On Medical Domination

Abstract

In this article, I propose and define the concept of medical domination by combining insights from political sociology, Bourdieu's theory of domination, and intersectional perspectives. Drawing on a multi-sited ethnographic study of abortion services in France, I analyse how a set of legitimised and institutionalised power practices shape access to care despite growing emphasis on patient autonomy. This conceptualisation helps explain disparities in healthcare access and quality, showing how medical interactions reproduce social hierarchies beyond the clinical setting. The paper contributes to political sociology of health by examining both structural foundations of medical power and the socialisation processes through which professionals learn to exercise authority and patients learn to submit to it.