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...
| Published in: | Health Reform Observer - Observatoire des Réformes de Santé |
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| Format: | Article in Journal/Newspaper |
| Language: | English French |
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McMaster University Library Press
2022
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| Online Access: | https://doi.org/10.13162/hro-ors.v10i3.5094 https://doaj.org/article/4ea250c81eea4d8892bd672a8ae1dd75 |
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ftdoajarticles:oai:doaj.org/article:4ea250c81eea4d8892bd672a8ae1dd75 2023-05-15T16:16:46+02:00 Comparing Federal Indigenous Health Policy Reform in Canada and the United States: The Shift to Indigenous Self-Determination in Health Care Denise Webb Angela Mashford-Pringle Sara Allin Dane Mauer-Vakil 2022-10-01T00:00:00Z https://doi.org/10.13162/hro-ors.v10i3.5094 https://doaj.org/article/4ea250c81eea4d8892bd672a8ae1dd75 EN FR eng fre McMaster University Library Press https://mulpress.mcmaster.ca/hro-ors/article/view/5094/4308 https://doaj.org/toc/2291-6369 doi:10.13162/hro-ors.v10i3.5094 2291-6369 https://doaj.org/article/4ea250c81eea4d8892bd672a8ae1dd75 Health Reform Observer - Observatoire des Réformes de Santé, Vol 10, Iss 3 (2022) indigenous self-determination first nations american indian/alaska natives canada united states self-determination in health care health policy legislation health policy reform Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.13162/hro-ors.v10i3.5094 2022-12-30T21:39:25Z 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. Article in Journal/Newspaper First Nations Alaska Directory of Open Access Journals: DOAJ Articles Canada Indian Health Reform Observer - Observatoire des Réformes de Santé 10 3 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English French |
| topic |
indigenous self-determination first nations american indian/alaska natives canada united states self-determination in health care health policy legislation health policy reform Public aspects of medicine RA1-1270 |
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indigenous self-determination first nations american indian/alaska natives canada united states self-determination in health care health policy legislation health policy reform Public aspects of medicine RA1-1270 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 |
| topic_facet |
indigenous self-determination first nations american indian/alaska natives canada united states self-determination in health care health policy legislation health policy reform Public aspects of medicine RA1-1270 |
| 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. |
| format |
Article in Journal/Newspaper |
| 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 |
| title |
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_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_sort |
comparing federal indigenous health policy reform in canada and the united states: the shift to indigenous self-determination in health care |
| publisher |
McMaster University Library Press |
| publishDate |
2022 |
| url |
https://doi.org/10.13162/hro-ors.v10i3.5094 https://doaj.org/article/4ea250c81eea4d8892bd672a8ae1dd75 |
| geographic |
Canada Indian |
| geographic_facet |
Canada Indian |
| genre |
First Nations Alaska |
| genre_facet |
First Nations Alaska |
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Health Reform Observer - Observatoire des Réformes de Santé, Vol 10, Iss 3 (2022) |
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https://mulpress.mcmaster.ca/hro-ors/article/view/5094/4308 https://doaj.org/toc/2291-6369 doi:10.13162/hro-ors.v10i3.5094 2291-6369 https://doaj.org/article/4ea250c81eea4d8892bd672a8ae1dd75 |
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https://doi.org/10.13162/hro-ors.v10i3.5094 |
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Health Reform Observer - Observatoire des Réformes de Santé |
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10 |
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3 |
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1766002624953319424 |