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Gaza hospital destruction increases stakes for Biden’s Mideast trip

President Joe Biden’s efforts to tamp down tensions in the escalating war between Israel and Hamas faced a bloody setback Tuesday when, shortly before his expected departure for the Middle East, Palestinian leader Mahmoud Abbas withdrew from scheduled meetings to protest an explosion at a Gaza hospital that killed hundreds. The Hamas-run Health Ministry in Gaza blamed the blast on an Israeli airstrike but the Israeli military said it had no involvement and pinned the blame on a misfired Palestinian rocket.

The Associated Press has the story:

Gaza hospital destruction increases stakes for Biden’s Mideast trip

Newslooks- WASHINGTON (AP)

President Joe Biden’s efforts to tamp down tensions in the escalating war between Israel and Hamas faced a bloody setback Tuesday when, shortly before his expected departure for the Middle East, Palestinian leader Mahmoud Abbas withdrew from scheduled meetings to protest an explosion at a Gaza hospital that killed hundreds.

The Hamas-run Health Ministry in Gaza blamed the blast on an Israeli airstrike but the Israeli military said it had no involvement and pinned the blame on a misfired Palestinian rocket.

FILE – President Joe Biden meets with Israeli Prime Minister Benjamin Netanyahu in New York, Wednesday, Sept. 20, 2023. (AP Photo/Susan Walsh, File)

Abbas’ cancellation, disclosed by a senior Palestinian official, reflects an increasingly volatile situation that will test the limits of American influence in the region as Biden visits Israel and Jordan on Wednesday.

Biden’s decision to put himself in a conflict zonethe same year he made a surprise visit to Ukraine — demonstrates his willingness to take personal and political risks as he becomes heavily invested in another intractable foreign conflict with no clear end game and plenty of opportunity for things to spiral out of control.

The high-stakes presidential trip is emblematic of Biden’s belief that the United States should not turn back from its central role on the global stage and his faith that personal diplomacy can play a decisive role.

“This is how Joe Biden believes politics works and history is made,” said Jon Alterman, a senior vice president at the Center for Strategic and International Studies who worked on the Senate Foreign Relations Committee while Biden was a member.

Palestinian child wounded in Israeli bombardment is treated in a hospital in Deir al-Balah, south of the Gaza Strip, Tuesday, Oct. 17, 2023. (AP Photo/Hatem Moussa)

There’s been no water, fuel or food delivered to Gaza since the brutal Oct. 7 attack by Hamas that killed more than 1,400 Israelis and triggered the unfolding war. Mediators have been struggling to break a deadlock over providing supplies to desperate civilians, aid groups and hospitals.

As the humanitarian crisis grows, so too does the concern of a spiraling conflict that stretches beyond the borders of Gaza. There have already been skirmishes on Israel’s northern border with Hezbollah, an Iran-backed group that’s based in Southern Lebanon.

“There’s a lot that can go wrong on this trip,” Alterman said.

FILE – President Joe Biden speaks during a roundtable with Jewish community leaders in the Indian Treaty Room on the White House complex in Washington, Wednesday, Oct. 11, 2023. The White House has selected the Philadelphia area and West Virginia for two regional hubs to produce and deliver hydrogen fuel, an important part of the Biden administration’s clean energy plan, according to a person familiar with the plan. (AP Photo/Susan Walsh, File)

Biden’s travels will be rife with security concerns, and visits by other U.S. officials have been disrupted by rocket launches into Israel. Additional Israeli airstrikes in Gaza could also prompt more condemnation at a time when Biden is intending to demonstrate solidarity with the United States’ closest ally in the region.

The U.S. has subtly shifted its message over the past week, maintaining full-throated support for Israel while slowly turning up the diplomatic volume on the need for humanitarian assistance in Gaza, as Biden and aides have heard increasingly dire predictions about the potential for images of suffering Palestinians to ignite protests and broader unrest throughout the Middle East.

U.S. officials said it has become clear that already limited Arab tolerance of Israel’s military operations would evaporate entirely if conditions in Gaza worsened.

U.S. Secretary of State Antony Blinken, third from left, meets with Egypt’s President Abdel Fattah El-Sisi, right, at Al-Ittihadiya Palace in Cairo, Sunday Oct. 15, 2023. (AP Photo/Jacquelyn Martin, Pool)

Their analysis projected that outright condemnation of Israel by Arab leaders would not only be a boon to Hamas but would likely encourage Iran to step up its anti-Israel activity, adding to fears that a regional conflagration might erupt, according to four officials who spoke to The Associated Press on condition of anonymity to discuss internal administration thinking.

U.S. Secretary of State Antony Blinken, left, meets with Saudi Foreign Minister Prince Faisal bin Farhan, at the Ministry of Foreign Affairs in Riyadh, Saudi Arabia, Saturday Oct. 14, 2023. (AP Photo/Jacquelyn Martin, pool)

U.S. Secretary of State Antony Blinken, bouncing back and forth between Arab and Israeli leadership ahead of Biden’s visit, spent seven and a half hours meeting Monday in Tel Aviv in an effort to broker some kind of aid agreement and emerged with a green light to create a plan on how aid can enter Gaza and be distributed to civilians.

It was on the surface a modest accomplishment, but U.S. officials stressed that it represented a significant change in Israel’s position going in — that Gaza would remain cut off from fuel, electricity, water and other essential supplies.

President Joe Biden speaks at Tioga Marine Terminal, Friday, Oct. 13, 2023, in Philadelphia. (AP Photo/Evan Vucci)

Biden has a long track record of showing public support for Israel while expressing concerns privately to the Israelis about their behavior.

“He believes the only way to get inside the Israelis’ heads is to demonstrate profound empathy, but also to be there,” Alterman said.

In the U.S., Biden has won rare praise from Republicans over his leadership on Israel, but prospects for providing additional aid are uncertain. The administration has said it would ask for more than $2 billion in aid for both Israel and Ukraine, though House Republicans remain in disarray.

Still, Biden is committed to both Ukraine and Israel.

“We’re the United States of America, for God’s sake, the most powerful nation in the history of the world,” he said this week on CBS’ “60 Minutes” when asked whether the wars in Israel and Ukraine were more than the U.S. can take on at once. “We have the capacity to do this and we have an obligation to. … And if we don’t, who does?”

Egyptian President Abdel-Fattah el-Sissi, right, greets Palestinian President Mahmoud Abbas, center, and King Abdullah II of Jordan, during a conference to support Jerusalem at the Arab League headquarters in Cairo, Egypt, Sunday, Feb. 12, 2023. (AP Photo/Amr Nabil)

In Israel, Biden was expected to meet with Prime Minister Benjamin Netanyahu and other Israeli officials before heading to Jordan. He was originally scheduled to meet with King Abdullah II, Egyptian President Abdel Fattah el-Sissi and Abbas.

However, Abbas has withdrawn his planned participation because of the destruction at the hospital in Gaza.

FILE – Palestinian President Mahmoud Abbas speaks during a conference to support Jerusalem at the Arab League headquarters in Cairo, Egypt, on Feb. 12, 2023. The Biden administration is scrambling to avert a diplomatic crisis over Israeli settlement activity at the United Nations that threatens to overshadow and perhaps derail what the U.S. hopes will be a solid five days of focus on condemning Russia’s war with Ukraine. Secretary of State Antony Blinken made two emergency calls on Saturday, Feb. 18, from the Munich Security Conference to Abbas and Israeli Prime Minister Benjamin Netanyahu. (AP Photo/Amr Nabil, File)

The Israel-Palestinian conflict has been ongoing for decades, and to a large extent, it’s involved the same cadre of men. Netanyahu is the longest-serving prime minister in Israeli history. Abbas has been Palestinian president for nearly 20 years. Abdullah II has been king since 1999 — Biden has called the Jordanian king a loyal ally in a “tough neighborhood.” El-Sissi is the newest leader, president since 2014.

King Abdullah
FILE – In this May 26, 2021, file photo, Jordan’s King Abdullah II speaks during a meeting with Secretary of State Antony Blinken at Bayt Al Urdon in Amman, Jordan. President Joe Biden will host Jordan’s King Abdullah II at the White House on July 19, months after the detention of his half-brother amid a rare moment of palace intrigue for the close American ally. (AP Photo/Alex Brandon, Pool, File)

It’s important for these leaders, too, to avoid a prolonged and engulfing regional escalation, particularly as Egypt and Jordan face growing economic tumult.

In September, the International Monetary Fund issued a report saying that Egypt and Jordan are among the countries in the region that “stand at the brink of a debt crisis.” Egypt in particular is struggling with high inflation.

Egypt’s President Abdel Fattah El-Sisi speaks while meeting with U.S. Secretary of State Antony Blinken, at Al-Ittihadiya Palace in Cairo, Sunday Oct. 15, 2023. (AP Photo/Jacquelyn Martin, Pool)

Neither nation wants to absorb refugees. Jordan already has a large Palestinian population, and the country is coping with hundreds of thousands of refugees from neighboring Syria, Iraq and elsewhere.

With tens of thousands of troops massed along the Israel-Gaza border, Israel has been expected to launch a ground invasion — but plans remain uncertain. U.S. officials have refused to say whether the Israelis were holding off in order for Biden to visit.

“We are preparing for the next stages of war,” Israeli military spokesman Lt. Col. Richard Hecht said. “We haven’t said what they will be. Everybody’s talking about a ground offensive. It might be something different.”

Palestinians evacuate a child after an Israeli airstrike on Khan Younis, Gaza Strip, Tuesday, Oct. 17, 2023. (AP Photo/Fatima Shbair)

Meanwhile, the death toll is mounting even without the war’s next stage. Israeli strikes on Gaza have killed at least 2,700 people and wounded more than 9,700, according to the Gaza Health Ministry. Nearly two-thirds of those killed were children, a ministry official said.

Another 1,200 people across Gaza are believed to be buried under the rubble, alive or dead. More than 1 million Palestinians have fled their homes — roughly half of Gaza’s population — and 60% are now in the approximately 8-mile-long (14-kilometer-long) area south of the evacuation zone, according to the United Nations.

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