Gaza Health Ministry only counts those that show up at hospitals. The first big Lancet study a year ago estimated 200k. I've seen more recent studies estimate higher, with an additional year of killings.

Also, Israel has attacked or destroyed most hospitals in Gaza. So the Health Ministry's counting is obviously hindered.

I don't believe that what you're saying is correct at all.

Only 34,344 of the GHM estimate are confirmed identities. The rest of either missing but presumed dead or gross adjustments. They are open about using "media reports to assess deaths in the north of Gaza".

The Lancet study published in January 2025 estimated 70,000 as of October, 2024. This is higher than the GHM estimate, but I can't find anything close to your 200k estimate.

So you may believe in your estimates, but they are many multiples larger than any other credible source that I can find... so it's odd to wave these figures around without any sources, links, etc.