Israel escalates attacks on medics in Lebanon with deadly ‘quadruple tap’

Lebanese health ministry says killing of 91 healthcare workers shows ‘total disregard’ for international law
When they received the call to respond to an Israeli airstrike in the city of Mayfadoun, in southern Lebanon, most of the paramedics held back, having previously seen colleagues killed by double-tap attacks targeting rescuers. But the medics from the Islamic Health Association (IHA) rushed to the scene.
By the time the other emergency workers arrived at the site, they found the IHA medics had indeed been caught in a second strike. They started evacuating their wounded colleagues, only for their ambulances to be hit in two further attacks.
One of the paramedics covered his ears and screamed, convulsing in pain as shrapnel shattered the back window of the ambulance.
The rescue mission on Wednesday afternoon had turned into a nightmare as Israel carried out three consecutive strikes on three sets of ambulances and medical workers.
In total, the attacks killed four medics and wounded six more, from three different ambulance corps, according to medical sources. Three of the medics were from the Hezbollah-affiliated IHA and Amal-affiliated medical corps, while one was from the Nabatieh emergency services organisation. Under international law, all medics are protected and are considered non-combatants, regardless of political affiliation.
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Article continues at https://www.theguardian.com/world/2026/apr/16/israel-escalates-attacks-on-medics-in-lebanon-with-deadly-quadruple-tap

US naval blockade of Strait of Hormuz: what it involves and the risks attached

Basil Germond, Lancaster University
A US-sanctioned tanker with links to China, the Rich Starry, has transited the Strait of Hormuz, despite the US blockade of the waterway. According to the respected maritime news and intelligence agency Lloydslist, the Rich Starry is falsely registered in Malawi, but is Chinese owned and carrying a Chinese crew. It is subject to US sanctions for carrying Iranian goods. It is not known what the vessel is currently transporting.
Having been anchored off the UAE, the Rich Starry is not technically in breach of the blockade, but the incident has raised fears of a potential confrontation between the US and China in the region. Other vessels are reported to be waiting to transit the Strait, despite the US blockade.
The decision to impose a blockade on Iranian ports in the vicinity of the Strait was announced by the US president, Donald Trump, following the breakdown of US-Iran peace talks in Islamabad on April 11. Trump’s announcement was clarified by a statement on April 12 from US Central Command, which stipulated that the operation would prevent ships entering and exiting Iranian ports and coastal areas while not impeding vessels transiting the Strait to and from non‑Iranian ports.
Trump also announced that: “I have also instructed our Navy to seek and interdict every vessel in International Waters that has paid a toll to Iran. No one who pays an illegal toll will have safe passage on the high seas.” It remains unclear as to whether this will be implemented.
The Strait of Hormuz has been as good as closed since shortly after the US and Israel launched their attacks on Iran at the end of February. Most ship owners, charterers and insurers are unwilling to accept the financial risk – and risk to human life – that transiting the Strait under threat of Iranian attack would entail.
Blockades are used to convert naval dominance into advantage on land by preventing imports and exports of goods, in Iran’s case oil, to put pressure on an adversary’s population and government by hurting their economy. Likewise, Iran’s strategy of closing down the Strait after it was attacked intended to disrupt the global economy in order to put international pressure on the Trump administration.
Iran has long threatened to use its geographical proximity to the Strait of Hormuz to close it down. Having demonstrated how effective this can be in disrupting oil and liquid natural gas prices, Tehran has been flexing its muscles by demanding that ships wanting to transit the waterway pay a tariff of up to US$2 million (£1.5 million). Lloydslist reported on March 25 that “a total of 26 vessel transits through the strait have followed a route pre-approved under an IRGC [Islamic Republican Guard Corps] ‘toll booth’ system that requires the ship operators to submit to a vetting scheme”.
This was reportedly a sticking point in negotiations between the US and Iran in Pakistan on April 11. Tehran wants to retain control of the Strait and the ability to levy tolls from transiting ships. The US is demanding that the maritime right of free passage must be enforced. It was when the first round of talks ended in deadlock that the US president decided to impose the naval blockade.
Former US diplomat to the Middle East, David Satterfield, told the BBC on April 13 that it was now about which country could absorb more pain, adding: “The Iranians believe … that they can absorb more pain for a longer period than their opponents can.”
Expensive – and risky – gambit
The cost calculus is asymmetric. It will be more expensive for the US to maintain its blockade than it was for Iran to close the Strait. The question will be whether Washington can sustain interdiction long enough to effectively undermine the regime – always remembering that the Islamic Republic has potentially had decades to prepare for this sort of scenario.

If the blockade can be implemented effectively, it could – in time – have an effect on an economy wrecked by years of sanctions and further weakened by the recent war and nationwide protests in January. The question is how long that might take.
To be effective, the blockade will require considerable naval resources. The US is reported to have as many as 21 warships in the Middle East, including the aircraft carrier USS Abraham Lincoln and the USS Tripoli, an amphibious assault ship with a complement of marines who are trained to board ships using helicopters and small boarding craft.
This introduces another layer of risk as assets operating near to the Iranian coasts will need to be protected against Iranian missiles, drones and fast attack craft. So, this would be resource‑intensive, operationally demanding and thus politically exposed for the US.
How the US will go about enforcement remains to be seen. In December and January, US naval and coastguard ships boarded and seized several vessels linked to Venezuela’s shadow fleet that had broken America’s blockade. Whether it would pursue the same action with a vessel linked to China is another matter though. And while another option would be to fire warning shots, these can be dangerous around tankers because of the risk of oil spillage, as well as the obvious political risk attached to Chinese-linked vessels.
It’s not clear at present that imposing a blockade on the Strait of Hormuz will restore free navigation of the waterway any time soon. But it now appears that, in the absence of free navigation, some countries have decided to call America’s bluff and attempt to transit the waterway in defiance of the US blockade. And the big concern must be the serious risk of escalation if the US attempts to enforce the blockade on a Chinese-owned vessel.
None of this will be welcomed by the US president and his national security team.
Basil Germond, Professor of International Security, School of Global Affairs, Lancaster University
This article is republished from The Conversation under a Creative Commons license. Read the original article.


Why the US and Israel’s alliance endures – even when it strains
Bamo Nouri, City St George’s, University of London and Inderjeet Parmar, City St George’s, University of London

Israel and the US have maintained a close alliance for decades. Their recent joint air campaign in Iran has once again underscored the depth of this partnership. Yet while the strength of their relationship is widely acknowledged, the reasons behind it remain contested.
At the centre of this debate lies the question of whether US support for Israel is driven primarily by domestic political forces, particularly lobbying organisations such as the American Israel Public Affairs Committee (Aipac), or whether it reflects broader strategic imperatives within US foreign policy.
Aipac’s historical influence is well documented. It emerged in the 1950s from the American Zionist Committee for Public Affairs and developed into a powerful lobbying organisation. By the 1970s it had become instrumental in securing substantial US military and economic aid, as well as favourable legislative outcomes, for Israel.
US aid to Israel now includes approximately US$3.3 billion (£2.4 billion) annually in military financing and an additional US$500 million for missile defence. Aipac, which has embedded itself across Democratic and Republican political networks, has played a central role in maintaining this flow of support.
But the claim that Aipac drives US policy, which former US counterterrorism official Joe Kent suggested in March when resigning from the Trump administration in opposition to the Iran war, misreads how power operates in Washington.
As scholars of American power, we argue that the US-Israeli alliance has been driven primarily by Israel’s demonstrated value as a strategic asset for the US, rather than solely by the influence of lobbying. Aipac has become effective because it aligns with this existing strategic consensus, not because it created it.

Strategic US asset
This strategic consensus can be traced to the cold war. Israel’s decisive victory in the 1967 six-day war over a coalition of Arab states supported by and aligned with the Soviet Union revealed its utility as a regional proxy capable of advancing US interests in the Middle East.
From that point onward, US policymakers framed Israel as a pillar of their Middle East strategy – part of a broader effort to contain the influence of rival powers, project US power overseas and stabilise a region that is central to global energy supplies.
This framing became institutionalised in US policy in the late 1960s. Washington sharply increased arms transfers, supplying Israel with advanced aircraft such as F-4 Phantoms under President Lyndon B. Johnson. Intelligence-sharing arrangements were also expanded between the two countries.
The US perception of Israel as a strategic regional asset grew further in 1970. That year, the US requested that Israel prepare to intervene in Jordan on behalf of the government in its conflict with the Palestine Liberation Organization. Israel responded by moving troops to the border, with the presence of Israeli planes overhead often credited as having deterred invasion by Syrian forces.
Then, during the 1973 Yom Kippur war (again fought between Israel and Soviet-aligned Arab states), the US launched a large-scale airlift of military supplies into Israel. The operation signalled that Israel’s security was now directly tied to American strategy.
From the late 1970s, Israel was incorporated into a wider US-led regional security architecture alongside countries such as Egypt and Jordan. This followed the 1978 Camp David accords and 1979 Egypt-Israel peace treaty, which brought Egypt into a US-backed regional order. The US subsequently expanded joint military exercises, positioned military equipment in Israel and deepened defence coordination across these states.
Further evidence underscores the primacy of strategy in the US-Israeli relationship. President Ronald Reagan’s 1981 decision to sell surveillance aircraft to Saudi Arabia, for example, proceeded despite intense opposition from pro-Israel lobby groups. When core US strategic interests have been at stake, US policy has overridden lobbying pressure.
Formal agreements have reinforced the depth of the US-Israeli alliance. A 2016 memorandum of understanding committed US$38 billion in military aid over a decade. The US is also Israel’s largest trading partner, with bilateral trade approaching US$50 billion annually.
Cooperation extends across scientific, technological and industrial sectors, while both states are deeply integrated within international organisations. This dense web of ties cannot be reduced to lobbying influence alone.

Israel has played a significant role in destabilising the Middle East in recent years through its actions in Gaza, Lebanon and Iran. It has also effectively undermined the current ceasefire between the US and Iran by continuing to bomb Hezbollah targets in Lebanon.
In light of these developments, does the core premise of the US-Israeli alliance – that Israel helps underpin regional stability in line with US interests – still hold? Or are the foundations of US support for Israel beginning to strain under the pressures of a more volatile Middle East?
We argue that, instead of undermining the alliance, Israel’s continued attacks on Lebanon expose the underlying structure of the US-Israeli relationship. Israel said Lebanon was not included in the ceasefire, a stance that was reinforced by US officials including President Donald Trump and Vice-President J.D. Vance.
They backed Israel’s right to act against Hezbollah, with Trump calling the conflict in Lebanon a “separate skirmish”. This alignment suggests not divergence, but coordination within an asymmetric relationship in which the US provides the overarching strategic framework and Israel executes within it.
Rather than adding strain to the alliance, these developments illustrate its durability. Even where Israeli actions risk escalation or complicate diplomacy, US support remains intact – rooted in a broader convergence of interests centred on maintaining regional dominance.
Bamo Nouri, Honorary Research Fellow, Department of International Politics, City St George’s, University of London and Inderjeet Parmar, Professor in International Politics, City St George’s, University of London
This article is republished from The Conversation under a Creative Commons license. Read the original article.



Senate Democrats vote to block arms for Israel as base turns pro-Palestine
This work by Middle East Monitor is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

An overwhelming majority of Senate Democrats voted yesterday to block new US arms sales to Israel, in a significant sign of how far the party has moved away from its once near-unquestioned support for arming Israel.
Two resolutions introduced by Senator Bernie Sanders seeking to halt the sale of bulldozers and 1,000-pound bombs were defeated, but they won the backing of most Democrats in the chamber. The Senate voted 40-59 against blocking the bulldozer sale and 36-63 against blocking the sale of bombs.
The measures targeted roughly $446.8 million in military sales, including $295 million in armoured bulldozers and $151.8 million in 1,000-pound bombs. Sanders said the weapons had been used in Gaza, Lebanon and the occupied Palestinian territories and argued that the sales raised serious concerns under US law, including the Foreign Assistance Act and the Arms Export Control Act.
The vote was notable for the split among the rank of Democrat lawmakers. Forty of the Senate’s 47 Democrats voted to stop supplying bulldozers to the Israeli military, while 36 voted against supplying bombs. That means around 85 per cent of Senate Democrats backed at least measures to stop Israel continue its ethnic cleansing through the demolition of Palestinian homes.
Key Democratic figures including Senate Minority Leader Chuck Schumer, Kirsten Gillibrand and John Fetterman voted against blocking the sales, alongside all or nearly all Republicans.
The vote fits a broader political realignment inside the Democratic Party. A Pew poll published this month found that 80 per cent of Democrats and Democratic-leaning independents now hold an unfavourable view of Israel, up from 69 per cent last year and 53 per cent in 2022.
READ: Poll finds most Americans hold unfavourable views of Israel
That shift has been increasingly visible on Capitol Hill. Yesterday’s vote is seen as further evidence of “growing dissatisfaction” among Democrats with US military backing for Israel. Once a fringe view in Congress, ending US support for the apartheid state is the mainstream position of Democrats.
Pressure is also growing on Schumer, who remains out of step with much of his party’s base on Israel. In the days before the vote, nearly 100 protesters were arrested in New York after demanding that Schumer and Gillibrand support Sanders’s resolutions.
After Schumer voted against the resolution, Representative Ro Khanna publicly told him to “step aside”, saying he was “out of touch with our base and the nation.”
Even though Sanders’s resolutions failed, the scale of Democratic support marked a new high-water mark for congressional opposition to arming Israel. Reuters said the votes showed “growing unease among Democrats” over US military support for Israel, while the Guardian described the result as evidence of noticeable momentum within the party for greater scrutiny of arms sales amid the devastation in Gaza and wider regional escalation.
For Democratic leaders who have continued to back military aid, the political warning is becoming harder to ignore. The party’s voters are moving sharply towards the Palestinians, and Wednesday’s vote showed that most Senate Democrats are now moving with them.
READ: J Street backs ending US military aid to Israel in sign of widening Democratic shift
This work by Middle East Monitor is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


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