The Companion: A Hospital Autoethnography on the Relationship Between Informal and Formal Institutions

Abstract

The article is an analytical autoethnography that explores the author’s experience of navigating the Turkish healthcare system while caring for his father who underwent emergency bypass surgery. Their atypical positions, at once members of a privileged group but lacking extensive familial connections, helped bring to light the diverse range of tactics that patients use to navigate the hospital, despite reforms that tried to establish greater universalism. By highlighting the relationship between formal institutions and informal practices in the healthcare system and how they survive to include/exclude different status groups, the author’s micro-level observations and background in political sociology help reveal the complex impact that non-universalistic practices have on democratization and political change in Turkey and beyond.