Four years after Joyce Echaquan’s death, Indigenous health care workers look to make system culturally safer

Four years after the death of Joyce Echaquan, an Atikamekw mother of seven who died at a Joliette hospital, north of Montreal, where just moments before her death, she livestreamed as hospital staff said derogatory and racist remarks at her, Dr. Stanley Vollant, an Innu surgeon based in Montreal, says systemic racism remains a problem in health care.

“Still today in 2024, people are coming to hospital very late or not coming to the hospital because they are afraid they’re going to be not treated as well as the other people,” he said.

Dr. Vollant is the Chief Medical Officer of the First Nations of Quebec and Labrador Health and Social Services Commission (FNQLHSSC) and says there’s a lot of work left to do to make health care culturally safe for Indigenous people across the province.

He hopes to make a difference, as he’s been appointed to the Board of Directors of Santé Québec — the province’s new crown corporation for health care coming into effect in December.

“I will make sure with health, Santé Québec, that this framework going to be very effective that Indigenous people in Quebec will be safe when they are coming to consult in health care centres.”

Dr. Stanley Vollant, Innu surgeon and Chief Medical Officer of the First Nations of Quebec and Labrador Health and Social Services Commission on Sept. 28, 2023. (Alyssia Rubertucci, CityNews)

Dr. Vollant says he wants to see watchdogs for Indigenous people, especially since Quebec did not adopt Joyce’s Principles which aims to guarantee access to healthcare without discrimination. The province also refused to recognize systemic racism 

“For Indigenous people, it’s very important to name it to be able to work from there,” he said.

Josée Lavallée, Director of the Office of Social Accountability in Nursing at McGill University says it’s the responsibility of every person working in health care to provide culturally safe care.

“We know that anti-Indigenous racism exists within the health care system and this kind of put it on blast, which is tragic that a life had to be lost for us to wake up,” she said.

Last year, Quebec introduced Bill 32, requiring health and social services to adopt a more safe, welcoming and inclusive approach when interacting with Indigenous People, including mandatory training on Indigenous cultural and historical realities. The bill is still being studied.

Dr. Vollant says Indigenous partners did not have a stake in it. “It should have been constructed from the beginning with the Indigenous organization, not just to rubber stamp a law,” he said.

Dr. Stanley Vollant, Innu surgeon and Chief Medical Officer of the First Nations of Quebec and Labrador Health and Social Services Commission. (Courtesy: Facebook/Janie Helen & Puamun Meshkenu)

Meanwhile, Dr. Vollant is taking part in his annual walk called Puamun Meshkenu in Innu, which means inspire Indigenous people to trace their own Path of a Thousand Dreams. It’s a 200-kilometre journey with 20 other people, spanning from from Kitcisakik to Pikogan, which is 600 kilometres northwest of Montreal.

It’s ending on Sept. 30 on the National Day for Truth and Reconciliation.

On Saturday, they’ll be walking in honour of Joyce. 

“Joyce left us, we want that her spirit can stay in peace and to make sure that would not happen again,” he said. “We’re going to pray, we’re going to walk and we’re going to share the story with people.”

Carol Dubé, husband of Joyce Echaquan, stands next to a photo of his deceaced wife in front of the hospital where she died, in Joliette, Que., during a memorial on Sept. 28, 2021, marking the first anniversary of the death of his wife. THE CANADIAN PRESS/Paul Chiasson

“We honour that strength and courage as a strong Indigenous woman every day,” said Lavallée. “We need to honour her at this time of year, but we need to be doing the work the rest of the year, too.”

CityNews reached out to Ian Lafrenière, Quebec Minister Responsible for Relations with the First Nations and the Inuit, but did not hear back yet.

“It’s look like it’s going to be very slow, but I’m sure that in a few years, Joyce [will say]: ‘I’m happy, I didn’t die for nothing,’” Dr. Vollant said.

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