Systemic Racism 

Systemic racism in healthcare is an unfortunately prevalent issue that significantly affects the quality of care received by minority communities, particularly Indigenous peoples. This form of racism is embedded in the policies, practices, and cultural norms of healthcare systems, leading to disparities in health outcomes and access to care. The consequences of systemic racism are profound, as they not only undermine the health of individuals but also perpetuate cycles of disadvantage within communities. 

One of the most alarming aspects of systemic racism in healthcare is the way it manifests in emergency care settings. Research conducted by Mackey et al. (2022) highlights that Indigenous patients often face overt racism and disrespect from healthcare providers. In emergency departments (EDs), these patients report experiences of negative treatment, including dismissive body language, derogatory comments, and a lack of seriousness regarding their medical needs. (5) Such treatment is rooted in harmful stereotypes that portray Indigenous individuals as substance users or irresponsible parents, which can lead to prejudiced assumptions about their healthcare needs (Mackey et al. 5). 

The impact of these stereotypes is not merely social; it has tangible consequences for health outcomes. Indigenous patients frequently find that their conditions are underestimated or ignored, resulting in delays in treatment or inadequate care. (2) Historical cases, such as the tragic death of Joyce Echaquan, underscore the urgency of addressing systemic racism within healthcare. Echaquan, a member of the Atikamekw Nation, recorded the racist remarks of healthcare staff before her death, highlighting the detrimental effects of discrimination on health outcomes (Mackey et al. 2). 

Moreover, systemic barriers in healthcare exacerbate the challenges faced by Indigenous patients. Many First Nations communities lack sufficient healthcare infrastructure, forcing individuals to rely heavily on emergency services for their medical needs. (10) This reliance can lead to overcrowding in EDs, where Indigenous patients may face longer wait times and less attention from providers. The perception that Indigenous patients misuse emergency services further perpetuates a cycle of discrimination, as healthcare providers may preemptively categorize them as less deserving of care (Mackey et al. 5). 

To combat these systemic issues, it is crucial for healthcare organizations to implement anti-racist and anti-colonial training for providers. Such training should focus on raising awareness of historical injustices faced by Indigenous peoples and fostering cultural safety within healthcare settings. Incorporating Indigenous perspectives in medical education and ongoing professional development is essential for creating a more equitable healthcare system (Mackey et al. 13). 

In conclusion, systemic racism in healthcare significantly impacts Indigenous peoples, particularly in emergency care settings. Addressing these issues requires a multifaceted approach that includes anti-racist education, community engagement, and systemic change within healthcare organizations.  By recognizing and confronting the realities of systemic racism, the healthcare system can work towards providing equitable care for all patients, regardless of their background. 

As always, speading awareness, educating those around you, and speaking up are things YOU can do to help dismantle the prejudice and racism at the root of this issue! 

Works Cited

Marrone, S. (2007). Understanding barriers to health care: A review of disparities in health care services among indigenous populations. International Journal of Circumpolar Health, 66(3), 188–198. https://doi.org/10.3402/ijch.v66i3.18254  

Joseph, B. (2024, June 17). Why continuity of Indigenous cultural identity is critical. Indigenous Corporate Training. https://www.ictinc.ca/blog/why-is-indigenous-cultural-continuity-critical

Mackey, L., et al. (2022). Impacts of racism on First Nations patients' emergency care: Results of a thematic analysis of healthcare provider interviews in Alberta, Canada. BMC Health Services Research, 22(804), 1–15. https://doi.org/10.1186/s12913-022-08129-5