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Not sure where that 200k number is from. The article you linked doesn’t say that and I haven’t seen a number that high reported anywhere myself. All the info I have seen bounds the estimates between 30k and 50k killed, either through active combat or through disease/malnourishment/injury.
https://www.aljazeera.com/news/longform/2023/10/9/israel-hamas-war-in-maps-and-charts-live-tracker
Ralph Nader saying that he thinks the death toll is over 200k is not a reasonable source to cite. The 30-50k estimates from most sources are already appallingly high. There’s an active contingent of Ben Shapiro types trying to convince everyone what Israel is doing is fine, don’t give them ammo to cast doubt on the official death count.