“We can get their aid into Gaza safely and securely and have offered to help repeatedly, but they continue to reject our offers,” says GHF spokesman Chapin Fay in a media briefing. After a steadily improving situation, “desperation levels” in Gaza are rising, says Fay, as the other aid organizations cut back operations, and looting is widespread .

Arriving in Gaza in late March just as Israel broke the ceasefire, The Intercept witnessed firsthand what happened to Gaza’s most vulnerable after the U.S. defunded USAID and UNRWA and turned those agencies’ work over to the Israeli military and GHF.

Israel-Hamas ceasefire talks face challenges over aid distribution as tensions rise between the Gaza Humanitarian Foundation and U.N. regarding humanitarian assistance.

Reacting to the new GHF flag system, Ibrahiem Mohammed Abdul Raouf Al Qatrawi, a 22-year-old Palestinian, called for the total cancellation of the GHF aid system, telling ABC News on Monday that "respect and dignity" should be restored.

At least 20 Palestinians were killed on Wednesday at an aid distribution site run by the Gaza Humanitarian Foundation, in what the U.S.-backed group said was a crowd surge instigated by armed agitators.