This essay delves into the intricate relationship between hierarchy and power within the Australian healthcare system. It begins by introducing sociological concepts and perspectives, including the functionalist, conflict, and symbolic interactionist approaches, to provide a framework for understanding social structures and their impact on health. The essay then explains the biomedical model, the dominant healthcare paradigm in Western countries, and its limitations. The core of the essay examines the concepts of hierarchy and power, exploring relevant theories from sociologists like Karl Marx, Max Weber, and others, and how these theories manifest in healthcare settings. The discussion extends to the Australian healthcare system, analyzing how hierarchy and power dynamics influence access to care, health outcomes, and disparities, particularly among Indigenous communities. It highlights inequalities related to socioeconomic status, geographic location, and other factors, and the role of political influence and healthcare professionals in perpetuating these disparities. The essay uses examples like tobacco usage and its policies to illustrate these inequalities and concludes by emphasizing the need for addressing these power imbalances to achieve equitable healthcare access for all Australians.