The deal reached by Israel and Hamas to release 50 hostages in exchange for a pause in fighting marks one of the most significant developments in the more than six-week war. 

But the implementation of the deal, set to go into effect Thursday morning local time, is taking place amid intense distrust, skepticism and concern.  

“There’s certainly no good faith when you’re negotiating with Hamas, a terrorist group that is holding toddlers and babies as hostage,” a senior U.S. official said in a call with reporters, briefing on the contours of the deal. 

The Israeli government said that the first group of hostages — identified as women and children — will be released over a period of four days, “during which a pause in the fighting will be held.” 

Hamas is believed to be holding more than 200 hostages in the Gaza Strip, after kidnapping them during an unprecedented terrorist attack against Israel on Oct. 7.

However, Biden administration officials have raised questions about whether Hamas knows where the remaining hostages are. Both the U.S. and Israel say Hamas should use the pause in fighting to deliver a full accounting, and they offered to extend the cease-fire if additional hostages are released. 

Humanitarian aid deliveries to the Gaza Strip are expected to scale up, absent the threat of bombs and gunshots, although aid groups say it won’t be nearly enough to meet the overwhelming need in the besieged enclave.

Don’t call it a cease-fire

Key to securing a deal to release the hostages was a days-long pause in fighting between Israel and Hamas, both to allow for the safe passage of hostages but also for the delivery of humanitarian aid into the Gaza Strip.

Israel has rejected calls and pressure for any long-term cease-fire, and Israeli Prime Minister Benjamin Netanyahu has said that the pause in fighting does not mean that Israel is giving up its war goal of eliminating Hamas’s base in Gaza. 

Israel, with backing by the U.S., says that Hamas is likely to exploit any pause in fighting to regroup its military operations. And Israel’s Defense Minister Yoav Gallant said that the military pressure Israel is putting on Hamas is part of its strategy toward securing the release of more hostages.

Without military pressure “there will be no chance to secure the further release of other hostages,” Gallant said in remarks in Hebrew. 

Still, the U.S. has put pressure on Israel to do more to protect civilian lives in Gaza, and it has raised concerns about Israel seeking to expand its military campaign into the south of the strip, where many Palestinians have fled from shelling and fighting in the north.

Situation on the ground is ‘catastrophic’

Thousands of Palestinians have been killed over more than six weeks of war, and hundreds of thousands have been injured and displaced. 

Much of the population of more than 2 million are living in a dire humanitarian state, rationing water, food and medicine, and susceptible to communicable diseases like diarrhea and skin diseases. For those facing homelessness, the temperature is dropping and winter rain persists. 

Aid groups have issued desperate appeals for a more substantial ceasefire, which they say is necessary to actually curb the suffering in Gaza. 

Meeting the humanitarian need for aid during tactical pauses is “not realistic,” said Joel Weiler, from the French NGO Médecins du Monde, speaking on a call with other aid groups and reporters on Wednesday. 

“You can’t do anything in four hours. You can’t do anything in five hours. Distribution, in four hours? It’s just a dream. It’s not real. You can’t come from a jeep to Gaza and be able to do good distribution in four hours, in 10 hours, and even in five days.”

The four-day pause in fighting is expected to cover the total 96 hours, an Israeli official told The Hill. 

Israel has offered to extend the pause in fighting by one day for every 10 hostages Hamas agrees to release.

Questions over remaining hostages

Hamas is not believed to have full control of all hostages taken during the Oct. 7 attacks. The Palestinian Islamic Jihad, an affiliated group, is also believed to have kidnapped some people, with reports that Gazan civilians may also have been involved in some cases. 

That has raised questions about whether Hamas can even account for all of the hostages being held within the Gaza Strip. 

Amid intensive negotiations between the U.S., Israel, Qatar, and Egypt with Hamas, the principal actors pushed Hamas to deliver a list of hostages the group was holding, their identifying information – ages, gender, nationalities – and proof of life. 

In fits and starts of communication over five weeks, Hamas struggled to produce the list – providing only 10 names by Nov. 9, officials say. 

“This was insufficient,” a senior U.S. official said, and the 50 names were provided a few days later after Qatar pressured Hamas.  

The official added that the U.S. expects Hamas to use the pause in fighting to further identify all the hostages that are being held in captivity, in particular women and children. 

Israeli hospitals prepare for ‘complex’ treatment 

Medical first responders and professionals in long term care are preparing for the return of hostages to Israel, after they have been held in what has been described as a living hell. 

These people – to include toddlers, children, elderly – were kidnapped while under violent assault, with some of these children and adults having witnessed the murder of their family members or friends. Some were also wounded in the attacks, or already suffering from medical conditions like dementia or cancer, according to advocates for the families. 

“The principles are to be professional, to be personal, and to be patient,” Hagai Levine, head of the medical team for the Hostages and Missing Families Forum, said of the care plan they are laying out.

Levine said he spoke with Yocheved Lifshitz, 85, and Judith Raanan, 59 — two of the four people Hamas had released in mid-October — about their recovery and how it can be applied to other hostages as they come out of Gaza. 

“The feeling that you get from darkness to light, you get from quietness to noise — which is good, you hear, but maybe it’s too much,” Levine explained of the extreme dissonance the hostages are likely to feel.

“You’re not coming back to what you [were], your home, maybe there is no home anymore. Your family, maybe your family was murdered, it’s so complex… you have to be patient with the information you give them. You have to make sure they feel protected.”

Longer ceasefire remains elusive

Israel is set to release 150 Palestinians prisoners, including women and minors, as part of the deal. These individuals were reportedly jailed for relatively low-level offenses.

Israel’s public appears supportive of the deal, and wants the government to do everything it can to get the hostages home, but Hamas is likely to try and exact a higher price for the men and Israeli soldiers it has kidnapped. 

The Israeli government in 2011 agreed to release more than 1,000 Palestinians from Israeli jails in exchange for one soldier who was kidnapped by Hamas, Gilad Shalit. Among that group of Palestinian prisoners was Yahya Sinwar, the architect of the Oct. 7 attack who is in Gaza, and who Israel has singled out as a priority target of their military operation.

“We will pursue Yahya Sinwar until we get to him,” Daniel Hagari, spokesperson for the Israel Defense Forces, said late last month.   

And while Israel has signaled it’s not giving up its military assault against Hamas, there’s ever-increasing pressure for a longer-term ceasefire to be imposed. However, the U.S. is viewed as the only country that can pressure Israel to such terms, and the Biden administration has thus far opposed calls for a ceasefire. 

“As the U.N. General Assembly vote indicates, most countries now want a ceasefire, so do most U.N. agencies and the leadership of the United Nations,” said Paul O’Brien, executive-director of Amnesty International USA.

“The U.S. and other countries that have leverage and influence with Israel must step in.” 

However, President Biden has suggested Hamas can’t be trusted to accept a ceasefire. 

“Hamas has already said publicly that they plan on attacking Israel again like they did before, to where they were cutting babies’ heads off… burning women and children alive,” he said last week. 

“And so, the idea that they’re going to just stop and not do anything is not realistic.”

​ The deal reached by Israel and Hamas to release 50 hostages in exchange for a pause in fighting marks one of the most significant developments in the more than six-week war. But the implementation of the deal, set to go into effect Thursday morning local time, is taking place amid intense distrust, skepticism and concern….