This chapters discusses the power structures affecting access to healthcare and the quality of received care including factors like gender, ethnicity, social and economic status among others from an intersectional perspective. Structural changes are necessary to decrease the health inequalities and vulnerabilities during the pandemic. An intersectional approach helps to display the interactions of different power structures and social categories which put people at differential risk of infection and/or mortality of COVID-19. The intersectional approach should be used not only to understand the pandemic impact on people but also when planning the healthcare policies, care plans and support services.