1 year after review of anti-Indigenous racism in B.C. health care, author says little progress has been made

In the year since a review recommended two dozen steps to address widespread systemic racism against Indigenous people in the B.C. health-care system, its author says progress has been slow because governments still aren't structured to work together properly.

A follow-up progress report on Tuesday found First Nations, Metis and provincial government leaders have made some headway on roughly a quarter of the recommendations, but "ineffective collaboration has slowed improvement where it is needed the most."

"It is important to use this progress as motivation for the work ahead. At the same time, we must not congratulate ourselves on a job well done," said Mary EllenTurpel-Lafond, the former judge who released the original review of the system last year.

"The fundamental issues remain in plain sight."

The review released last year found racism, stereotyping and discrimination against Indigenous peoples in the B.C. health-care system are widespread and potentially deadly.

The report, called In Plain Sight, was based on first-hand accounts from thousands of patients, witnesses and health-care workers. Eighty-four per cent said they'd experienced discrimination.

WATCH | Probe finds evidence of widespread racism against Indigenous people in B.C. health system:

The review made 24 recommendations for change. In a follow-up assessment published Tuesday, Turpel-Lafond said only seven have seen signs of progress in the year since.

Other recommendations have seen "little, if any" movement at all.

Some of the progress has been caught up in bureaucracy, she said. For example, one recommendation called for officials to create an expert team to lead the charge on the earliest recommendations — but leaders can't decide who should be on the team.

"Much of the past year has been spent trying to figure out who sits on what committees," wrote Turpel-Lafond. 

"In the meantime, Indigenous Peoples have continued to be disproportionately harmed and oppressed, and they continue to die as a result of the impacts of racism and the twin public health emergencies."

The assessment also found recommendations to uphold obligations set out in the Declaration on the Rights of Indigenous Peoples (UNDRIP) have not been put into practice.

The declaration lays out aspects of Indigenous human rights, like the rights to traditional medicine, health-care free of discrimination and protection from violence — particularly for elders, women and children.