She has been called “Canada's Martin Luther King”, the “conscience of the nation”, and a “national hero”, but Cindy Blackstock bristles at the accolades. “The only reason my job exists is because racism against First Nations children has been used as a cost-saving measure. I don't want that job to exist—now or ever.” Blackstock is the Executive Director of the First Nations Child and Family Caring Society of Canada, a charity that, for 20 years, has lobbied for First Nations children to have equitable access to health and social welfare services. Canada's time to actBeavers, ice hockey, maple syrup, Mounted Police, peace-keeping. These things conjure Canada in the minds of many. Others will add health to the list, for Canada's public health-care system is one of the oldest and most celebrated in the world and because Canada has ministered to global humanitarian, migration, and medical crises for decades. While Canadian values of solidarity, inclusivity, and diplomacy have found much expression in matters of health, there are clear signs that all of the world now “needs more Canada”. Full-Text PDF Challenges in health equity for Indigenous peoples in CanadaCanada's health-care system, like the country itself, is a complex entity. As the two papers in The Lancet's Series on Canada1,2 make clear, the country's health-care landscape is made up of multiple people, places, and policies with often overlapping—and sometimes conflicting—jurisdictions, priorities, paradigms, and practices. These complexities are rooted in Canada's fairly young colonial history that resulted in a nation comprised of a majority of settler and recent immigrants and their descendants, alongside a steady resurgence of Indigenous populations of First Nations, Inuit, and Métis peoples that are growing in numbers, political acumen, and agency. Full-Text PDF Canada and global health: accelerate leadership nowCanada's celebration in 2017 of 150 years as a nation is a ripe time for reflection on both its own universal health system and the country's global commitments towards universal health coverage (UHC) as articulated in the Sustainable Development Goals (SDGs).1,2 The recognition in the prairie province of Saskatchewan that farmers should not have to sell the farm to pay for their family's health care was the principled pivot point that triggered Canada's march towards UHC in the 1960s. Although it took nearly a century for the Canadian confederation, established in 1867, to achieve UHC, over these past 50 years, from a global perspective, Canada's universal health-care system is viewed as being among the world's best. Full-Text PDF Canada's efforts to ensure the health and wellbeing of Indigenous peoplesIn September, 2017, Prime Minister Justin Trudeau stood before the UN General Assembly and acknowledged that the “failure of successive Canadian governments to respect the rights of Indigenous peoples in Canada is our great shame.”1 For generations, First Nations, Inuit, and Métis peoples in Canada were denied the right to self-determination and subjected to laws, policies, and practices based on domination and assimilation. Indigenous peoples lost control over their own lives. Full-Text PDF Canada's vision for global health and gender equalityA global shift is happening. I see it wherever I go—coffee shops to cabinet meetings to international conferences. We have achieved a critical mass of activists and allies around the world who are fighting for women's rights. The message is clear: the world is ready to make real progress on gender equality, and improve the lives of women and girls. Full-Text PDF Canada's universal health-care system: achieving its potentialAccess to health care based on need rather than ability to pay was the founding principle of the Canadian health-care system. Medicare was born in one province in 1947. It spread across the country through federal cost sharing, and eventually was harmonised through standards in a federal law, the Canada Health Act of 1984. The health-care system is less a true national system than a decentralised collection of provincial and territorial insurance plans covering a narrow basket of services, which are free at the point of care. Full-Text PDF Canada's global health role: supporting equity and global citizenship as a middle powerCanada's history of nation building, combined with its status as a so-called middle power in international affairs, has been translated into an approach to global health that is focused on equity and global citizenship. Canada has often aspired to be a socially progressive force abroad, using alliance building and collective action to exert influence beyond that expected from a country with moderate financial and military resources. Conversely, when Canada has primarily used economic self-interest to define its global role, the country's perceived leadership in global health has diminished. Full-Text PDF