Israel and the United States on Tuesday showed their sharpest public disagreement yet over the conduct and future of the war against Hamas as the two allies became increasingly isolated by global calls for a ceasefire.
The dispute emerged while Israeli forces carried out strikes across Gaza, crushing Palestinians in homes.
President Joe Biden said he told Prime Minister Benjamin Netanyahu that Israel was losing international support because of its "indiscriminate bombing" and that Netanyahu should change his government, which is dominated by hard-right parties.
Just hours later, the UN General Assembly passed a resolution calling for a humanitarian ceasefire by a vote of 153 in favour, 10 against and 23 abstentions. The non-binding vote is largely symbolic, but it serves as an important barometer of world opinion. None of the major powers joined Israel and the United States in their opposition to the ceasefire.
Biden's comments came as the White House national security adviser heads to Israel this week to discuss with Netanyahu a timetable for the war -- and what happens if Hamas is defeated. Defense Secretary Lloyd Austin will travel to Israel next week for a visit the Pentagon said aims to show U.S. support for Israel but also to press the need to avoid more civilian casualties in Gaza.
The war ignited by Hamas' Oct. 7 attack into southern Israel has already brought unprecedented death and destruction to the impoverished coastal enclave, with much of northern Gaza obliterated, more than 18,000 Palestinians killed and over 80 per cent of the population of 2.3 million pushed from their homes.
The U.S. has urged Israel to do more to reduce civilian casualties since it launched its invasion of southern Gaza at the beginning of the month. But the toll has continued to mount at seemingly the same dizzying rate.
The health-care system and humanitarian aid operations have collapsed in large parts of Gaza, amid Israel's blockade of the territory and intense airstrikes and fighting, and aid workers have warned of starvation and the spread of disease among displaced people in overcrowded shelters and tent camps.
Gaza City and much of the surrounding north have already suffered widespread destruction from more than two months of bombardment. Amid the rubble, Israeli ground troops are still locked in heavy combat with Palestinian fighters, more than six weeks after soldiers invaded the north.
Fierce clashes raged Tuesday in Gaza City's Zaytoun and Shijaiya neighbourhoods, as well as in Jabaliya, a densely built urban refugee camp, residents said.
Tens of thousands of Palestinians remain in the north, huddled in homes or in UN schools-turned-shelters. As airstrikes and drones smash houses, first responders are unable to reach anyone buried in the wreckage, residents said.
"It was massive," Mustafa Abu Taha, an agricultural worker, said of the sound of gunfire and explosions in Shijaiya, where he lives.
Amal Radwan, a woman sheltering in a school in Jabaliya, said the situation was "catastrophic," as Israeli troops tried to advance deep into the district and unleashed heavy fire against fighters.
"Whenever the resistance hit them, they hit us very hard. It has become crazy. They strike everywhere with no regard to women or children," she said.
Outside Gaza City, Israeli troops using a controlled detonation blew up a school run by UNRWA, the UN agency for Palestinian refugees, in the northern town of Beit Hanoun. Footage posted online showed soldiers cheering as they watched the building collapse in a giant blast and pall of smoke.
UNRWA chief Phillippe Lazzarini confirmed the demolition in a post on X Tuesday, calling it "outrageous." There was no immediate comment from the Israeli military. On Saturday, it said militants opened fire from inside an UNRWA school in the town.
Israel also has begun flooding some Hamas tunnels, a U.S. official confirmed Tuesday, speaking on condition of anonymity because they were not authorized to discuss the action. Israelis said they are testing the targeted flooding of tunnels on a limited basis and are exploring the idea as one of a range of options to degrade the tunnel network, according to another U.S. official familiar with the matter.
President Joe Biden said during a news conference with Ukrainian President Volodymyr Zelenskyy that there were assertions that no hostages were in Gaza tunnels being flooded with seawater by the Israelis, but "I don't know that for a fact."
Biden's comments were a startlingly direct criticism of Israel even as his administration continues to give unwavering diplomatic and military support for the military campaign in Gaza in the face of mounting international outrage.
Tuesday's General Assembly vote was held after the U.S. vetoed calls for a ceasefire at the UN Security Council last week and rushed tank munitions to Israel to allow it to maintain the offensive. The UN secretary-general and Arab states have rallied much of the international community behind calls for an immediate ceasefire.
Israel launched the campaign after Hamas and other militants streamed into the south on Oct. 7, killing some 1,200 people and taking about 240 others hostage. About half of those remain in captivity. At least 105 Israeli soldiers have died in the ground offensive, the army says.
Israel and the U.S. say any ceasefire that leaves Hamas in power would mean victory for the militant group, which has governed Gaza since 2007 and has pledged to destroy Israel. Israel blames civilian casualties on Hamas, saying it positions fighters, tunnels and rocket launchers in dense urban areas, using civilians as human shields.
But the two allies have also had differences over the timetable of the war and over how Gaza should be ruled in the future.
In a briefing with the AP on Monday, Israeli Defense Minister Yoav Gallant signalled that the current phase of heavy ground fighting and airstrikes could stretch on for weeks and further military activity could continue for months.
Netanyahu has said the military will have to keep open-ended security control of Gaza after the war ends.
The Biden administration has said Israel should not return to a military occupation and the internationally recognized Palestinian Authority should govern Gaza as talks resume on creating a Palestinian state next to Israel.
Netanyahu appeared to firmly rule that out Tuesday, acknowledging "there is disagreement about 'the day after Hamas."'
"I will not allow Israel to repeat the mistake of Oslo," he said, referring to the peace process in the 1990s that created the Palestinian Authority and was intended to reach a two-state solution. The authority governs pockets of the occupied West Bank and governed Gaza until the Hamas takeover in 2007.
Strikes overnight and into Tuesday in southern Gaza -- where almost all of Gaza's population of 2.3 million is now crowded -- killed dozens, according to hospital records.
Islam Harb's three children were among those killed when Israeli airstrikes flattened four residential buildings in the town of Rafah on the Egyptian border. At least 23 people were killed, including seven children and six women, according to an Associated Press reporter who saw the bodies arrive at a hospital.
"My twin girls, Maria and Joud, were martyred, and my little son, Ammar, also martyred," Harb said.
In central Gaza, the Al-Aqsa Martyrs Hospital in Deir al-Balah received the bodies of 33 people killed in strikes overnight, including 16 women and four children, according to hospital records. Many were killed in strikes that hit residential buildings in the built-up Maghazi refugee camp.
In the northern Gaza town of Beit Lahiya, Israeli forces stormed the Kamal Adwan Hospital, ordering all men, including medics, into the courtyard, said Ashraf al-Qidra, spokesman for the Gaza Health Ministry. The hospital had 65 patients in intensive care and six newborns in incubators, the UN said, and some 3,000 displaced people were sheltering there with little food or water.
The Israeli military says it is rounding up men in northern Gaza as it searches for Hamas fighters. Photos and videos circulating online show groups of detainees stripped to their underwear, bound and blindfolded, and some who have been released say they were beaten and denied food and water.
Asked about the hospital, the military said it "continues to act against Hamas strongholds in the north of Gaza," including Beit Lahiya and takes "all feasible precautions to mitigate harm to noncombatants."
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Shurafa reported from Deir al-Balah, Gaza Strip, and Magdy from Cairo. Associated Press writers Jack Jeffery in Cairo and Tia Goldenberg in Jerusalem contributed.
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