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I don't think I ever saw a report claiming 500 dead. I saw reports claiming it appeared that Israel targeted a hospital, which turned out to be a mistake (in that instance). It's not like that was the worst they had done even then, so it being held up like it was an outstanding claim is misrepresenting the facts.
Here
https://www.reuters.com/world/middle-east/least-500-victims-israeli-air-strike-hospital-gaza-health-ministry-2023-10-17/
That was a mistranslation from Al-Jazeera English iirc, the original claim was 500 casualties, not deaths. Unfortunately someone in the chain fucked up there.
Was 500 casualties confirmed btw?
Hard to confirm anything, but the US intelligence sticks to 100-300 deaths + an unnamed number of wounded. 500 casualties is likely a high estimate, but it's not so outrageously high that it's unbelievable. There were a lot of people there at the time, and if it was indeed a gas explosion from the parked cars, then a lot of casualties are expected.
The same intelligence that said it was not an Israeli bomb. Which is probably true. But it's difficult to imagine how that many people could be at the site (basically a small parking place), seeing its photos.