Originally published in The Globe and Mail on February 27, 2020.
Canada’s Indian policy hasn’t changed much
After the events of the past few weeks in Canada, one thing remains clear: Canada’s Indian policy hasn’t changed much since its inception. Indian policy has always had two objectives: to obtain Indian lands and resources and to reduce financial obligations to Indigenous peoples acquired through treaties or other means. Its primary methods were elimination or assimilation of Indian
Colonial governments had a long history of scalping bounties to kill specific groups of Indigenous peoples, using small pox blankets to increase death rates from disease and forced sterilizations to reduce the populations. Even Confederation did not dispense with the violent colonization of what would now become known as Canada. Canada’s first prime minister, Sir John A. Macdonald, told the House of Commons in 1882: “I have reason to believe that the agents as a whole … are doing all they can, by refusing food until the Indians are on the verge of starvation, to reduce the expense.” Canada was fully engaged in clearing the lands, by any means necessary.
Now referred to as Indigenous reconciliation, the goal is still the same: to clear the lands of Indigenous peoples in order to bolster settlement and extraction of resources. This singular focus formed the basis of the violent colonization of Indigenous lands and peoples and, ultimately, is why Canada has been accused of genocide by the National Inquiry into Missing and Murdered Indigenous Women and Girls. Canada’s complex set of laws, policies, practices, actions and omissions have created an infrastructure of violence toward Indigenous peoples and the continued dispossession of their lands.
This is at the heart of the devastating socio-economic conditions of many Indigenous peoples today, including multiple health crises such as diabetes, heart disease and strokes, lower life spans, higher rates of mental illness and some of the highest suicide rates in the world. These genocidal policies also serve to remove Indigenous peoples from their lands through high foster care rates, killings and disappearances of Indigenous women and girls and the skyrocketing incarceration rates.
Apologies versus Land Back
Despite carefully worded apologies and promises of a better relationship, none of these conditions has changed and, in fact, most are getting worse. Add to this that First Nations have less than 0.02 per cent of all their lands left – mostly in tiny reserves controlled by the federal government. Political rhetoric about supporting Indigenous self-determination means very little when we are denied access to our lands and resources.
We need to be honest about what is going on. There never was any real intention of recognizing Indigenous land rights – whether under Indigenous laws, Section 35 aboriginal and treaty right protections in the Constitution Act, 1982, or by implementing the United Nations Declaration on the Rights of Indigenous Peoples. It has been painfully clear, at every flashpoint in Canada’s history, that it is willing to starve Indigenous peoples into submission or imprison them to access their lands.
This is at the heart of what is happening across Canada over the past few weeks. The Wet’suwet’en Nation, as represented by their traditional government, acting on Wet’suwet’en laws and decision-making protocols, have said no to pipelines on their traditional territory. While five of the six band councils within the Nation have allegedly agreed to the pipeline, their jurisdiction extends over their reserve lands. It is the hereditary leaders who have the legal jurisdiction over their traditional territory, to decide whether the pipeline can cross their pristine forests and rivers.
Canada breaches its own “Rule of law”
The Supreme Court of Canada had already acknowledged in the Delgamuukw case that these were the proper representatives to bring a claim of aboriginal title. Eight of these leaders have said no to the pipeline. Despite this, the RCMP invaded their territory and forcibly removed them from their lands – counter to Wet’suwet’en law, Canadian law and international law. UNDRIP, which is now implemented in British Columbia, prevents the forced removal of Indigenous peoples from their lands. This flagrant breach of Canada’s own rule of law is why the peaceful solidarity actions started all over Canada.
This is also why these actions will continue. Every time law enforcement is sent in to the clear the lands of the “Indians” to make way for pipelines and extraction of resources, you will see more and more Indigenous nations and Canadian allies stand against this injustice.
The real issue has always been about the land. The way forward is recognition of our right to be self-determining over our own lands and resources.
Anything less is just the same old Indian policy that invites more uncertainty and social conflict. Canada can do better. It’s time to move past genocide and work toward respect for Indigenous land rights.
AUDITOR GENERAL REPORT ON CLEAN WATER IN FIRST NATIONS
Prime Minister Justin Trudeau had no problem finding $7 billion dollars to buy Trans Mountain oil pipelines – so, where’s the money to pay for clean water pipelines in Indigenous communities? It may be hard to believe, but many First Nations in Canada still lack access to clean drinking water.
This week, the Auditor General for Canada (AG) released her report on whether Canada is providing enough support to ensure that First Nations have access to safe drinking water. The answer was a clear no. This is despite the Liberal government’s promise back in 2015 to eliminate all long-term drinking water advisories in First Nations by March 2021.
The report entitled “Access to Safe Drinking Water in First Nations Communities” found that federal policies and funding amounts did not align with its promise to end all long-term drinking water advisories (DWA) on reserve. But the story doesn’t begin or end with DWAs – that is only the tip of the iceberg. Auditor General Report on Clean Water
WHEN DID THE FIRST NATION WATER CRISIS START?
This crisis has been a long time in the making. First Nations would not be struggling to protect and access clean water if our sovereign jurisdictions, laws, and governing powers over our traditional territories and resources were respected. Canada has created and maintained this First Nation water crisis after generations of colonization, genocide, land dispossession, and control of our water sources.
And no, there is nothing in any of the treaties that explicitly stated the Crown could take all the water, control it, monetize it, and then deny access to clean water to First Nations. But that is exactly what has happened, despite the fact that the United Nations has recognized access to safe drinking water as a human right over a decade ago.
Canada continues to act as an outlaw, breaking Indigenous laws, its own domestic laws, and international laws in relation to human rights. When it comes to the basic human rights of Indigenous peoples – including the right to access, govern and protect water sources – Canada literally ignores its so-called “rule of law”. The continued failure to provide clean drinking water to First Nations or other Indigenous communities like the Inuit, is a prime example of systemic racism.
The Crown first steals Indigenous lands, resources, and waterways through fraud, deception, and countless breaches of its own laws, and then reserves unto itself jurisdiction in the Constitution Act 1867 over “Indians and lands reserved for the Indians”. In other words, the federal government has assumed legal and financial responsibility for both water and water infrastructure on First Nations reserves. Canada’s willful neglect of its assumed obligations has left numerous First Nations communities without clean water.
WHAT IS THE FIRST NATION WATER CRISIS?
First Nations have been calling on the federal government to address the lack of access to clean water for decades. In 1995, Health Canada and Indian and Northern Affairs Canada (INAC) found that 25% of water systems on reserve posed health and safety risks. In 2001, INAC found “significant risks” to water quality and safety in 75% of water systems on reserve – a shocking number.
A decade later in 2011, INAC reported to the AG that more than 50% of water systems still posed significant risks to community members. In 2014, it was 43% of water systems in trouble and in 2021, and that risk level hasn’t changed.
At a press conference about the AG’s report, Indigenous Services (ISC) Minister Marc Miller said that while they had hoped to address all long-term drinking water advisories, they lost “a construction season” due to the pandemic. One construction season? If we only start the clock from 1995 forward, then they’ve lost 25 years of construction seasons.
The AG pointed out that the delays by ISC were there long before the pandemic and referenced previous AG reports that have consistently raised concerns about the lack of clean drinking water in First Nations.
And let’s not forget the numbers here. In addition to the 60 long-term DWAs that are left to be resolved – half of those have been in place for more than a decade. Imagine an entire decade in Fredericton, Toronto, Winnipeg or Saskatoon without clean drinking water, where there was only enough water to bathe once a week. That would NEVER be tolerated anywhere else for any other community, but those in First Nations. The situation would be treated as the urgent crisis that it is.
FEDERAL POLICIES FOR WATER ON RESERVE ARE DECADES OLD
The federal government’s less than sincere commitment to urgently address the water crisis in First Nations is betrayed by the fact that their policies are decades old. The sad reality is that no one in the federal government has been concerned enough about the health, safety, and well-being of First Nations families, to treat the lack of access to safe drinking water as a crisis.
In fact, over the years, AG reports found that the federal government couldn’t even be bothered to do annual inspections for all the water systems, despite their medium to high-risk. It’s as if the words “significant risks” to community members were merely notations in a report and not significant warnings for risks to health, safety and well-being of First Nations.
The Auditor General also noted that some of the federal government’s policies in relation to water systems on reserve are decades old and some were written in the 1960’s. She further noted that they have not amended their policy in relation to funding for the operations and maintenance of water systems on reserve for over 30 years.
This means that the funding that the federal government provides to First Nations to maintain their water systems, does not take into account new technologies, the actual costs to maintain the systems and/or the risk-level and actual condition of the water systems. On top of that, they only provide up to 80% of the costs determined by this outdated policy, while at the same time paying First Nation water operators 30% less than the rest of Canada.
Is there any wonder why the federal government is constantly chasing long-term drinking water advisories and never seems to catch up? The ever-changing number of First Nation communities without clean water should be considered a national emergency – something that can and should have been rectified by now.
Think about it this way: if your roof has a leak and it would cost $10,000 to repair but you only “invest” $1,000, what happens? Well, your roof is not entirely fixed, so it continues to leak, causing more damage to the roof and the rest of the house. The next year, it will cost you $30,000 to fix the roof and the extra repairs for the house. Partial solutions to the water crisis serves to make the problem worse.
This is the point the AG made: “If funding to operate and maintain water systems is insufficient, water systems may continue to deteriorate at a faster-than-expected rated.” This is exactly what has happened.
THE NUMBERS SHELL GAME – HOW MANY FIRST NATIONS COMMUNITIES ARE WITHOUT WATER?
It’s important to dig into the numbers to truly understand the full scope of this problem. The AG’s report was limited to only 1,050 “public water systems” in 600+ First Nations. This is because ISC’s water policies and funding formulas do not provide support for those who rely on wells or cisterns. Worse than that, their water policies do not support those First Nations without any running water, let alone clean water!
And this isn’t a small number. More than one third of all households on reserve are in the category of wells and cisterns, or have no running water at all. So, the number of First Nation communities without access to clean water is a far bigger problem than it would first appear.
It’s also important to look at how ISC has differentiated between short-term and long-term DWAs. The government seems to be congratulating itself for having “only” 60 long-term DWAs left, meanwhile over the same period, the AG confirmed that there were 1,281 short-term DWAs.
More than 10% of those short-term DWAs were for periods of two months or more. But worse than that, the AG also found some First Nations had multiple short-term DWAs, that when added up, were more than a year in total cumulative length. But they don’t get counted in long-term DWAs, which effectively misrepresents the seriousness of short-term DWAs. Further, with long-term DWAs, they get counted as “lifted” or “resolved” if temporary measures are made to bring in water – even if the deficiencies in the water system have not been remediated.
DWA numbers are clearly not the most transparent or effective way to measure whether or not the water crisis has been remedied. The more transparent measure would be whether each household on First Nation reserves and each daycare, school, healthcare centre, community building, and business, has consistently safe, reliable, clean drinking water and sanitation. These numbers could easily be recorded as an aggregate and disaggregated set of statistics.
That’s the number that matters – how many First Nation households are without access to clean water – not how many DWAs you lifted one day, but were re-imposed the next. That’s a shell game that only serves to hide a much larger problem and certainly doesn’t respect the human right of First Nations to access clean water.
Canada brags about having 84,000 kms of pipelines all over the country servicing the oil and gas industry. When confronted with losing the Trans Mountain oil pipeline, Trudeau managed to find $7 billion dollars in a hurry to buy it. So, where are the pipelines bringing clean water to First Nations Trudeau?
There are mancamps full of thousands of mostly men flown into First Nation territories, in even in the remotest of places, that have access to healthcare, safe, mould-free housing, healthy food, and clean drinking water and sanitation. So, where is the healthcare, housing, food, and clean water for First Nations?
Canada’s military brings millions of litres of fresh water to other countries in emergencies – so where’s the clean water for First Nations? Canada has spent more than $240 billion dollars on pandemic relief measures, but there isn’t enough money to ensure that no First Nation goes without access to clean water during a pandemic? This isn’t a matter of lack of resources, these are conscious policy choices being made to breach the rights of First Nations, with significant impacts to their physical and mental health and well-being.
Minister Miller says they lost a construction season during the pandemic and that’s why they couldn’t address the water crisis. Yet, the construction season for oil and gas pipelines, the tar sands, mining projects and other extractive projects and infrastructure continued during the pandemic. But construction couldn’t proceed on water pipelines? These excuses are unacceptable.
No one is buying the excuses made by Liberal politicians anymore. The reason all First Nation households don’t have access to clean water is widespread, longstanding, systemic form of racism and a denial of basic human rights.
It is the same reason why there is a housing crisis on reserve; a humanitarian crisis of First Nations children in foster care; crisis-level incarceration rates of First Nations; and why there are thousands of murdered and missing Indigenous women and girls in this country. Policy choices are being made by bureaucrats with full knowledge of the harms inflicted.
HOW CAN CANADIANS HELP ADVOCATE FOR ACTION ON CLEAN WATER FOR FIRST NATION COMMUNITIES?
Until we address the racism in Canada’s laws, policies, and practices, we’ll never end the ongoing breaches of human rights against First Nations or their current lack of access to clean water. There is no such thing as incremental equality or partial human rights. You either have them or you don’t. And clearly, First Nations have neither equality nor the protection of human rights.
We need Canadians to stand up and say this isn’t right. We need Canadians to use their voices, their numbers, their powers and spheres of influence to demand better. Demand that the federal government bring every resource to bear to ensure safe, reliable, clean drinking water and sanitation to every single household on First Nation reserves. Not in two years, three years or after the next election – but this year. Next year’s reports need to count First Nation households without access to clean water and sanitation – not DWAs.
You can send emails, letters and petitions to Ministers, MPs, Senators and even the Prime Minister. You can withhold political and public support for politicians and make it conditional on ending the crisis. You can use your research, social media or publicity skills to support First Nations educate the public. There is no end to what Canadians can do. Now that you know better, you can put that knowledge into action for justice.
CONCLUSION
Canada needs to treat this water crisis as the national emergency it is and work in partnership with First Nations to address the entirety of the crisis – not just long-term DWAs. Canada needs to treat this situation with the same priority, urgency and resources as if this was in their own backyards.
We all know it would only take a week without access to clean water for any of these politicians to call in the army in their town or city if this happened to them. So, they need to stop with the excuses and simply get it done. And while they are at it, they should also return some of the lands, resources, and waterways they took – so this isn’t a problem in the future.
Access to clean water for all First Nations should never be considered a policy option.
Imagine living in a country, where hospitals refused to treat you for a stroke, because the doctors and nurses assumed you were drunk? Imagine further, that the emergency room doctor refused to treat your young child for epilepsy, because they assumed she was on drugs? Well folks, that country is Canada.
It doesn’t sound like the Canada you know. It doesn’t seem to reflect Canada’s world-renowned medical experts and hospitals. Nor does it seem to jive with Canada’s impressive array of human rights protections. Yet, if you are Indigenous in Canada, you can expect this kind of treatment and worse – even in Canada’s best hospitals in British Columbia (BC).
Just before the holidays, a report was released which confirmed what most Indigenous peoples already knew – that racism against Indigenous peoples, especially First Nations peoples – is widespread in BC’s healthcare system.
IN PLAIN SIGHT
The report entitled – In Plain Sight: Addressing Indigenous-specific Racism and Discrimination in B.C. Health Care – was written by Dr. Mary Ellen Turpel-Lafond who was the first, First Nations judge appointed to the Provincial Court of Saskatchewan; was the former Child and Youth Advocate in BC; and now the independent investigator for this report.
She had been appointed by BC’s Minister of Health to conduct a review of racism against Indigenous peoples in BC’s healthcare system. Dr. Turpel-Lafond and her Indigenous-led team engaged in four months of investigations, which included:
talking to 9,000 people from BC;
reviewing 185,000 data sets including more than 900 studies; and
logging 600 cases via their 1-800 number and website.
The report – which includes both its core findings and recommendations – contains numerous examples of Indigenous peoples given substandard medical treatment or no treatment at all in hospitals and healthcare facilities of all kinds. In some cases, individuals were treated so poorly, that they refused to go back for treatment and this was especially true for Indigenous women.
There were 11 main findings divided into (a) the problem of Indigenous-specific racism and (b) the problem with current solutions – both of which provide significant insight into the lack of accountability for racism and the harm it causes Indigenous peoples in BC’s healthcare systems.
Her main findings in relation to anti-Indigenous racism were as follows:
Widespread Indigenous-specific stereotyping, racism and discrimination exist in the BC healthcare system;
Racism limits access to medical treatment and negatively affects the health and wellness of Indigenous peoples in BC;
Indigenous women and girls are disproportionately impacted by Indigenous-specific racism in the healthcare system;
Current public health emergencies magnify racism and vulnerabilities, an disproportionately impact Indigenous peoples and
Indigenous health care workers face racism and discrimination in their work environments.
She also noted that talking about anti-Indigenous racism in healthcare can be very triggering for Indigenous peoples who have experienced the physical and mental harms associated with racist comments, substandard treatment or the denial of treatment. At the same time, she also stressed that the issue must be named, so that institutions can be held to account and the problems addressed.
STEREOTYPES
Dr. Turpel-Lafond shared the eight most common racist stereotypes held by BC healthcare workers about Indigenous peoples (primarily First Nations, and include that belief that they are:
(1) Less worthy of care;
(2) Drinkers/alchoholics;
(3) Drug-seekers;
(4) Bad parents;
(5) Frequent flyers – misuse health system;
(6) Irresponsible & wont do aftercare;
(7) Less capable; and
(8) Unfairly advantaged.
RACISM CAUSES REAL HARM
She also stressed that these racist stereotypes lead to real physical harm, mental harm and even death for Indigenous peoples, in the following ways:
(1) Unacceptable personal interactions – like racist comments;
(2) Long wait times/denial of service – more so than non-Indigenous patients;
(3) Lack of communication/shunning Indigenous patients;
(4) Not believing or minimizing health concerns – Indigenous peoples accused of faking;
(5) Inappropriate or no pain management – assuming patients are drug seeking;
(6) Rough treatment – like man-handling or physical harm;
(7) Medical mistakes & misdiagnosis – assuming patients drunk and not addressing underlying health issues; and
(8) Lack of respect for cultural protocols – intolerance of families or ceremonies.
The significant harms experienced by Indigenous peoples on a regular basis are why the report’s recommendations on how to move forward to address anti-Indigenous racism in BC’s healthcare system are so important. At their core, the recommendations all work to confronting the legacy of colonialism in healthcare head on:
“A basic awareness has grown that the current inequities and injustices faced by Indigenous peoples in Canada – such as those examined in this Review – are deeply rooted in an enduring legacy of colonialism, and that confronting that legacy requires substantive, transformative change.”
MOVING FORWARD
It is important that Canadians read this report and then push governments, hospitals, universities and all those working in the healthcare system, in any capacity to embrace their role in reconciliation and ensuring that the human rights of Indigenous peoples to healthcare are respected, protected and fully implemented. To do this, Dr. Turpel-Lafond believes that our collective path forward must be based on acknowledging and accepting three foundational principles:
(1) Racism in healthcare reflects a lack of respect for Indigenous rights to health;
(2) Racism in the healthcare system is integrated with racism in society; and
(3) While Indigenous voices must be centered in developing solutions, the responsibility to do this work rests with non-Indigenous people, communities, organizations and governments.
Before anyone breathes a sigh of relief that this is only a BC issue – it isn’t. Anti-Indigenous racism in healthcare is rampant in other provinces as well. It was only weeks ago, that Quebec came under fire when a video showed nurses saying racist and hateful comments to Joyce Echaquan before she died in the hospital. This was not an isolated incident but reflects a long-standing pattern of racism experience by Indigenous peoples in Quebec hospitals.
Don’t forget the Brian Sinclair inquiry in Manitoba, which documented how the hospital staff ignored Brian – a double amputee confined to a wheel chair – for 34 hours until he subsequently died of a treatable urinary tract infection. And sadly, these are not exceptional cases. From the Royal Commission on Aboriginal Peoples in 1996 to the Truth and Reconciliation Commission’s report in 2015 and the National Inquiry into Missing and Murdered Indigenous Women and Girls report in 2019 – racism in healthcare is a national crisis and has been for decades.
HEALTHCARE IS A HUMAN RIGHT
Racism in healthcare is a matter of life and death for Indigenous peoples and forms part of the ongoing genocide that the National Inquiry talked about in their report.
It was important for the BC government to undertake this investigation and accept the findings. Every other province and territory should follow suit and conduct a similar investigation. While it is important that BC’s Minister of Health Adrian Dix apologized and committed to take action – it is yet to be seen whether they will take the action needed to hold themselves accountable, make the required changes and make reparations to Indigenous peoples. Given the many reports sitting on government shelves gathering dust – it is incumbent on Canadians to do their part to ensure governments are held to account.
Healthcare is a basic human right and we are all served when we take steps to make sure that all peoples – including Indigenous peoples – can enjoy that right.
(Picture credit: Taken from the front over of the report In Plain Sight: Addressing Indigenous-specific Racism and Discrimination in BC Healthcare, 2020).
