They say Canada’s health system is broken. But can First Nations leaders create a new one in the shadow of colonialism?

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First Nations leaders are wrestling with what the future of Indigenous health care should look like as they piece together legislation meant to deal with multiple health crises, as well as the legacy of colonialism and racism.

in Toronto this week where discussions revolved around new health legislation for First Nations, the cause of polarizing debate.

He also explained how an existing “status quo” currently guides conversations and decisions on First Nations health matters, and that it must end. In reference to those who believe health legislation might compromise Treaty and Inherent Right to Health, Pratt said, “in reality we have to work in this colonial structure that we call Canada.”

Multiple leaders said they felt the process was rushed, which is one reason why they remained skeptical, with Knowlton describing it as a “forced timeline.” As the discussions continued, the question that emerged was: could implementing federal ‘Distinctions-Based Indigenous Health Legislation’ be the key to addressing the existing gaps in health-care policies? With no compromises made and some communities feeling pressured, finding a solution that satisfies all stakeholders remains a challenge.

 

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