The paradoxes of globalization and the efforts toward the establishment of a consolidated healthcare ministry have caused tensions while affording the possibility for true ecumenical dialogue. As today's societies become more pluralistic, Orthodox Christian healthcare ministry finds itself amongst these paradoxes and tensions. The content of Orthodox healthcare chaplaincy, which is centered in its Eucharistic expression, maintains a sense of catholicity and unity. This though differs from a “psychological” understanding of pastoral care, which has developed. Therefore, there is a question (...) of the chaplain's identity, a crisis of theology and ecclesiology, which must be faced so that true unity can be attained. This article explains the content of Orthodox healthcare chaplaincy and addresses the issues of pastoral identity, theology and psychology, together with the crisis of ecclesiology. It is written with a true agony for unity. (shrink)