Lost in Maps: Regionalization and Indigenous Health Services

Healthc Pap. 2016;16(1):63-73. doi: 10.12927/hcpap.2016.24773.


The settlement of the land now known as Canada meant the erasure - sometimes from ignorance, often purposeful - of Indigenous place-names, and understandings of territory and associated obligations. The Canadian map with its three territories and ten provinces, electoral boundaries and districts, reflects boundaries that continue to fragment Indigenous nations and traditional lands. Each fragment adds institutional requirements and organizational complexities that Indigenous nations must engage with when attempting to realize the benefits taken for granted under the Canadian social contract.

MeSH terms

  • American Native Continental Ancestry Group*
  • Canada
  • Community Participation / methods
  • Health Care Reform / organization & administration*
  • Health Services, Indigenous / organization & administration*
  • Humans
  • Indians, North American
  • Inuits
  • Regional Health Planning / organization & administration*
  • State Medicine / organization & administration*