In Clyde’s story, we have seen the impact that a remote setting can have on the delivery of health care. However, at least half of Canada’s Indigenous people live in towns and, especially in cities. They primarily leave the reserve to find work or because of social problems on the reserve. In a large city, Indigenous people might be cut off from the reserve culture and feel like immigrants in their own country. They may be marginalized by prevailing stereotyping and bias. Some may no longer have treaty status, and thus fall under a different level of health care. Physicians who have Indigenous patients may not even know that their patients are Indigenous.
To illustrate some of these points, here are several stories told by physicians who work with Indigenous patients in a large city. There is also a story told by an Indigenous person describing what it is like to be an “Indian in the city.”