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Basically Hamas knows Israel won't bomb the hospital, which seems to be the largest hospital in that area. And thus, they base operations there with impunity.
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Notes -
It's highly likely Hamas has some significant operations based out of Al-Shifa Hospital.
If you read the history from 2008-9 and 2014 wars, every outlet from NYT to WaPo, organizations from Human Rights Watch to Amnesty International, have reported on Hamas militants being in the hospital, hamas leaders seen there, Hamas spokespeople talking to media there (using a fake backdrop of destroyed buildings), and Hamas using the hospital for torture and imprisonment (Amnesty).
Basically Hamas knows Israel won't bomb the hospital, which seems to be the largest hospital in that area. And thus, they base operations there with impunity.
In 2007, Hamas and Fatah fought in/near that hospital, though at much smaller scale (apparently only one wounded from each faction).
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