** Conflict health system: the example of medical transfers between Gaza and Egypt **
On March 14, 2025, Egypt welcomed the 42nd wave of Palestinian wounded thanks to the passage of Rafah, a mark of the humanitarian dead end which affects the Gaza Strip and its inhabitants. This last transfer concerned 17 injured and sick, testifying to the pressing needs for medical care in the face of a Palestinian health system out of breath. Beyond figures and facts, a complex canvas is emerging combining politics, human rights and health systems in conflict areas.
### Humanitarian issues
The transfers of wounded to Egypt prove to be crucial for the survival of many Palestinians. According to a report by the World Health Organization (WHO), more than 80 % of hospitals in Gaza suffered from a lack of medication and medical supplies due to embargo and political interference. These statistics reveal an alarming reality: these transfer are not a simple act of charity, but a tragic necessity to save lives.
### A complex dynamic of care
Rafah’s passage is often the only access point for Palestinians to care that their own territory can no longer offer. Paradoxically, this situation highlights the resilience of health systems in wartime. How can a health system collapse in such a hostile environment, while maintaining a torrent of humanitarian activity that involves neighboring countries and non-governmental organizations? A comparative study with other areas of conflict, such as Syria or Yemen, shows that external support can temporarily save lives, without solving the systemic problems that have led to these humanitarian crises.
### A political and social framework
The role of Egypt as a gateway for humanitarian aid also attracts political considerations. The Egyptian government, well aware of its impact on the dynamics of the Israeli-Palestinian conflict, uses this means of pressure to play a regulatory role while continuing to maintain closings and military controls in Sinai. This ambivalence raises ethical questions: at what price does Egypt allow access to medical care for Palestinians? What moral responsibilities weigh on neighboring nations when they face unprecedented humanitarian crises?
### International perspective
On the international scene, the response to the situation in Gaza as well as to increasing tensions around these patient transfers is often tinged with diplomacy rather than authentic solidarity. Discussions within the United Nations and global organizations are often paralyzed by geopolitical interests and strategic alliances. For example, the United States, widely engaged with Israel, and the Nations of the Security Council seem to favor regional stability to the detriment of fundamental humanitarian rights.
### Conclusion
The fact that Egypt continues to welcome victims of injuries against a background of persistent conflicts demonstrates not only humanitarian necessity, but also the complexity and paradoxes of a political architecture where human lives sometimes seem to be only one stake among many. By multiplying these transfers, Egypt therefore acts both as a temporary refuge and a supposed actor, while undergoing the pressure of maintaining its own borders. This tragic landscape calls not only to a large -scale humanitarian intervention, but also to an overhaul of the way in which national and international actors approach public health crises, taking into account localized realities and human sufferings.
Through this prism, it becomes imperative to understand that medical care, far from being a simple service to offer, are an inalienable right that crosses borders, political discourses and survival strategies. The history of medical transfers between Gaza and Egypt is therefore a story that deserves to be narrated not only for its sadly current scope but also for its potential to shape the future of a region in suffering.