19th Mar 2018

Ordinary Greeks turning to NGOs as health system hit by austerity

  • For those on low incomes, even a €5 fee for a visit to the hospital is too much (Photo: Slinky2000)

Europeans and Westerners in general are accustomed to being asked to donate money to emergency aid NGOs to tackle medical humanitarian crises in Africa, Asia and other parts of the developing world where governments are too unwilling, poor or incapable to be able to help their own citizens.

It is unheard of for aid groups such as Medecins Sans Frontieres or Medicins du Monde to have to take over the role of providing basic medical services from normal state or private providers in a Western country.

Thank you for reading EUobserver!

Subscribe now for a 30 day free trial.

  1. €150 per year
  2. or €15 per month
  3. Cancel anytime

EUobserver is an independent, not-for-profit news organization that publishes daily news reports, analysis, and investigations from Brussels and the EU member states. We are an indispensable news source for anyone who wants to know what is going on in the EU.

We are mainly funded by advertising and subscription revenues. As advertising revenues are falling fast, we depend on subscription revenues to support our journalism.

For group, corporate or student subscriptions, please contact us. See also our full Terms of Use.

If you already have an account click here to login.

But in the era of ever-tightening EU-IMF austerity, that is what is happening in Greece now, as the unemployed and HIV patients begin to turn up at temporary clinics that had been intended to come to the aid of migrants and refugees.

According to Apostolos Veizis, the head of programmes for MSF Greece, this is the new reality that the country is waking up to.

“Wherever we work, we are working not only to respond to emergencies, but also to potential unwillingness on the part of authorities to provide access to healthcare,” he explained to EUobserver.

The organisation had set up clinics as long ago as 1995 specifically to deal with migrants and refugees that the government had abandoned to detention centres whose living conditions were criticised by the EU’s Fundamental Rights Agency in March. These migrants are completely excluded from Greek healthcare provision, according to Veizis, and so NGOs have moved in to fill the gap, such as Praksis, an aid group spun off from MSF Greece in 2004.

MSF Greece today works in detention facilities, but their colleagues in Praxis report that as the crisis has deteriorated and Brussels, Washington and Frankfurt have demanded stringent austerity that is bleeding public healthcare of vital resources, ordinary Greek citizens have started turning up at the doors of these clinics that were never intended for them.

“With the growth of the economic crisis, we are seeing symptoms of a wider problem,” Veizis says. “Now pensioners, the unemployed, the homeless, HIV and TB patients are also going without healthcare.”

Even middle-class shopkeepers are falling through the cracks, unable to win the exemptions that can be provided to those who can prove they are out of a job, he says.

“Normally from the data sent to the [World Health Organisation], we basically have an idea of where we need to go. But in this case, from the data supplied to the WHO or by Eurostat, you would imagine that there is no need in Greece for MSF to intervene.”

“But looking around at what our own families are going through, what colleagues working in hospitals are reporting, as well as other organisations, ... we see that regular Greek citizens are being cut off from healthcare, that people running clinics are receiving such citizens.”

“We are seeing the budgets of some health service areas such as social support and the treatment of certain diseases being hit by cuts of up to 80 percent,” he continues.

As a result of the government’s inability to pay the debts it owes to pharmaceuticals, the drugs giants are refusing to ship medicines to certain hospitals. Swiss firm Roche said in September that it would no longer deliver drugs to indebted hospitals, but it goes beyond just pills and ointments.

“[Public healthcare is] are facing shortages of medical materials, drugs and blood,” Veizis says.

He locates three causes of the crisis in the healthcare system: that there was already a poor state of an underfunded healthcare system itself long before austerity hit, “then there is the considerable financial restrictions the government wants to make, and finally the restructuring that is being imposed.”

The government is slashing the number of hospitals from 133 down to 83, cutting the number of clinical units from 2000 down to 1700, limiting to 30,000 the number of functional beds - or 80 percent of estimated needs.

The budgets of some health service areas such as social support and the treatment of certain diseases being hit by cuts of up to 80 percent.

All of which “is being imposed by the government without any impact assessment of what will happen.”

People must also now pay €5 for every visit to the hospital. The sum may not seem much, but when so many now have three-figure monthly incomes, every little bit is an anguish to part with “Then they have to pay for their lab exams,” Veizis adds.

There are categories of people who are exempt from the fees, but in reality there are many people that do not fit into these and so are excluded from health services.

People who run small businesses for example may not count as unemployed even if they have had to shut their shop, if they do not have the proper paperwork saying that they were paying their insurance fees but are now unemployed. They also not meet government criteria for unemployed status if they own their own house or car.

Pensioners are insured, but they also have to make a contribution from their side to the purchase of medicines - as much as 20-25 percent of the cost. But if their earnings have dropped from €700 a month to €500 a month, their capacity to pay for their medicines is all but extinguished..

There are also some 50-60 HIV patients that are without insurance.

MSF Greece is currently performing an assessment of the situation in Athens to get to grips with the full extent of what is happening. Veizis says there is a need for a more in-depth analysis that goes beyond anecdotes. “Traditionally with such assessments, there are figures on the morbidity and mortality that give us a pretty good indication about where to go. But there is no hard quantitative or qualitative data on this yet.”

The group began its assessment in July, but the MSF director admits that he is uncomfortable about what the correct response should be, whether aid groups should even be providing such services if they let the government off the hook.

“What do we do when we open a clinic to these people, to everybody [and not just migrants]. Are we really being helpful? If a citizen says to himself: ‘Well, I know that there is an MSF clinic I can go to, then maybe I won’t go through the hassle of trying to go to the public hospital,” is that keeping up the pressure on the government to deliver adequate provision, to take responsibility for this, or is it letting them off?”

“It is also very difficult to say what the exit strategy is here,” he concludes. He doesn’t know when this situation is going to end. Are NGOs willing to stick it out providing healthcare where Western governments cannot for perhaps years to come?

'Deepening humanitarian crisis'

The head of Medecins du Monde in the country, dentist Nikitis Kanakis, offers an equally grim portrait of the state of health-care in austerity-ruled Greece.

“The situation in the last year has taken a turn for the worse,” he says. Of the 30,000 patients the group has attended to in the last year, some 35 percent are Greek citizens, up from 10 percent in 2010. Some nine percent of this figure are children.

“There has been a tremendous change for the worse in a very short period of time.”

He says people come to MDM clinics with prescriptions for which they cannot pay and that some hospitals “run out from time to time of even basic materials.”

Hunger has returned to Greece, he says. Visitors to their clinics are now not just asking for medical assistance and medicines, but food as well.

“Amongst some children and the elderly, signs of mild malnutrition have begun to appear. This is mostly amongst migrants, but Greek citizens as well. There is a problem also not just with the amount but the quality of the food.”

As a result, the organisation in the coming weeks is to step outside its brief and launch a campaign for food donations.

“And we are beginning to see problems we’ve not encountered before, like families not on social security missing access to vaccinations.

He has little time for the demands of international lenders to Greece: “What we know is that amongst the new measures for 2012, the troika has asked that there no longer be exceptions to the €5 fee to visit a hospital [for those who cannot afford it]. Things will certainly get worse next year.”

“There is a deepening humanitarian crisis in Greece, but nobody wants to see this.”

Austerity cuts not to blame for Greek drug shortage, EU says

The European Commission has said its austerity measures are not to blame for a decision by pharmaceutical giant Roche to halt delivery of cancer drugs to Greek public hospitals. The company warned Italy, Portugal and Spain might be next.

Eurozone chiefs: Greece can wait till November

Eurozone finance ministers have kicked down a decision on the delivery of Greece’s latest tranche of bail-out cash, saying that the country can wait until November.

Greek healthcare eroded by austerity measures, crisis

The Lancet, the world's leading medical journal, has blamed austerity measures and the economic crisis for startling declines in the health of Greek citizens and increases in the rates of drug abuse, HIV infection and suicide.

EU takes step closer to 'posted workers' deal

Negotiators from the member states, EU Parliament and Commission reached a 'common understanding' to guarantee equal pay for equal work in the EU. They hope to reach a final agreement in June.


EU court bars tests for gay asylum seekers

Authorities in EU countries can no longer impose controversial psychological tests to determine whether an aslyum seeker is telling the truth about their homosexuality.

Stakeholders' Highlights

  1. Counter BalanceConmtroversial Turkish Azerbaijani Gas Pipeline Gets Major EU Loan
  2. World VisionSyria’s Children ‘At Risk of Never Fully Recovering', New Study Finds
  3. Macedonian Human Rights MovementMeets with US Congress Member to Denounce Anti-Macedonian Name Negotiations
  4. Martens CentreEuropean Defence Union: Time to Aim High?
  5. UNESDAWatch UNESDA’s President Toast Its 60th Anniversary Year
  6. AJC Transatlantic InstituteAJC Condemns MEP Ana Gomes’s Anti-Semitic Remark, Calls for Disciplinary Action
  7. EPSUEU Commissioners Deny 9.8 Million Workers Legal Minimum Standards on Information Rights
  8. ACCAAppropriate Risk Management is Crucial for Effective Strategic Leadership
  9. EPSUWill the Circular Economy be an Economy With no Workers?
  10. European Jewish CongressThe 2018 European Medal of Tolerance Goes to Prince Albert II of Monaco
  11. FiscalNoteGlobal Policy Trends: What to Watch in 2018
  12. Human Rights and Democracy NetworkPromoting Human Rights and Democracy in the Next Eu Multiannual Financial Framework

Stakeholders' Highlights

  1. Mission of China to the EUDigital Cooperation a Priority for China-EU Relations
  2. ECTACompetition must prevail in the quest for telecoms investment
  3. European Friends of ArmeniaTaking Stock of 30 Years of EU Policy on the Nagorno-Karabakh Conflict: How Can the EU Contribute to Peace?
  4. ILGA EuropeCongratulations Finland!
  5. EUobserverNow Hiring! Sales Associate With 2+ Years Experience
  6. EUobserverNow Hiring! Finance Officer With Accounting Degree or Experience
  7. UNICEFCyclone Season Looms Over 720,000 Rohingya Children in Myanmar & Bangladesh
  8. European Gaming & Betting AssociationEU Court: EU Commission Correct to Issue Guidelines for Online Gambling Services
  9. Mission of China to the EUChina Hopes for More Exchanges With Nordic, Baltic Countries
  10. Macedonian Human Rights MovementCondemns Facebook for Actively Promoting Anti-Macedonian Racism
  11. Nordic Council of MinistersGlobal Seed Vault: Gene Banks Gather to Celebrate 1 Million Seed Collections
  12. CECEIndustry Stakeholders Are Ready to Take the Lead in Digital Construction

Stakeholders' Highlights

  1. ILGA EuropeAnkara Ban on LGBTI Events Continues as Turkish Courts Reject NGO Appeals
  2. Aid & Trade LondonJoin Thousands of Stakeholders of the Global Aid Industry at Aid & Trade London
  3. Macedonian Human Rights MovementEuropean Free Alliance Joins MHRMI to End the Anti-Macedonian Name Negotiations
  4. Mission of China to the EUChina-EU Tourism Year to Promote Business and Mutual Ties
  5. European Jewish CongressAt “An End to Antisemitism!” Conference, Dr. Kantor Calls for Ambitious Solutions
  6. UNESDAA Year Ago UNESDA Members Pledged to Reduce Added Sugars in Soft Drinks by 10%
  7. International Partnership for Human RightsUzbekistan: Investigate Torture of Journalist
  8. UNICEFExecutive Director's Committment to Tackling Sexual Exploitation and Abuse of Children
  9. Nordic Council of MinistersState of the Nordic Region 2018: Facts, Figures and Rankings of the 74 Regions
  10. Mission of China to the EUDigital Economy Shaping China's Future, Over 30% of GDP
  11. Macedonian Human Rights MovementSuing the Governments of Macedonia and Greece for Changing Macedonia's Name
  12. Swedish EnterprisesHarnessing Globalization- at What Cost? Keynote Speaker Commissioner Malmström