One of the most difficult experiences in the Greek public healthcare system is when a doctor quietly asks for cash before performing surgery on you or a loved one.
Despite ongoing efforts by the Greek government to address this form of corruption, the issue returned to public attention this week after reports that an anesthesiologist at a public oncology hospital allegedly requested an unofficial cash payment from a patient. The incident was recorded and circulated online, prompting renewed concern over corruption in the public health system.
This practice is known as “fakelaki”, which in Greek which means “little envelope” where money is placed and passed on to doctors in public hospitals.
While it is often culturally described as a gesture of gratitude in private contexts, authorities stress that any such payment to a public healthcare worker in exchange for medical services is illegal.
Despite ongoing enforcement efforts, officials continue to warn patients that offering or paying money under such circumstances may constitute a criminal offense.
What You Should Do
If you are asked or pressured to pay cash in a public hospital:
1. Document everything – Record as much detail as possible, including who made the request, when and where it occurred, and which department was involved. Keep any written messages or supporting evidence if available.
2. Request official receipts – All legitimate hospital payments must be issued with an official receipt. Always insist on proper documentation for any transaction.
3. File a complaint – Report the incident to the National Transparency Authority. Complaints can include a description of what happened and any evidence. Reports may be submitted confidentially.
4. Inform a lawyer – Legal advice can help protect your rights and guide you through the complaint process.
5. Contact the police if necessary – If you are being pressured to pay, especially before surgery or urgent treatment, you should contact law enforcement immediately.
Under Greece’s Criminal Code, all public officials, including doctors, are prohibited from requesting or receiving unlawful benefits in connection with their duties. The law foresees imprisonment and financial penalties for both accepting and soliciting such payments, including promises of payment for medical actions or decisions.
Authorities emphasize that patients should never feel obliged to pay for services already covered by the public healthcare system, and that reporting such incidents helps strengthen accountability in hospitals.
