4.4 Article

Dissecting systemic racism: policies, practices and epistemologies creating racialized systems of care for Indigenous peoples

Journal

Publisher

BMC
DOI: 10.1186/s12939-021-01500-8

Keywords

Systemic racism; Epistemic racism; Indigenous health; Indigenous knowledge

Funding

  1. Sick Kids Foundation
  2. Fonds de Recherche Sante du Quebec

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This paper examines how policies and practices in Nunavik Quebec create and support social hierarchies of knowledges, known as epistemic racism, impacting the quality of care available to Indigenous peoples. The study focuses on systemic racism within health and social services, specifically within the context of Nunavik Quebec, and highlights the challenges in providing trustworthy and accessible care for Indigenous communities.
In this paper we explore some of the ways systemic racism operates and is maintained within our health and social services. We look at a very specific context, that of Nunavik Quebec, land and home to 13,000 Nunavimmiut, citizens of Quebec and Canada, signatories of the James Bay and Northern Quebec Agreement. We operationalize some of the ways in which policies and practices create and support social hierarchies of knowledges, also called epistemic racism, and how it impacts our ability to offer quality care that Indigenous peoples can trust and use.

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