A UN commission report from September 2025 declared that Israel has committed genocide against Palestinians in Gaza, emphasizing the international community's legal obligation to respond.

Public opinion polls show that a majority of Democrats and many voters oppose further military aid to Israel and believe Israel is committing genocide in Gaza, amid recent developments like a Gaza ceasefire.

The Sacramento chapter of Physicians for Social Responsibility has repeatedly requested meetings with Matsui to discuss the Gaza crisis but has been unable to meet with her for nearly two years, criticizing her for her silence.

The PSR urges Matsui to publicly clarify her position on whether she agrees with labeling Israel's actions as genocide, supports arms transfers, and advocates for restoring aid through agencies like UNRWA.

Rep. Doris Matsui faces criticism for her silence and lack of direct engagement with constituents on the Gaza humanitarian crisis, despite multiple requests for meetings and outreach efforts.

The UN reports that as of October 2, approximately 10% of Gaza's population has been killed, over half a million are starving, and the humanitarian toll is severe, with over 66,000 killed and 168,716 injured, amid what the UN describes as a genocidal campaign.

Matsui's office has directed constituents to her website and emails for her stance, but she has not responded to multiple outreach efforts, including a January 2024 letter signed by 96 healthcare workers.

Questions are raised about whether Matsui is fulfilling her responsibilities, including her stance on blocking military aid to Israel, condemning starvation as a weapon, and supporting aid restoration for Palestinian refugees.