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adminShare on Pinterest A recent survey found that a surprising number of healthcare professionals mistakenly believe people living with obesity can reach a healthy weight if they simply try hard enough. Dima Berlin/Getty ImagesNew research finds that bias about the root cause of obesity affects how healthcare professionals recommend treatment for people who are living with this chronic disease.Results from a survey showed that 58% of providers believe that obesity is mainly due to lifestyle choices, and 43% believe that those living with obesity can reach a healthy weight if they only try hard enough.Health experts say these biases are dangerous as they discount the fact that causes for obesity can vary widely and treatment needs to be evaluated on a case-by-case basis to ensure the best results.
When it comes to treating obesity, our growing medical understanding of the condition has shifted approaches to treatment as well as the larger cultural understanding of what it means to be living with obesity.
For the more than 2 in 5 American adults who live with the condition, this also involves pushing against stigma and misinformation that can accompany discussions about the chronic disease.
Now, new data released by Eli Lilly and Company that looks at prevailing barriers that might stand in the way of normalizing and prescribing anti-obesity medications, speaks to larger issues of how many providers might discount genetics and factors that remain out of peoples control when they diagnose and treat the condition.
Often, cultural biases that often infuse our understanding of obesity can paint the condition as one that results mainly from lifestyle factors more than anything else.
How might this affect the treatment that people receive for obesity?
Healthline spoke with experts who put all of this in context and explained how issues around the treatment for obesity are nuanced and vary case by case, person by person. What the data highlights about attitudes toward obesity
The data from Eli Lilly comes from the OBSERVE study, conducted in collaboration between the pharmaceutical company, Cerner Enviza, and leading opinion leaders and researchers in the field.
It aimed to look at the factors that might illustrate where we are today in the prescription and adoption of medications to treat obesity. It also sheds a brighter light on current attitudes and provides a look at how the condition is often approached in medical settings.
Among those included in the study were people living with obesity, healthcare providers, and even employers.
The latest data from this study focused on healthcare providers perceptions. It was presented in May at the 2023 AACE (American Association of Clinical Endocrinologists Meeting in Seattle.
The findings revealed a striking snapshot of provider attitudes toward treating the condition.
The survey showed that 58% of surveyed providers believe that obesity is mainly due to lifestyle choices, 43% believe that those living with obesity can reach a healthy weight if they only try hard enough, 24% reported they believed most patients with obesity are metabolically healthy even though they are carrying extra weight, and 67% think people with obesity should be required to demonstrate motivation to make lifestyle changes before medical treatment is offered.
Study co-author Dr. Rekha Kumar, chief medical officer at medically-assisted weight care program, Found, and practicing endocrinologist in New York City, said the figure that shows 43% of providers believe patients with obesity can generally achieve and maintain a healthy weight if they only tried enough was particularly surprising to her.
The science has been clear for a long time that biology plays a critical role in someones ability to lose and maintain weight loss, and for many people struggling with overweight and obesity, lifestyle changes are often not enough, Kumar told Healthline. The belief that someone cant achieve a healthy weight, it means they are a failure or lack willpower is what continues to stigmatize patients with obesity, and prevent them from seeking and getting the medical care they deserve and need.
When asked just how big of a challenge it is for people living with obesity to simply lose weight and then maintain that weight loss, Dr. Diana Thiara, medical director of UCSF Weight Management Clinic and UCSF assistant clinical professor, told Healthline that its important to note that obesity is a chronic disease that requires long-term management.
Its incredibly hard to lose weight and keep it off in the long run. We know that some people are able to sustain large amounts of weight loss for many years things like the national weight control registry have examined this these participants had lower rates of adverse behavior change, said Thiara, who is unaffiliated with the study. We need to work with our patients, continuously, for the long term, to help them achieve and maintain weight loss.
The other thing is that we need to accept and be okay with the fact that people with obesity will have moments of hardship and relapse throughout their lives. We should help them through these times, she added.
In examining the fact that 58% of these respondents think obesity is due to lifestyle choices, Thiara added that this is an overly simplistic view of the chronic disease. She stressed that this is a complex condition, and we dont fully understand etiology.
We do know that there are certain genes that are more prevalent in individuals with obesity. The thought, however, is more that its a combination of having those genes plus living in an obesogenic environment or calorie-dense/unhealthy foods in combination with sedentary lifestyles, Thiara explained. Additionally, there is data suggesting there is correlation between obesity and infection with certain viruses, specifically a few strains of adenovirus.
Thiara added that our evolving understanding of the gut microbiome at least in studies of animals reveals that it plays a role in lean versus obese phenotypes in mice, for example.
We are still trying to understand the role of the microbiome and weight in humans, and I hope we learn more from scientists who are actively studying this. Now, why is this a pervasive view? Obesity bias is incredibly prevalent in society, and medical providers are included here, she said. Studies have shown this repeatedly, and this includes all types of providers from nurses to doctors. Obesity bias is a big problem in the medical field. I think this bias makes us blame patients for having excess weight.How to combat entrenched biases going forward
Pushing against some of these entrenched views of obesity can be hard.
Kumar said the idea that lifestyle choices above all else are the main factor affecting obesity obscures the very nuanced reality of all of the factors and moving parts that are coming into play with this health issue.
It fails to take into account that the presence of this disease varies widely between individuals.
For some people, lifestyle changes may very well be effective at both losing weight and then maintaining a healthy weight. Seeing this work in some people can sometimes paint a very incomplete picture that providers then take as the norm.
The truth is that weight loss is only successful long term for a very select amount of people and does not accurately reflect what most people experience a daily struggle to lose weight or keep it off after losing it, Kumar said. As providers, we have been trained to focus on chronic diseases like high blood pressure, diabetes, heart disease. Being overweight or obese is still being viewed as [a] lifestyle/wellness issue, even though the American Medical Association recognized obesity as a chronic disease 10 years ago.
This means data like this can result in a call to action of sorts.
Its time we start treating obesity like every other chronic disease. That starts with acknowledging that there are biological factors working against most people on their journey to lose weight, and until those biologcal factors are addressed, long-term weight loss is not likely to be successful, Kumar added. Why doctors might overlook obesity as a major concern
Obesity advocacy groups think a lot about ways to fight against these biases.
The Obestiy Action Coalition (OAC) is a nonprofit that offers a voice and platform to Americans nationwide who are affected by the condition.
Former OAC board member Ted Kyle, RPh, MBA, founded ConscienHealth in 2009 in order to assist organizations and experts to move toward evidence-based approaches to obesity and achieving overall health.
Kyle, who is unaffiliated with the OBSERVE study, told Healthline that the scientific understanding of obesity has changed a great deal over the past decade.
For people who devote their careers to the study and clinical care for obesity, this new knowledge is no big deal. But for average clinicians, its mind-boggling because they did not learn about this in medical school, he said.
In pushing against those medical biases that suggest all one needs to do is just exercise more or adopt a new diet of some kind and it will be very easy to do so, Kyle said this is a perspective that is mostly false.
Obesity is the result of genetic susceptibility triggered by a wide range of environmental factors the food supply, barriers to physical activity, stressors, and drugs and chemicals that cause weight gain. Lifestyle choices can help a person cope, but they are not the most common trigger for this disease, Kyle said. The narrative is entrenched because most providers get their understanding of obesity from false narratives prevalent in popular culture, rather than from medical education by people who understand this disease.
For her part, Thiara said that obesity bias can create a negative domino effect that feeds a lack of understanding of the disease, a lack of interest in learning how to treat it, and not enough focus on obesity in medical education.
In medical training, why might obesity be overlooked?
First, there is the prevalence of bias that tells people they should be able to overcome obesity through sheer force of will. Second, there is the longstanding lack of effective options for treatment other than metabolic and bariatric surgery. Third is the exclusion of coverage for science-based obesity care by most health plans, Kyle said. How to find appropriate health care for obesity
When asked what treatments she would prescribe to a person who comes to her who has obesity, Thiara said lifestyle change is certainly foundational to work with weight management. This is because patients need to also be working on lifestyle changes so they are able to maintain weight loss in the long run.
Beyond lifestyle change, more intensive options like medications or surgery really depend on the individuals comorbidities and health status, their overall goals, and their personal preferences, Thiara added. We know that medications for weight loss and surgical options will achieve, on average, more weight loss than lifestyle intervention. However, they also have side effects. We need to have conversations with our patients to decide together what are the best steps for patients.
She also said that if you have obesity and are looking for health care that makes the most sense for you, the first step is to possibly find a team a primary care provider, yes, but also potentially a nutritionist or a behavioralist.
For some patients, this is an adequate combination. In an ideal world, patients with obesity would be referred to specialty weight management programs and get comprehensive inter-professional care and/or bariatric surgery programs depending on a patients interest in procedural intervention, Thiara said.
Kumar said that whether you should be focusing on lifestyle modifications, new medications, surgery, or other forms of treatment, it all depends on what a provider who specializes in obesity determines makes the most sense for you. There is no one-size-fits-all approach.
Its also important to note that while medispas and certain physicians may liberally prescribe medications like Ozempic these days to people who dont meet the criteria for it. Thats not only irresponsible, but it also may not be the safest, most effective option. Thats something you should keep in mind before requesting it from your doctor, Kumar stressed.
She pointed to Found, where she serves as chief medical officer. This is a weight management program that combines biology and behavioral change as an example of an integrated, personalized approach.
What if you are seeking care, but come in contact with a provider who exhibits some of the aforementioned toxic views on obesity the study highlighted?
Kyle said it can be a challenge to find a provider who is well-versed in obesity and the kind of treatment that might be right for you.
Yes this can be a challenge, he said. The best bet is to look for a provider who is board-certified in obesity medicine.
He pointed to the American Board of Obesity Medicine as one option here.
Kumar said if you come across a provider who is giving outdated guidance for weight loss, you should seek another who specializes in treating obesity as a chronic disease.
As with seeking care for any chronic condition, do your research, and look for a provider who specializes in a field that best applies to you.

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UK
7/7 bombings: Stories that define the bravery of victims and responders 20 years on
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3 hours agoon
July 6, 2025By
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Monday marks 20 years since the 7/7 attacks, which saw four suicide bombers kill 52 people and injure 770 others on the London transport network.
The attacks on 7 July 2005 all happened within an hour of each other, with the bombers having met at Luton railway station in the morning before heading to King’s Cross.
Shezhad Tanweer detonated his device at Aldgate, Mohammed Sidique Khan at Edgware Road, and Germaine Lindsay between King’s Cross and Russell Square – all within three minutes of 8.50am.
Habib Hussain detonated his bomb on board the number 30 bus at Tavistock Square at 9.47am.

Emergency services at Aldgate station after one of the explosions. Pic: PA
Two decades have passed, but for the victims’ families, survivors and the responders, the impact is still being felt.
Sky News spoke to some of the people profoundly affected by the attacks.
Passenger went back to the tracks to save lives
Adrian Heili was in the third carriage of the westbound Circle Line train heading towards Paddington.
It was in the second carriage that Mohammad Sidique Khan blew up his device at Edgware Road, killing six people.
If Adrian hadn’t been there, it may well have been more.
He managed to get out of the train and, having previously served as a medic in the Armed Forces, instantly made it his mission to save as many lives as possible.
“Instinct took over,” he tells Sky News.
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7/7 survivor saw ‘bodies on the track’
His bravery first brought him to Daniel Biddle, who had been blown out of the second carriage and was now trapped in a tight space between the tunnel wall and the track.
Adrian remembers crawling in blood to reach Daniel, who he now calls Danny. His left leg had been blown off, his right severed from the knee down and he lost an eye, along with suffering other extensive injuries.
He pinched shut the artery in Daniel’s thigh to stop the bleeding until paramedics got to him.
Daniel has written a book about his experiences, titled Back From The Dead, and has credited Adrian with saving his life.
Adrian eventually helped first responders carry him out. Then he went back into the tunnel several times over to assist with the evacuation of 12 other people.
He pays tribute to the first responders at the scene, who he says were “amazing”.
“Myself and another gentleman by the name of Lee Hunt were the last to actually leave Edgware Road,” he adds.
“And I remember sitting at the top of the platform on the stairs and just looking out after everyone had left.”
In his book, Daniel has been open about his struggles with PTSD after the attack.
Adrian says he has had a “very good support network” around him to help him deal with the aftermath, and adds that talking about it rather than “holding it in” has been vital.
“It still plays an effect on myself, as it has with Danny,” he says, who he has formed a close bond with.
He says PTSD triggers can be all around the survivors, from police and ambulance sirens to the smell of smoke from cooking.
“But it’s how we manage those triggers that that define us,” he says.
On the 20-year anniversary, he adds: “It’s going to be an emotional time. But I think for me, it’s going to be a time of reflection and to honour those that are not with us and those that were injured.
“They still have a voice. They have a voice with me and I’ll remember it. I’ll remember that day and that, for me, is very important.”
‘Instinctively, I decided to see if there was something I could do to help’
You may recognise Paul Dadge from the photograph below, where he’s helping a 7/7 bombing victim after she sustained severe burns to her face.
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7/7 first responder recalls day of attack
It went viral before the social media age, featuring on the front of national newspapers, and in others across the world.
The Londoner, who was 28 at the time, was on his way to an office in Hammersmith where he had just got a job.
He passed Edgware Road, where he saw a commotion as people rushed out of the station, and an emergency responder go in.
He didn’t yet know that one of the bombers had just set off the explosive in their backpack.
“Instinctively, I decided to see if there was something I could do to help,” he told Sky News.
Paul, who was a former firefighter, made an announcement to those standing outside the station, telling them to stick together if they had been affected by whatever had happened and to wait at a shop near the scene until they had spoken to a police officer.
Many had black soot on their faces, he says, adding that he initially assumed it was due to a power surge.
Eventually the store was evacuated, so Paul went with the victims to a nearby hotel, and it was while doing so that photographers snapped the famous photos of him comforting the victim with a gauze mask, who had been badly burned.
He started noting down the names and details of those who had been injured, along with the extent of their injuries, so that he could pass them onto the emergency services.
It was only three hours after the incident that Paul found out the injuries had been caused by an attack.
His actions had him deemed a hero by the public.
Read more:
How Prevent is tackling extremism 20 years on
Why is the govt’s anti-terrorism programme controversial?
“I know that after that bombing had occurred, everybody worked together as a team,” he says. “I think it’s a bit of a British thing, really, that when we’re really in trouble, we’re very, very good at working together to help each other.”
He says he is still in touch with people he met on that day, including the victim he was photographed with.
He also says the rest of his life has been “carved” by that day, and that he is now much more politically active and conscious of how emergency services respond to major incidents.
He believes emergency services are “a lot more prepared than they were on 7th July”, but adds that he still thinks they would find it “very difficult” to deal with an incident on the scale of the 7/7 attacks today.
‘What is haunting are those screams’
Sajda Mughal is a survivor of the bombing that hit a Piccadilly line train between King’s Cross and Russell Square.
She tells Sky News that about 10 seconds after leaving King’s Cross “there’s a massive bang… which was the explosion”.
“The train shook as if it was an earthquake, and came to a sudden standstill. I fell off my chair to the ground, people fell forward, lights went out.”
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1:22
7/7 survivor: ‘We were told don’t look back’
Sajda adds: “The black smoke that was coming through, it was really intense. And then all I could hear was screams. I could hear people screaming, I could hear people shouting, someone grabbing on to me saying, ‘are you okay’.”
She was “frozen and just going into that thought process of we’re going to die, and then me thinking I haven’t said bye to my loved ones, I haven’t got married, I haven’t had kids, I haven’t seen the world.”
She says that “what is haunting from that morning are those screams and hearing ‘blood, she’s hurt, he’s hurt'”.
Sajda says that as she and others were escorted out through the carriage to King’s Cross, the emergency services told them not to turn around and don’t look back.
She thinks that was because the rescuers didn’t want them to see injured individuals, “so it was a very, very surreal, very traumatic and emotional experience”.
Sajda, who is the only known Muslim survivor of 7/7, says getting through the attack alive “turned my life around 360”.
“I took that pain and I turned it into a positive because I didn’t want that happening again. And so I left the corporate world, I left my dream to want to change hearts and minds.”
She became involved with the JAN Trust, including its work countering extremism.
“I have travelled across the UK, I’ve worked with thousands of mothers and Muslim mothers. I have helped to educate them on radicalisation. And I’ve heard from mothers whose sons… went to Syria, who joined ISIS and died.”
Calls for a public inquiry
Graham Foulkes, whose son David was killed in the Edgware Road Tube bomb, wants there to be a public inquiry into what happened.
He says a “public inquiry is the only way because at a public inquiry people can be compelled to come and give evidence. At an inquest, they can just say ‘no, I’m not coming’ and that’s what happens”.
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7/7: ‘We should have a son’
He adds: “The fact that we’re here 20 years later, there are unanswered questions and terrorists are still slipping through, still getting past MI5, still get past MI6 and MI5, needs to be answered.
“We need to have a better system in place and by not being honest and open about what happened 20 years ago, we’ve got no mechanism in place at all.
“It’s still the same people making the same decisions that allowed MSK [Mohammed Sidique Khan] to get through and allowed the Manchester Arena attack and the Westminster Bridge attack. It’s still the same people, still the same processes. The processes need to change.”

David Foulkes
Speaking of the last 20 years, Graham says: “We’re lucky enough to have a daughter, and we have the two most wonderful grandchildren as well. But we should have a son, and he should have his family.
“And I shouldn’t be having this conversation with you. I should be at home at this time having dinner or going to the pub with David, and it’s not possible to describe the feeling of having your son murdered in such a pointless way.”
‘The resilience was as inspiring as the attack was ghastly’
“Most of all, my thoughts are with the families of the 52 people who lost their lives and also the more than 700 who were injured, some of them horrifically seriously on that day,” Metropolitan Police Commissioner Sir Mark Rowley says.
He also pays tribute to those who stepped forward on the day, like Paul Dadge, and the emergency services, who he says acted “extraordinarily” to help others.
“They and the families and the victims – what strikes me is how they’re still carrying the effects of that day through to today and for the rest of their lives,” he adds, saying you can still see the “heavy burden” many of them carry 20 years on.
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‘We’re in difficult times’, Met Police chief says
The commissioner, who was a senior officer in Surrey at the time, says he remembers the “slow horror” of watching on as investigating and reporting uncovered what had happened.
“The way everyone stepped forward, the bravery… the resilience was as inspiring as the attack was ghastly.”
He says the attacks have led to “massive changes” in counter-terrorism work to better protect the public.
“The first was the changes that brought policing and our security services, particularly MI5, much more close together so that we now have the closest joint operating arrangements anywhere in the world,” he says.
“And secondly, counter-terrorism work became something that wasn’t just about what was based in London and a network was built with bases in all of the regions across the country.”
He adds the unit now has a reach “far stronger and far more effective at protecting communities than we had before that day”.
Asked about those who may still feel under threat from similar attacks now, he says the public has “extraordinary people working hard day in and day out to protect you” and that policing and security services have strengthened due to experiences like that of the 7/7 bombings.
“The efforts of all those who were involved on that day… that all feeds through to today… [and gives us] one of the strongest and most effective preventative approaches you could possibly have,” he says.
“But sadly we are in difficult times and no system will ever be perfect,” he adds, but concludes by saying communities can “be rest assured about the amazing work that’s going on”.
UK
Boy, four, dies after gravestone falls on him at Rawtenstall Cemetery in Lancashire, police say
Published
3 hours agoon
July 6, 2025By
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A four-year-old boy has died after a gravestone fell on him at a cemetery, police have said.
The boy was fatally injured at Rawtenstall Cemetery on Burnley Road, Haslingden, at lunchtime on Saturday, Lancashire Police said.
Paramedics tried to save him but “tragically” the boy died in the “devastating” incident, the force said in a statement.
Officers were called to the cemetery at 1pm “following reports a gravestone had fallen onto a child.
“Tragically, and despite the best efforts of the emergency services, the boy sadly died. Our thoughts are with his loved ones at this devastating time.”
His death was not being treated as suspicious and a file will be sent to the coroner “in due course”.
Rossendale Borough Council posted on X on Saturday evening: “We are deeply saddened by the tragic death of a young child at Rawtenstall Cemetery today. Our thoughts are with the family at this devastating time.
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Andy MacNae, Labour MP for Rossendale and Darwen, said on Facebook his thoughts went out to the family and everyone affected by the “tragic incident”.
Local councillor Liz McInnes also wrote on Facebook it was “a terrible tragedy. My heartfelt and deepest sympathies to the family of this poor boy. The whole of Rawtenstall is grieving”.
World
What is the possible Gaza hostage and ceasefire deal – and what challenges could lie ahead?
Published
6 hours agoon
July 6, 2025By
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An Israeli delegation is heading to Qatar for indirect talks with Hamas on a possible hostage and ceasefire deal in Gaza.
The development comes ahead of a meeting between Israeli Prime Minister Benjamin Netanyahu and US President Donald Trump in Washington DC on Monday aimed at pushing forward peace efforts.
The US leader has been increasing pressure on the Israeli government and Hamas to secure a permanent ceasefire and an end to the 21-month-long war in Gaza.

Smoke rises in Gaza following an explosion. Pic: Reuters
Mr Trump said on Tuesday on social media that Israel had agreed “to the necessary conditions to finalise” a deal on a truce.
And Hamas, which runs the coastal Palestinian territory, said on Friday it has responded to the US-backed proposal in a “positive spirit”.
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So what is in the plan?
The plan is for an initial 60-day ceasefire that would include a partial release of hostages held by the militant group in exchange for more humanitarian supplies being allowed into Gaza.
The proposed truce calls for talks on ending the war altogether.
The war in Gaza began after Hamas attacked Israel on 7 October 2023, killing 1,200 people and taking 250 others hostage. Dozens of hostages have since been released or rescued by Israeli forces, while 50 remain in captivity, including about 30 who Israel believes are dead.
The proposal would reportedly see about half of the living hostages and about half of the dead hostages returned to Israel over 60 days, in five separate releases.
Eight living hostages would be freed on the first day and two released on the 50th day, according to an Arab diplomat from one of the mediating countries, it is reported.
Five dead hostages would be returned on the seventh day, five more on the 30th day and eight more on the 60th day.
That would leave 22 hostages still held in Gaza, 10 of them believed to be alive. It is not clear whether Israel or Hamas would determine who is to be released.
Hamas has sought guarantees that the initial truce would lead to a total end to the war and the withdrawal of Israeli troops from Gaza.
A Hamas official has said Mr Trump has guaranteed that the ceasefire will extend beyond 60 days if necessary to reach a peace deal, but there is no confirmation from the US of such a guarantee.
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Contractors allege colleagues ‘fired on Palestinians’
Possible challenges ahead
And in a sign of the potential challenges still facing the two sides, a Palestinian official from a militant group allied with Hamas said concerns remained.
The concerns were over humanitarian aid, passage through the Rafah crossing in southern Israel to Egypt and clarity over a timetable for Israeli troop withdrawals.
Hamas’s “positive” response to the proposal had slightly different wording on three issues around humanitarian aid, the status of the Israeli Defense Forces (IDF) inside Gaza and the language around guarantees beyond the 60-day ceasefire, a source with knowledge of the negotiations revealed.
But the source told Sky News: “Things are looking good.”
The Times of Israel reported Hamas has proposed three amendments to the proposed framework.
According to a source, Hamas wants the agreement to say that talks on a permanent ceasefire will continue until an agreement is reached; that aid will fully resume through mechanisms backed by the United Nations and other international aid organisations; and that the IDF withdraws to positions it maintained before the collapse of the previous ceasefire in March.
Mr Netanyahu’s office said in a statement that changes sought by Hamas to the ceasefire proposal were “not acceptable to Israel”.
However, his office said the delegation would still fly to Qatar to “continue efforts to secure the return of our hostages based on the Qatari proposal that Israel agreed to”.
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The man in the room acting as backchannel for Hamas in negotiations with US

Listen to The World with Richard Engel and Yalda Hakim every Wednesday
Another potential challenge is that Mr Netanyahu has repeatedly said Hamas must be disarmed, which is a demand the militant group has so far refused to discuss.
Hamas has said it is willing to free all the hostages in exchange for a full withdrawal of Israeli troops and an end to the war in Gaza.
Israel rejects that offer, saying it will agree to end the war if Hamas surrenders, disarms and goes into exile – something that the group refuses.
Previous negotiations have stalled over Hamas demands of guarantees that further negotiations would lead to the war’s end, while Mr Netanyahu has insisted Israel would resume fighting to ensure the group’s destruction.
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