And not to go too hyperbolic with it, but it's the same logic people use to deny genocides, especially the Holocaust in the past and right now the ongoing genocide and ethnic cleansing in Palestine. An often cited thing about the Holocaust is we don't have a direct order from Hitler to Himmler that says "hey, kill all the Jews. Thanks."

We can't assume that Israel is intentionally killing civilians, but we can absolutely assume that Hamas wants their own people to die to make Israel look bad, to the point that they'd literally blow up their own hospitals. Does their evil know no limits?