Normalizing the Exceptional: Medical Care and Architecture of Power in the Greek Public Healthcare System

A decade of overlapping crises - pandemic, austerity, and non-Western migration - reshaped public healthcare in Greece, with COVID-19 an institutional catalyst accelerating pre-existing exclusions. Drawing on ethnographic fieldwork in four public hospitals in Attica, I examine doctors' discourses and practices under compounded crisis governance. The analysis suggests a specifically Greek configuration of conditional humanitarianism, in which structural constraints and ethno-religious perceptions shape uneven forms of care beneath universalist rhetoric. Doctors navigate these contradictions in ways that may reproduce, negotiate, or challenge exclusion, while institutional exhaustion and cultural hierarchies shape encounters with racialized patients. Hesitations and counter-voices reveal internal tensions.

Authors

Publication Details

Journal
Medical Anthropology
Published
2026-11-04
DOI
https://doi.org/10.1080/01459740.2026.2756266
Primary Topic
Migration, Identity, and Health
Type
article
Field-Weighted Citation Impact
0.00
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article

Normalizing the Exceptional: Medical Care and Architecture of Power in the Greek Public Healthcare System

Katerina Doukarelli
Medical Anthropology
Migration, Identity, and Health
article

Normalizing the Exceptional: Medical Care and Architecture of Power in the Greek Public Healthcare System

Katerina Doukarelli
article en

Abstract

A decade of overlapping crises - pandemic, austerity, and non-Western migration - reshaped public healthcare in Greece, with COVID-19 an institutional catalyst accelerating pre-existing exclusions. Drawing on ethnographic fieldwork in four public hospitals in Attica, I examine doctors' discourses and practices under compounded crisis governance. The analysis suggests a specifically Greek configuration of conditional humanitarianism, in which structural constraints and ethno-religious perceptions shape uneven forms of care beneath universalist rhetoric. Doctors navigate these contradictions in ways that may reproduce, negotiate, or challenge exclusion, while institutional exhaustion and cultural hierarchies shape encounters with racialized patients. Hesitations and counter-voices reveal internal tensions.

Medical Anthropology
Openalex Percentile: Top 8%
Migration, Identity, and Health
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