Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care
Federal governments in Canada and the United States have followed similar timelines and events in their efforts to support Indigenous self-determination in health care. Since colonization, both settler colonies have aimed to assimilate Indigenous Peoples into settler society, in disregard of inheren...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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McMaster University Library Press
2022-10-01
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| Series: | Health Reform Observer - Observatoire des Réformes de Santé |
| Subjects: | |
| Online Access: | https://mulpress.mcmaster.ca/hro-ors/article/view/5094/4308 |
| _version_ | 1811245897615409152 |
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| author | Denise Webb Angela Mashford-Pringle Sara Allin Dane Mauer-Vakil |
| author_facet | Denise Webb Angela Mashford-Pringle Sara Allin Dane Mauer-Vakil |
| author_sort | Denise Webb |
| collection | DOAJ |
| description | Federal governments in Canada and the United States have followed similar timelines and events in their efforts to support Indigenous self-determination in health care. Since colonization, both settler colonies have aimed to assimilate Indigenous Peoples into settler society, in disregard of inherent Indigenous self-determining rights and titles. By the 1970s their policy agendas shifted towards Indigenous self-determination, including in matters of health service planning and delivery at the community-level. This paper analyzes this shift in policy from a comparative perspective with the aim of informing future reforms. We identify and examine the policy instruments used in the process, finding a greater use of regulatory instruments in the United States, compared to informative tools in Canada. We also discuss the associated impacts of the reform on the ability to practice self-determining activities within communities, highlighting some of the administrative enablers and barriers within and around health care settings. As little research has compared health policy reforms related to matters of Indigenous health in Canada and the United States, this paper provides new insights into the drivers and nature of the policy shift toward self-determination at the federal level and suggests grounds for further investigation. |
| first_indexed | 2024-04-12T14:46:01Z |
| format | Article |
| id | doaj.art-4ea250c81eea4d8892bd672a8ae1dd75 |
| institution | Directory Open Access Journal |
| issn | 2291-6369 |
| language | English |
| last_indexed | 2024-04-12T14:46:01Z |
| publishDate | 2022-10-01 |
| publisher | McMaster University Library Press |
| record_format | Article |
| series | Health Reform Observer - Observatoire des Réformes de Santé |
| spelling | doaj.art-4ea250c81eea4d8892bd672a8ae1dd752022-12-22T03:28:38ZengMcMaster University Library PressHealth Reform Observer - Observatoire des Réformes de Santé2291-63692022-10-0110310.13162/hro-ors.v10i3.5094Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care Denise Webb0https://orcid.org/0000-0002-1806-7022Angela Mashford-Pringle1https://orcid.org/0000-0002-5623-7053Sara Allin2https://orcid.org/0000-0002-0579-8985Dane Mauer-Vakil3https://orcid.org/0000-0002-5636-4917University of TorontoUniversity of TorontoUniversity of TorontoUniversity of TorontoFederal governments in Canada and the United States have followed similar timelines and events in their efforts to support Indigenous self-determination in health care. Since colonization, both settler colonies have aimed to assimilate Indigenous Peoples into settler society, in disregard of inherent Indigenous self-determining rights and titles. By the 1970s their policy agendas shifted towards Indigenous self-determination, including in matters of health service planning and delivery at the community-level. This paper analyzes this shift in policy from a comparative perspective with the aim of informing future reforms. We identify and examine the policy instruments used in the process, finding a greater use of regulatory instruments in the United States, compared to informative tools in Canada. We also discuss the associated impacts of the reform on the ability to practice self-determining activities within communities, highlighting some of the administrative enablers and barriers within and around health care settings. As little research has compared health policy reforms related to matters of Indigenous health in Canada and the United States, this paper provides new insights into the drivers and nature of the policy shift toward self-determination at the federal level and suggests grounds for further investigation.https://mulpress.mcmaster.ca/hro-ors/article/view/5094/4308indigenous self-determinationfirst nationsamerican indian/alaska nativescanadaunited statesself-determination in health carehealth policylegislationhealth policy reform |
| spellingShingle | Denise Webb Angela Mashford-Pringle Sara Allin Dane Mauer-Vakil Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care Health Reform Observer - Observatoire des Réformes de Santé indigenous self-determination first nations american indian/alaska natives canada united states self-determination in health care health policy legislation health policy reform |
| title | Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care |
| title_full | Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care |
| title_fullStr | Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care |
| title_full_unstemmed | Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care |
| title_short | Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care |
| title_sort | comparing federal indigenous health policy reform in canada and the united states the shift to indigenous self determination in health care |
| topic | indigenous self-determination first nations american indian/alaska natives canada united states self-determination in health care health policy legislation health policy reform |
| url | https://mulpress.mcmaster.ca/hro-ors/article/view/5094/4308 |
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