Smith, who has been to the enclave twice since the war began, most recently worked in Rafah and central Gaza for two months, including at the Al-Aqsa Hospital in Deir al-Balah and Al-Awada Hospital in the Nuseirat refugee camp. “It was carnage,” he says. They were “the most horrific scenes that I have ever seen as an emergency physician.”

“We talk about the media being complicit in Israel’s violence… but they also, it would appear, actively obscured the reality of what’s happening,” he says, pointing to coverage of Israel’s massacre of more than 270 Palestinians in Nuseirat that occurred just after he left Gaza. Local physicians he worked with described people lying in pools of their own blood in the hospital and patients crammed into an already overcrowded spaces. “The most horrific, unimaginable conditions. And I truly don’t think that any of the major media outlets have captured the barbarity of this violence.”