This analysis highlights the work needed in public health to advance truth and reconciliation, suggesting settlers must take responsibility for eradicating racism.
Ten years since the Truth & Reconciliation Commission Report, Canadian institutions—including public health systems—have yet to advance the Calls to Action in a sustained, transformative way. As public health leaders in the territory now known as British Columbia, we witness tension as colleagues grapple with, “What is the work of Truth & Reconciliation? Whose work is it?”. Too often, truth and reconciliation is delegated to a small Indigenous team (or, individual) dangling, isolated off the side of an organizational chart. We offer a metaphor highlighting two interconnected, but distinct areas of work to advance truth and reconciliation in public health. One is the work of reclaiming and resurgence of languages, culture, medicines, and connection to territory, undertaken by and for First Nations, Inuit, and Métis Peoples. The other is eradicating Indigenous-specific racism and white supremacy to advance cultural safety. It is not up to Indigenous people to eradicate racism; as it is constructed, maintained, and perpetuated by settlers, settlers are those with the power to eradicate it. As we move towards the anniversary of the TRC, we share a metaphor that helps our settler colleagues understand and claim their responsibility in truth, rights, and reconciliation in public health.
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Smith et al. (2025) studied this question.
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