01/05/2022
HEALTH 4 ALL
Although I knew that the death of my father or mother is inevitable, as part of our life cycle, that knowledge does not lessen the grief and the sorrow I felt when my dad left this world. The death of a loved one alters one both physically, emotionally and psychologically. Nothing is ever the same again: it changes our intimate and world surroundings and outlook in moving forward.
On April 10, 2022 at 2:09 am, my hero, the person named Gregory Koostachin, whom I had the privilege to call Dad, took his last breath and started another spiritual journey. I am forever grateful and fortunate to have had a man that despite his imperfections and personal struggles showed me strength, compassion, love, humility, humour, generosity, acceptance, and most of all forgiveness. Thank you Dad from the depth of my soul for everything, and for that, I am truly BLESSED.
Dad’s Health Issues
Our dad had many health related issues, which eventually lead to complications and eventually his death. He had his share of medical appointments, medivacs, and hospital stays, some of which were prolonged. Nonetheless, Dad was determined to live and he took care of his health seriously. However, accessing medical appointments and care was challenging, especially when Dad started losing more of his independence and mobility. Getting any appropriate medical care in the remote north certainly does not help. In Attawapiskat, we do have a hospital and public health facility, but they are ill resourced and ill equipped. They do not have the resources to provide continuing care to those in need. My dad was elderly, it makes me ponder over how many other elders, and those that are sick manage. There is no long term or palliative care in my community. So for those that require ongoing medical attention, they have to leave their community to fly out to Moose Factory or Kingston, Ontario.
Accessing Dad’s medical appointments was challenging and the medical unit that manages travel for patients did not help either. They lacked empathy – dictating when, where, and with who patients should travel with, without any explanation or purpose of medical visits. Dad got frustrated with the travel medical visits and having to deal with different attending physicians (each time) along with their inconsistent diagnosis and opinions for his various ailments. With numerous medication changes/and dosages, these became overwhelming to manage and to deal with the side effects, especially with the inconsistency of his medical guide. There were no follow-ups or continuing care. I believe my Dad could have lived longer if he received the appropriate care and attention, but our fragmented health system—is not serving our people’s needs.
Our People, Our Treaty Right to Health
On many occasions, Dad questioned our fragmented health care system and services especially access. One of my last conversations with him had to do with our current health care service and access in our remote region. He said “Danis, (daughter) we have to continue to address the inequalities and inadequate health care of our people once and for all. So many of our members are needlessly still falling through the cracks and dying. We need a serious discussion as to what our understanding of health care and delivery is as we understood it to be under our treaty.” He added on saying that we must all come and work together instead of operating in colonial, jurisdictional, compartmentalized mindset when it comes to health care and delivery to our members at large.
Prior to my dad’s death, I made a personal vow on that day when my dad leaves us from the physical world, I would walk daily for at least an hour to bring about awareness and a call for immediate action on our much needed change and improvements of our regional health care system. Our Health Care disparity and inequalities that perpetuates longing standing crisis must be changed. A transformative change needs to happen today. We are asking for an equitable access to health care delivery within our region that truly reflects our uniqueness and distinct needs of all our members.
Health 4 All
I am calling upon the key players from various government levels and agencies to start this dialogue right away in a true honest manner. We are all too familiar with on-going inequalities and gaps when it comes to opportunities and access (in a timely fashion) to a quality health care in our region. We have heard on-going testimonial (both directly and indirectly) from our members regarding their challenges, obstacles, and limited access to quality of care. We have also heard from our own tribal council leaderships, local hospitals and agencies, and from our own community leadership (past and present). All have agreed that we need a new system that is holistic in vision that truly reflects on the needs and priorities of our region. Like my dad would say at various past gatherings and assemblies “Let’s take action now and stop talking”. We all need to work together to ensure that we all work towards a healthier positive community, we are all in this together.
I understand that the federal government has expressed a commitment to develop Indigenous Health Legislation in order foster health systems that will respect and ensure safety and well-being of our Peoples. However, how long will this process take and whom will they actually be consulting? Our communities, at the grassroots, know what we need, if we are to develop a health care system that is truly holistic – you need to work directly with our communities. And fundamentally we cannot wait for legislation to start doing this important work, we need resources now! Attawapiskat and many other communities would greatly benefit from having long term and palliative care services, including mental health supports. We need those services on the ground and not wait for the occasional fly in visit from health providers. That is not good enough. We need to raise awareness!
I started my daily walks on April 10th and will continue until I see transformative changes and improvements. We can only do this if we work together, we know the problems, we see the problems, and each one of us possess certain tools that collectively can work towards a better future. Please feel free to join me walk. Also please free to share your story with me or post my page. Together we can make a change. We are stronger together.
Yours truly,
Sylvia Koostachin-Metatawabin