After being relentlessly decimated by bombs and starved of medical aid during Israel’s genocidal war, Gaza’s healthcare system remains on the brink of collapse despite nearly two months of a ceasefire.

Doctors in the war-ravaged, besieged enclave say they are struggling to save lives because Israel is not allowing the most essential medical supplies in. Sweets, mobile phones and even electric bicycles are permitted to enter, but antibiotics, IV solutions and surgical materials are banned.

“We are facing a situation in which 54 percent of essential medicines are unavailable, and 40 percent of the drugs for surgeries and emergency care – the very medications we rely on to treat the wounded – are missing,” Dr Munir al-Bursh, the director general of Gaza’s Ministry of Health, told Al Jazeera.

The ministry describes the shortages as unprecedented, stating that Israel is allowing just five trucks carrying medical supplies into Gaza a week. Three trucks deliver supplies to international organisations such as the UN and its partners, and just two to government-run hospitals.

That number is a tiny fraction of the aid Israel is obligated to supply Gaza under the ceasefire agreement – affecting other areas of Palestinian lives.

Israel’s genocidal war on Gaza continues unabated, with some 600 violations of the ceasefire in the two months.

“At least 600 trucks should be entering the Gaza Strip every single day, but what is entering is very little,” said Al Jazeera’s Hind Khoudary, reporting from Gaza City.

“Cooking gas is only at 16 percent of what is needed; there is a shortage of shelters, tents, tarps and everything Palestinians need to shelter from the rain. We see Palestinians collecting wood, cartons and anything they can light up a fire with.”

People living with chronic illnesses are bearing the burden of such restrictions.

Naif Musbah, 68, who lives in the Nuseirat refugee camp, has colon cancer – and the supplies he needs to be treated are not available.

“I need colostomy bases and bags so I can attach them to the stomach and the device in order to be able to pass stools. They are not available, nor are the bases, and we end up soiling ourselves. The situation is extremely difficult. There’s also no gauze, cold packs, adhesive tape, gloves or disinfectant solution – nothing,” Musbah told Al Jazeera.

With no way to manage his condition, the sick Palestinian man says he feels as if the war has robbed him of his dignity.

Meanwhile, doctors have been improvising with what little they have left, while the families of patients search for simple items to make the lives of their loved ones easier – items, they say, that should not be this hard to find.

During Israel’s genocidal war – which has spanned more than two years – nearly all of Gaza’s hospitals and healthcare facilities were attacked, with at least 125 health facilities damaged, including 34 hospitals.

According to Gaza’s Health Ministry, more than 1,700 healthcare workers, including doctors, nurses and paramedics, have also been killed in Israeli attacks.

One key issue is Netanyahu’s approach to negotiations. While there are ongoing talks between Hamas and international mediators, Netanyahu’s rhetoric appears focused on escalating the conflict rather than resolving it. Critics argue that his threats of seizing land in Gaza are more about political posturing than actual military feasibility. The United States, the Arab League, and even segments of Israel’s own political establishment see these statements as impractical unless Hamas releases Israeli hostages.

Domestically, Netanyahu’s handling of the war has drawn significant criticism. Many Israelis, including those who have served in the military for extended periods, are increasingly unwilling to return to what they see as a futile war. Some believe the conflict is no longer about national security but rather Netanyahu’s political survival. Deep divisions within Israeli society have also been exacerbated by the war, further complicating the government’s ability to unify the nation.

Beyond the battlefield, Israel’s economy is feeling the strain. The recent approval of the 2025 budget highlights these financial pressures, with $30 billion allocated to defense compared to just $25 billion for education. The international credit agency Moody’s has issued warnings about the high political risk to Israel’s economy, citing concerns over the long-term effects of the war. Rising costs of living, real estate instability, and declining foreign investment are beginning to take their toll on Israeli citizens.

Economists warn that Israel has not yet faced the full financial impact of the war. While current hardships include immediate economic downturns, the long-term consequences could be even more severe, affecting generations to come. As the war drags on, the question remains: at what cost will Netanyahu’s government continue its current course?