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Curare al buio, o: cosa resta della medicina tra le macerie di Gaza

Curare al buio, o: cosa resta della medicina tra le macerie di Gaza

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Ci sono poche cose che mi annodano le interiora. Una è il prosecco cattivo. Dell’altra parliamo oggi. Un ospedale resta senza corrente: respiratori fermi, incubatrici spente, chirurghi che operano alla luce dei telefoni. Alcuni medici scappano trascinando i pazienti su letti di fortuna, altri restano e scelgono chi salvare prima. Si sgretola il principio di neutralità medica – “chi cura non è un bersaglio, curi chi soffre”. Siamo ad Al-Shifa, Gaza, novembre 2023. Parliamo di Gaza non perché sia l’unico inferno: succede anche in Yemen, Sudan, Ucraina. Ma Gaza è qui, appena dall’altra parte del nostro mare. E no: anche se un gruppo armato abusa di un ospedale, il diritto di guerra non ti dà la licenza di raderlo al suolo. Distinzione, proporzionalità, precauzioni: altrimenti non è guerra, è macelleria. Qui sta il nocciolo etico. Cosa resta della neutralità medica quando curare viene letto come schierarsi? Quando restare neutrale significa, di fatto, abbandonare i pazienti? Bioetica da Bar non dà assoluzioni: offre un bicchiere e una domanda. E anche una certezza: gli ospedali non devono essere un campo di battaglia. È una storia dura. Che il nostro silenzio non sia il prossimo blackout.Fonti:Saarinen 2023, “Al-Shifa hospital has become a focal point in Israel's war. Doctors say they are trapped inside with patients” (https://www.abc.net.au/news/2023-11-14/al-shifa-doctors-say-they-are-trapped-inside-with-patients/103102444 ).Doctors Without Borders/MSF 2023, “"No one hears us," Doctor in Gaza's Al-Shifa Hospital Describes the Harrowing Scene” (https://www.youtube.com/watch?v=R0sWb4LGBwI )Doctors Without Borders/MSF 2024, “Gaza: MSF calls for safety and information on missing doctor” (https://www.doctorswithoutborders.org/latest/gaza-msf-calls-safety-and-information-missing-doctor).Doctors Without Borders/MSF 2025, “MSF denounces killing of 14th staff member in Gaza” (https://www.doctorswithoutborders.org/latest/msf-denounces-killing-14th-staff-member-gaza )Abuelaish e Musani 2025, “Reviving and rebuilding the health system in Gaza” (https://doi.org/10.26719/2025.31.2.56).Abi-Rached, Sharara, Nasrallah, e Abiad 2025. “Healthocide and medical neutrality: a call for action and reflection” (https://doi.org/10.1136/bmjgh-2024-018656 ).OCHA 2025, “Humanitarian Situation Update #288 | Gaza Strip” (https://www.ochaopt.org/content/humanitarian-situation-update-288-gaza-strip ).Poole et al. 2024, “Damage to medical complexes in the Gaza Strip during the Israel–Hamas war: a geospatial analysis” (https://doi.org/10.1136/bmjgh- 2023-014768).Asi et al. 2024, “‘Nowhere and no one is safe’: spatial analysis of damage to critical civilian infrastructure in the Gaza Strip during the first phase of the Israeli military campaign, 7 October to 22 November 2023” (https://doi.org/10.1186/s13031-024-00580-x).Hall 2025, “‘Healthocide’: experts warn of rise in targeting of health services in conflict” (https://www.theguardian.com/world/2025/aug/05/healthocide-doctors-hospitals-targeted-gaza).UN Security Council 2025, “9830th Meeting - Security Council Debates Israeli Attacks on Hospitals Allegedly Misused by Hamas, as UN Rights Chief Urges Independent Probes” (https://press.un.org/en/2025/sc15959.doc.htm).Hamamra, Abuzant e Mahamid 2025, “The Decimation of Gaza's Health Care System-Hospitals Destroyed and Lives Endangered” (https://doi.org/10.1177/27551938251378096).Reuters 2023, “ US will not share intel on Hamas and Al Shifa hospital - White House” (https://www.reuters.com/world/us-will-not-share-intelligence-connecting-hamas-al-shifa-hospital-white-house-2023-11-16/).Hunnicutt 2023, “White House says it has evidence Hamas using Al Shifa hospital to run military actions” (https://www.reuters.com/world/middle-east/white-house-says-it-has-evidence-hamas-using-al-shifa-hospital-run-military-2023-11-14/).McKernan 2023, “IDF publishes footage of what it says is Hamas tunnel at al-Shifa hospital” (https://www.theguardian.com/world/2023/nov/19/idf-israel-army-footage-claims-hamas-tunnel-al-shifa-hospital-gaza).Reuters 2023, “HRW: Israeli evidence so far insufficient to revoke Shifa's protections” (https://www.reuters.com/world/middle-east/hrw-israeli-evidence-so-far-insufficient-revoke-shifas-protections-2023-11-16/).Human Rights Watch 2023, “Gaza: Unlawful Israeli Hospital Strikes Worsen Health Crisis” (https://www.hrw.org/news/2023/11/14/gaza-unlawful-israeli-hospital-strikes-worsen-health-crisis).Rao e Breitegger 2025, “Reaffirming IHL’s specific protection of hospitals” (https://blogs.icrc.org/law-and-policy/2025/05/27/reaffirming-ihl-s-specific-protection-of-hospitals/).Droege e Rushing 2023, “Israel and the occupied territories: how international humanitarian law applies” (https://blogs.icrc.org/law-and-policy/2023/12/19/israel-and-the-occupied-territories-how-international-humanitarian-law-applies/).UN Office of the ...
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