With fuel shortages driving up the cost of transportation, Palestinians in Gaza are increasingly struggling to get around, even for critical trips to the hospital, Al Jazeera reports.

“One liter of diesel now costs $16,” Juda Safi, a displaced Palestinian who uses his pick-up truck to make a living, told Al Jazeera. “It’s utter injustice. If I charge a passenger $1 to $3, we end up fighting, but it’s beyond my control. I hardly end up covering the cost of fuel or earn something to feed my family.”

For those who cannot afford such fares, a donkey cart is the only alternative, say residents, who are increasingly using them to carry goods or travel.