punishment for militant attacks on Israeli civilians. The civilians of Gaza, from the maths teacher in a United Nations refugee camp to the premature baby in an incubator, properly punished for actions over which they have no control, will rise up and get rid of Hamas. Or so it goes.

And so what of these civilian agents of political change?

For all its complexities and tragedies, the over-arching effect of Israel's blockade has been to reduce the entire population to survival mode. Individuals are reduced to the daily detail of survival, and its exhaustions.

Consider Gaza's hospital staff. In hospitals, the blockade is as seemingly benign as doctors not having paper upon which to write diagnostic results or prescriptions, and as sinister as those seconds – between power cut and generator start – when a child on life support doesn't have the oxygen of a mechanical ventilator. A nurse on a neo-natal ward rushes between patients, battling the random schedule of power cuts. A hospital worker tries to keep a few kidney dialysis machines from breaking down, by farming spare parts from those that already have. The surgeon operates without a bulb in the surgery lamp, across from the anaesthetist who can no longer prevent patient pain. The hospital administrator updates lists of essential drugs and medical supplies that have run out, which vaccines from medical fridges are now unusable because they can't be kept cold, and which procedures must be cancelled altogether. The ambulance driver decides whether to respond to an emergency call, based on dwindling petrol in the tank.

By reducing the population to survival mode, the blockade robs people of the time and essence to do anything but negotiate the minutiae of what is and isn't possible in their personal and professional lives. Whether any flour will be available to make bread, where it might be found, how much it now costs. Rich or poor, taxi drivers, human rights defenders, and teachers alike spend hours speculating about where a canister of cooking gas might be found. Exhaustion is gripping hold of all in Gaza. Survival leaves little if no room for political engagement – and beyond exhaustion, anger and frustration are all that is left.
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