We actually have no idea how many women and children have been killed because the numbers aren't accurate. But again, the numbers killed don't define whether the killing was indiscriminate or not. Even accepting the Hamas numbers, experts have concluded that the civilian-to-combatant ratio is among the lowest in the history of urban warfare. https://www.washingtontimes.com/news/2024/apr/18/israels-war-against-hamas-posts-lower-civilian-to-/. Plus, as you well know because you see the headlines, the IDF regularly instructs civilians to move from one area to another to avoid the fighting.

The Lancet article was not research, it was an opinion letter. And it was bullshit. They're just estimating the number of indirect deaths that could occur some time in the future from all sorts of things that could be connected to the war. By the same token, we could estimate the death toll from the Hamas attack on 10/7 as much higher because of the deaths that will result in the future from stress, mental illness, PTSD, etc.

Could Israel have done a better job avoiding civilian casualties? Probably. But that also means they would have passed up on taking out key targets to bring the war to an end. What you also don't know is how often decisions are made behind the scenes to NOT carry out a strike because it crosses the threshold of proportionality. You only see the strikes that were carried out.