Health officials in Gaza said Thursday that the official death toll from Israel’s 10-month war has topped 40,000, though that is believed to be a vast undercount of the true figure.

The grim milestone was reached just days after the Biden administration greenlit $20 billion in additional weapons sales to Israel, including 50 F-15 fighter jets, tank ammunition, mortar rounds, tactical vehicles and advanced air-to-air missiles. The U.S. approved the sales despite growing calls for an arms embargo on Israel.

“This is just a continuation of a policy that has been going on now for 10 months of the U.S. providing to Israel all the arms that it requests,” says Josh Paul, a veteran State Department official who worked on arms deals and resigned in protest over Gaza policy in October. “It is a dark day for American foreign policy.” We also speak with Jan Egeland, the secretary general of the Norwegian Refugee Council, who says it’s “incomprehensible” that the U.S. keeps supplying Israel with weapons. “There should be no more arms going into that place before there is a ceasefire.”