The death toll is rising as fighting continues between Israelis and Palestinians.
Negotiators are working on a cease fire but so far there's no deal.
Hamas fighters have launched more than 1,000 missiles into Israel since the fighting started last week.
Over 100 people have died in the six days as well.
The pictures coming from Israel and Gaza City are heartbreaking.
Two sides continue a conflict in which neither has been willing to back down.
Muhlenberg professor and Director of International Studies, Chris Herrick, said American leaders are keeping a close eye on the attacks for several reasons.
First being all the casualties.
"Is it going to escalate to the point where you have major human rights abuses," said Herrick. "The United States and western Europe were originally favorably pre-disposed to the right of Israel to defend itself against attack."
Officials now say that since the fighting began on November 14, at least 100 Palestinians have been killed in ongoing Israeli air strikes.
With hundreds more wounded, now Israeli forces are talking about sending in ground troops.
Others, including President Obama, would like to see this come to a diplomatic end.
"There's very little that we can do to put pressure on Hamas," said Herrick. "We can try and tell Israel that potentially they should not launch a ground attack."
Egypt is taking the lead on negotiating the cease-fire.
Herrick says stopping the conflict could be up to Israel.
"They might go in and do to save face, do a ' ground offensive' where they walk in and walk out, but if they go in and stay for any length of time, the casualties are going to be so high that world opinion is going to be so against them it's going to be problematic," he said.
Chris Herrick feels President Obama will not send any troops to Israel, but he says the U.S. may resupply Israel with more missiles if that country's stockpiles run low.
He says that could hurt the standing of the USA with other Arab countries.