This report traces the evolution of Hamas’s health care services from the movement’s origins to its current role as the de facto government of Gaza. The analysis focuses primarily on the impact of Palestinian divisions on the development of Gaza’s health sector since Hamas’s takeover of Gaza in June 2007, and it examines how regional trends in 2011 have influenced internal Palestinian dynamics that will likely shape Gaza’s health care sector and the Palestinian population more broadly in the future. Finally, the report examines the U.S. policy implications of Hamas’s successful management of health services in Gaza.

U.S. strategy in the Eastern Mediterranean is long overdue for revision. Today’s strategy was conceived 70 years ago and is no longer fit for purpose despite the continued strategic importance of the region for U.S. interests. To account for the dramatic changes that have occurred in the Eastern Mediterranean in the past two decades, it is time for the United States to create a new regional strategy that builds on common transatlantic interests, ensures European unity and security, provides greater stability in the Middle East, and safeguards state capacity against a myriad of strengthening nonstate actors. This report aims to offer such a new strategy, focusing on two priority areas: resolving the Syrian conflict, and recalibrating the relationship with Turkey. Much is at stake for the United States, and it must take a new strategic approach to the region or risk losing influence for the foreseeable future.

This report traces the evolution of Hamas’s health care services from the movement’s origins to its current role as the de facto government of Gaza. The analysis focuses primarily on the impact of Palestinian divisions on the development of Gaza’s health sector since Hamas’s takeover of Gaza in June 2007, and it examines how regional trends in 2011 have influenced internal Palestinian dynamics that will likely shape Gaza’s health care sector and the Palestinian population more broadly in the future. Finally, the report examines the U.S. policy implications of Hamas’s successful management of health services in Gaza.

U.S. strategy in the Eastern Mediterranean is long overdue for revision. Today’s strategy was conceived 70 years ago and is no longer fit for purpose despite the continued strategic importance of the region for U.S. interests. To account for the dramatic changes that have occurred in the Eastern Mediterranean in the past two decades, it is time for the United States to create a new regional strategy that builds on common transatlantic interests, ensures European unity and security, provides greater stability in the Middle East, and safeguards state capacity against a myriad of strengthening nonstate actors. This report aims to offer such a new strategy, focusing on two priority areas: resolving the Syrian conflict, and recalibrating the relationship with Turkey. Much is at stake for the United States, and it must take a new strategic approach to the region or risk losing influence for the foreseeable future.