The Euro-Med Human Rights Monitor reported Wednesday that 1,134 children in Gaza have undergone limb amputations due to Israeli military attacks. The organization says Israeli restrictions on travel and medical evacuations are preventing these children from receiving specialised treatment abroad — treatment unavailable inside the strip due to equipment shortages, import bans, and a workforce of just eight certified prosthetics professionals. The WHO assessed 2,300 amputees (children and adults) between September 2024 and May 2026. Fewer than a quarter — roughly 500 — received permanent prosthetics. The gap between assessed need and delivered care is not a resource problem alone. It is a chokepoint problem: Israel controls the crossings, controls import permits, and controls entry for international medical teams. The mechanics of denial are layered. Children cannot leave through closed crossings. Equipment needed to manufacture prosthetic limbs cannot enter. Specialised teams require Israeli-issued entry permits to work inside Gaza and train local personnel. Each layer independently blocks care; together they constitute a sealed system. Fidaa Ahmad Al-Shaer, 36, told the monitor her 11-year-old son was paralysed and lost a hand after an Israeli artillery shell landed near him. He needs multiple surgeries abroad and a prosthetic limb. He cannot get through the crossings. His case is one of 1,134. The long-term medical consequences compound. Children's bodies grow; prosthetics that are not regularly adjusted cause chronic pain, mobility complications, and secondary disabilities. Euro-Med warned that continued denial of treatment and rehabilitation "risks turning the harm these children face now into lifelong deprivation." This is not a snapshot problem — it is a trajectory that worsens with every month of restriction. Euro-Med accused Israel of war crimes, citing Article 2 of the Genocide Convention: "deliberately inflicting conditions of life calculated to bring about its physical destruction, in whole or in part." The organisation said the amputation of children's limbs and obstruction of their treatment "form part of this pattern." Whether or not legal proceedings follow, the factual architecture — sealed crossings, blocked imports, denied permits — is documented and specific. The GRIN frame here is stark. No generative capacity is being built. Resilience is being systematically dismantled. The friction costs are not incidental — they are the mechanism of control. And the system is closed to outside intervention by design.