War tests the fundamental ethical obligations of medical practice. In the middle of conflicts, it can be difficult for physicians to be fair and equitable while providing treatment that offers benefits, avoids harm, and respects the wishes of individual patients. In the decades-long struggle between Israel and its neighbours, these principles have been tested many times. They are being severely tested in the current conflict. We write to highlight some of the asymmetries in the ways that Israel and Hamas uphold these principles. Crucially, we argue that despite relentless threats to its existence, Israel demonstrates ethical practice in medicine and healthcare, regardless of race, religion, or even terrorist engagement. This is particularly relevant at a time when Israel has been taken to court by South Africa for allegedly committing genocide in Gaza.
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