A visit to the Stellat鈥檈n Wellness Centre on the Stellat鈥檈n First Nation by Dr. Dermot Kelleher, the Dean of the Faculty of Medicine at UBC, along with a pair of students from his faculty, was heralded as an important event by First Nation鈥檚 leaders.
It was, they said, an important step in ending the systemic racism facing First Nations in accessing medical care in B.C.
鈥淲e are still dealing with 150 years of oppression, malnutrition, mis-education and the attempts to eradicate our culture. But one area where we seem to be making some progress, at least here at Stellat鈥檈n, is in medical care,鈥� said Chief Archie Patrick, at the luncheon offered to the visitors from UBC.
鈥淚t鈥檚 so important that the health care system is aware of the kinds of problems we face on a daily basis. We are still in the midst of poverty, and poverty presents a whole series of challenges when it comes to all aspects of well-being.鈥�
According to Dr. John Pawlovich, one of the four doctors who provide part time services to the Stellat鈥檈n Wellness Centre, the problems associated with poverty are exacerbated by a systemic racism in the provision of medical services to First Nations people.
鈥淧eople hold a set of beliefs about First Nations people and carry that forward in the way they provide medical care. It鈥檚 often a hostile environment,鈥� said Pawlovich.
鈥淭here is good research that shows that racism plays a role in providing First Nations patients with a sub-standard level of care. They don鈥檛 get the same tests, for example.鈥�
Pawlovich went on to say that, when First Nations people get sick, they will often consider past negative experiences they or others have had, and will strategize about whether to even go to a health care facility for fear of continuing those negative experiences.
鈥淭hat鈥檚 not a consideration you and I have to consider,鈥� he said.
Kelleher echoed the concerns, and equated the health of First Nations communities to the health of the entire province.
鈥淭he way we educate our future doctors is critical to improving the provision of health care to First Nations,鈥� he said, noting that the Faculty of Medicine has adopted a strategic plan to ensure that its graduates learn about more than illnesses in isolation of the person.
鈥淲e learn about heart disease, diabetes and cancer, but in the First Nations tradition, there are considerations of wellness and health that also embrace the environment, the spirit, economic factors鈥hey all play a role, and we need to understand and respect that.鈥�
As part of the efforts to develop that understanding, the Faculty facilitates visits by students to First Nations so they can gain a first hand appreciation of the challenges faced by their First Nations patients.
Privia Randhawa and Chelsea Monell are two first year student at UBC and came to Stellat鈥檈n with Kelleher. They are spending a week working at the Wellness Centre with Pawlovich to gain that first hand experience.
鈥淭his is a unique opportunity to be immersed into the community and develop the relationships that are at the heart of medical care,鈥� said Monell.
鈥淚 know of situations in Prince George where First Nations people have left the community to look for health care elsewhere because of the racism they faced at home. I want to be part of changing that culture (in the medical community).鈥�
Chief Patrick acknowledged the importance of building the relationships with the medical community and acknowledged that First Nations have a role to play as well.
鈥淲e have to wake people up from the pall of negativity that 150 years of oppression has put over our people and work to show government that we have basic needs that need to be met. We need jobs 鈥� we need homes to live in 鈥� and we need health care. And my hope is that we will get there,鈥� he said.
鈥淭his is a start.鈥�
For Kelleher鈥檚 part, he referred to his own experience dealing with decades of oppression by a colonial power in Ireland, and referred to the Irish poet, William Butler Yeats, and his poem, Gratitude to the Unknown Instructors, for inspiration on what can be accomplished.
The poem reads 鈥淲hat they undertook to do, They brought to pass; All things hang like a drop of dew, Upon a blade of grass鈥�.
鈥淚t鈥檚 the promise in that drop of dew that can bring all things to pass,鈥� he said.
