Mother Jones illustration; courtesy Dr. Feroze Sidhwa
Dr. Feroze Sidhwa has volunteered as a trauma surgeon in Ukraine, Haiti, Burkina Faso, and Ghana. But when he went to Gaza in March and April of this year, it changed him. Sidhwa had never seen so much horror in his life.
“There’s nothing like Gaza right now,” he said. “Almost 100 percent of Gaza’s population is homeless and displaced…does that sound like a place where people are going to survive?”
With international journalists banned from Gaza and Palestinian journalists openly targeted by the Israeli military, international medical aid workers have become some of the few people able to tell the world about the toll of the war.
Sidhwa has spent the past six months speaking widely about his time in Gaza. He went to the Uncommitted movement panel at the Democratic National Convention, wrote an article for Politico about what he’s seen, and organized a group of nearly 100 doctors to sign a letter to President Joe Biden begging him to stop sending weapons.
When the New York Times approached Sidhwa to write for its opinion section about what he saw in Gaza—widespread starvation, collapsed sanitary systems—he took it as an opportunity. He went beyond writing from his own experience and corroborated his account with 64 other doctors. In particular, he was haunted by something he saw again and again: children shot in the head.
“Nearly every day I was there, I saw a new young child who had been shot in the head or the chest, virtually all of whom went on to die,” he wrote. At first, he thought this was an anomaly, the work of “a particularly sadistic soldier located nearby.” But when he asked other health care workers, he found that dozens were seeing the same thing.
After his essay in the Times was published, prominent right-wing accounts on X and Instagram, as well as publications like the New York Sun and Israel Hayom, began insisting that the CT images included in Sidhwa’s essay—showing bullets embedded in children’s skulls—had been photoshopped and that Sidhwa was a propagandist desperate for the fall of Israel.
The New York Times did something unusual in response: It released an editors’ note defending its own fact-checking process. “While our editors have photographs to corroborate the CT scan images, because of their graphic nature, we decided these photos—of children with gunshot wounds to the head or neck—were too horrific for publication,” Times editor Kathleen Kingsbury wrote. “We made a similar decision for the additional 40-plus photographs and videos supplied by the doctors and nurses surveyed that depicted young children with similar gunshot wounds.”
Sidhwa found the pushback odd. “I don’t really care about Palestinian nationalism. In fact, I don’t really care about any nationalism as a concept,” he told me. The issue, he said, is simpler than that: “My government, meaning me, is involved in major crimes, and I don’t want that.”
On October 18, as reported by the Washington Post, Israel banned six medical aid organizations—including the Palestinian American Medical Association (PAMA), which Sidhwa has worked with—from entry to Gaza going forward. The WHO received no explanation from Israel as to why.
I spoke with Sidhwa by Zoom between surgeries about his work in Gaza, his advocacy since then, and why he’s still hoping—even now—that the US government might be pressured to change course.
Let’s go back to before all the media attention. How did you end up going to Gaza?
So a very large number of physicians, and especially surgeons, have been killed and probably about an equal number have fled.
Mark Perlmutter, he was involved in a telemedicine project with Gazans. He’s an orthopedic surgeon. He was looking at pre- and post-op X-rays, and he was like, “What on earth is this stuff? Who’s doing these operations?” He found out it was just junior residents or sometimes medical students. And he asked, “Where’s your attending?” And they said, “Well, he’s dead.”
We said: Well, we will go provide that service.
I was at European Hospital from March 25 to April 8. At that time, European Hospital was easily the best-resourced city block in all of Gaza—and it was still a total disaster. There were 10,000 to 15,000 people sheltering on the grounds of the hospital. I walked the hospital grounds several times. I was able to find four toilets, so 10,000 to 15,000 people, four latrines, one water spigot.
I got the chance to go to Rafah, before it was obliterated, and drive through Khan Younis. And while we’re driving through, there was a group of four boys, probably like 10 to 12 years old. Young kids. They’re going through a garbage heap, trying to find anything, and they’re working together to do it. It’s pretty obvious that this wasn’t the first time they had done this.
On the way through Khan Younis, I told the driver to stop. He said it’s not safe, but I asked him to stop, just for a second. I got out and I looked around.
I don’t think, if I grew up at this intersection, I would know where I am. There weren’t any buildings that were more than 3 feet tall anymore. It looked like an atomic bomb hit the place.
Since your New York Times article came out, you’ve been the subject of a backlash campaign, with people claiming to be former law enforcement officers suggesting that the X-rays of children with bullets in their skulls embedded in the article were fabricated. What’s your reaction to those claims?
The article polled 65 American health care workers—doctors, nurses, one paramedic—and gathered their experience in the Gaza Strip. How many of them saw children who had been shot in the head? How many of them regularly? How many of them saw malnourishment and easily treatable infections? How many of them saw infants die from malnutrition or dehydration? How many saw such extreme, universal psychiatric distress in small children, to the point that small children were actually suicidal?
It’s 65, which represents, as far as I can tell, about half of the health care workers in the US that have been to Gaza since October 7 [of 2023].
The New York Times fact-checking process is fanatical. It’s beyond anything I could have possibly imagined. I don’t know if people realize it took months to write this. It was an incredible effort of time and resources, on my part and theirs—the team of four people working on it.
So then when all this manufactured nonsense from people claiming to be either doctors or ballistics experts, none of whom are either one of these things, came up…
I asked them: Guys, how are we going to prove that? They’re like: Oh, Feroze, we have photographs of these kids. We have the entire CT image on video. Like, there’s no question. I saw 13 kids who had been shot in the head. So there were almost certainly more kids who came in when I wasn’t in the ER, got shot in the head, died, and were sent directly to the morgue.
On the occasions where the child survived, and I think this only happened once, honestly—on the occasion when the child survived long enough and there was family available in the ICU the next day to ask what happened—they would say, the kids were just playing. I never heard from a family that they were in a crossfire, that there was lots of fighting and the bullet went through the window; I never heard that.
What do you think people are getting out of ignoring the evidence here? When you spoke at the Uncommitted press conference at the DNC, you referenced the book Slavery by Another Name and talked about what Douglas Blackmon calls “moral rationalization”—when people know something’s wrong and illegal and continue to do it anyway. Is that part of what’s happening here?
The book is about how slavery was resurrected in the Reconstruction era after the Civil War. And it’s quite literally chattel slavery was just reinstituted in the South, maybe on a smaller scale, but nevertheless reinstituted. And this is under Northern occupation, with the Northern judicial systems, you know?
It’s interesting, because you read through it and you think, how could this have happened? Like, slavery was a large part of the reason for the war, and then after the war…the whole society just knew when to lie and when to tell the truth. They knew who to beat up and who not to beat up. They knew who to kill, who not to kill, who to torture, who not to torture.
I don’t remember the exact words I used at the DNC, but I said something like, lying became a virtue. It just turned all of our normal moral values on their head when the whole society committed to this transparently and obviously immoral enterprise.
It’s hard not to see that here.
I hope the fact that this piece was published in the New York Times—and you gotta remember that the Times opinion section reached out to me, I didn’t go to them—I hope that it represents a change in the elite consensus around Gaza.
I think a lot of people have a misunderstanding. They say, “Oh, look, the mainstream is becoming pro-Palestine.” I seriously doubt that. I think there’s a recognition that the Israelis have kind of gone nuts in Gaza and that American objectives there have been achieved. And the extent of what has been done to Gaza—it takes about 10 minutes just to describe the actual extent of destruction and devastation of the Gaza Strip in any accurate form.
How does it feel to see people online refusing to believe these images are real?
I think that’s just, it’s completely amongst die-hard believers.
I’m not Israeli, I’m not Jewish, I’m not Palestinian, I’m not Arab, I’m not Muslim, I’m not Christian—like, I don’t know how much further away I can get from the conflict. It’s just got nothing to do with me, except for the fact that I’m an American.
After this is done, we Americans need to take a long, hard look at ourselves. What does it say that the United States doesn’t have a mainstream political party for which genocide is just a no-go?
The US entered four or five caveats to its signing of the of the Convention on the Prevention and Punishment of the Crime of Genocide. So it basically immunized itself from the convention. And yeah, that was [under then-President Ronald] Reagan. But still, we don’t have a mainstream political party that is opposed to genocide on principle.
That’s very scary, given the power of the state that we live in. My intention in writing the piece was to bring people to such realizations. It doesn’t seem to have worked.
Beyond your media work, you helped lead this effort to send Joe Biden a letter signed by, I think, 99 volunteer medical professionals who served in Gaza. And in that letter, you all asked him to meet with you and support an arms embargo. Have you received any response to that letter from the administration?
No, nothing, which is quite frustrating. I don’t know how often almost a hundred doctors send a letter to the president of the United States, but it doesn’t happen very often. So I’m kind of surprised that we received literally no response whatsoever.
I’m not that important of a person, I understand that. But I mean, on that letter are veterans, are reservists, are people whose names don’t sound scary like mine: Monica, Nina, Mike, Mark, Adam. It’s not just people that you can dismiss, and yet they’re dismissing them. It’s a little scary to see the American elite kind of ignoring its own. You kind of wonder how extreme that can get.
There’s no shortage of information about this. It’s not like Brett McGurk [the White House coordinator for the Middle East] and people like him and [Secretary of State] Antony Blinken—they know what’s going on. They’re not idiots. They can read English, just like I can. There’s no way they didn’t see that New York Times piece, or at least one of their aides did and told them about it.
If I could, I’d say: “Mr. Biden, the Israelis have decided to turn Gaza into a howling wilderness, and there are a million children there. You don’t have to let the Israelis keep spitting in your face like this. You can just tell them the money’s gone, the arms are gone. Withdraw from Gaza, withdraw from the West Bank, remove the settlements.”
Did you stay in touch with the folks you met at European Hospital? What have you been hearing from them?
There was a young man whose name was Abdulrahman Al-Najjar. And he was a third-year med student, a smart kid. If he was born in the US, he really would have gone far. He was probably 21 or 22 when I met him. The medical students were all at European Hospital because it was the safest place to be, and they had all been displaced from Gaza City and were living in tents just like everybody else. But they would come to the hospital, and they would help run the ER. Even the first-year med students, who know literally nothing about anything, they just came and did their job, and these are 18- and 19-year-old kids.
But Abdulrahman, he was a good kid. He wanted to be a plastic surgeon or maybe a neurosurgeon. And I remember when I left, he said: “Don’t remember Gaza like this. Come back when there’s no war, and we’ll go to the beach and we’ll have tea. And that’s how you should remember Gaza.” He’s a sweet kid, smart, you know?
He was killed in an airstrike on August 31. That’s the same day Hersh Goldberg-Polin is thought to have been killed. The 23-year-old Israeli American guy who was taken hostage at the music festival and was found dead in a Hamas tunnel, probably executed before he could be rescued.
When I saw the pictures of him in the news, I thought, good lord, he looks exactly like Abdul. If you look at them side by side, they’re almost identical human beings. They have the same smile. They have the same ears, the same nose. And I didn’t find out Abdul was dead until the day after.
I’m still in touch with some people. They don’t have much cell service. And my Arabic is as close to zero as you can imagine, so it’s hard.
As you know, six medical aid groups were banned from sending doctors to Gaza, including PAMA, the group that you’ve worked with. What was your reaction to that?
It’s kind of wild. COGAT, the Coordination of Government Activities in the Territories—the part of the Israeli government that’s supposed to coordinate between humanitarian groups and the military—COGAT apparently provides nothing to the WHO in writing. I couldn’t believe that. I was like, this is insane, what are you talking about? All of this is just by word of mouth. It’s actually not even clear how many organizations have been banned or who they are. So who the hell knows?
They were western NGOs—some were American, some were Canadian, and one was from Australia or New Zealand. But they have Arab boards. That’s all it is. Arab names on their boards. It’s just outrageous. They knew they could get away with it, and they did. No one even claims that there has ever been a security incident associated with any of these people that any of these groups have brought to the territories.
It tells you something about our own society. I just got an email five minutes ago from the [Kamala] Harris campaign saying, oh my God, Michigan is in play, and we’re so screwed. Like, yeah, that’s your fault. I’m sure everybody wants to vote because they’re so frightened of Donald Trump. I mean, it’s a sensible thing to be frightened of; I am, too.
But all she would have to do is get on TV and say, “Israel has banned several Arab-led western NGOs, I find this totally unacceptable, and when I’m president, I will tell the Israelis they have to reverse that immediately.” If she did that, she’d probably get, like, 90 percent of that Arab vote back. She won’t even do that. It’s pathetic. It’s so crazy how committed this administration, including very clearly its vice president, is to this insane project of just obliterating Gaza. It’s just a fanatical dedication to this project, and it’s weird.
There’s been some speculation that the ban might’ve had to do with how doctors like yourself are serving as these sort of de facto international spokespeople. What do you think about that?
I’ve had several people tell me this is my fault, for the New York Times article. And I have to tell them, honestly, you might be right. I don’t think you are, but it’s entirely possible, you know? They were trying to help people. They feel like that’s been cut away from them. They’re angry about it. If they want to blame me for it, that’s understandable.
The Israelis have always had veto power over who goes in when. I suspect that this has been in the works for a while, and the timing probably just is happenstance, but I can’t prove it. I don’t know.
You mentioned wanting to go back. Why do you want to go back to Gaza?
I’ve got to be honest, I didn’t want to leave. I think it’s kind of a universal thing. Everybody, as they exit, suddenly has an existential crisis, like, why do I get to leave and these people have to stay?
And then you’re thinking, man, I’ve got to come back somehow. These people need help, they need protection. They need a hand to hold. They need—anything.
When the vans were coming to pick us up, we had all gathered there at 8 in the morning, 7:30 in the morning. The sun’s just come up. And there was this security guard who was there with his one-and-a-half-year-old, 2-year-old son, just kind of playing with him, babying him, you know. I remember Mark, like, force-feeding the kid all the candy he had left over. At one point, the conversation stopped, and we all just kind of looked at each other, and then we looked at that kid, and we were all thinking exactly the same thing. Why does this kid have to live in this Hobbesian hellhole of violence and hunger and fear and terror, and we just get to leave?
This interview has been edited and condensed from two conversations.
