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Although this label has no scientific basis, it perpetuates biased assumptions that lead to serious consequences, including undertreatment, misdiagnoses, and loss of trust in medical institutions. This paper provides a conceptual and literature-based analysis of how \u201cMorbus Mediterraneus\u201d reflects broader racist beliefs about pain tolerance, rooted in both colonial history and cultural norms in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>This is a conceptual study drawing on previously published qualitative findings, historical records, and contemporary literature regarding racism, pain perception, and healthcare disparities. We review how confusion around racial terminology in German discourse impedes recognition and measurement of systemic racism. We integrate scholarship from critical race theory, intersectionality, and structural competence to highlight the deep-seated impact of racial biases on clinical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our analysis shows that \u201cMorbus Mediterraneus\u201d arises from a longstanding pattern of racialized medicine, where factors such as colonial research abuses, cultural misinterpretations of pain expression, and implicit provider biases converge. These biases systematically devalue the pain of racialized patients, especially women, and undermine patient\u2013provider trust. Furthermore, we identify how gendered and racial stereotypes about emotional display and stoicism compound to create unique barriers to proper pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Confronting biases tied to \u201cMorbus Mediterraneus\u201d requires integrated reforms across medical education, clinical practice, and policy. We recommend mandatory anti-racism and structural competence training, greater racial diversity among healthcare workers, standardized pain-assessment protocols, and improved data collection on race and ethnicity. By acknowledging colonial legacies and cultural norms that shape pain perception, German healthcare can better address systemic racism, ensure equitable pain management, and ultimately improve patient outcomes for all.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12910-025-01321-2","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T07:52:40Z","timestamp":1761983560000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cMorbus Mediterraneus\" and its impact on medical care in Germany: the intersection of pain and racism"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9884-7700","authenticated-orcid":false,"given":"Sergio R.","family":"P\u00e9rez Rosal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya C.","family":"Faber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monnica T.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,1]]},"reference":[{"key":"1321_CR1","doi-asserted-by":"publisher","unstructured":"Alesina A, Alberto F, Easterly W, Devleeschauwer A, Kurlat S, Wacziarg RT. 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