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into modern times. Throughout <strong>the</strong> last century <strong>the</strong>ir socio-ec<strong>on</strong>omic status has closely paralleled<br />

that <strong>of</strong> First Nati<strong>on</strong>s people living <strong>on</strong> reserve.<br />

The systematic removal <strong>of</strong> Métis People from <strong>the</strong> l<str<strong>on</strong>g>and</str<strong>on</strong>g>s <strong>the</strong>y traditi<strong>on</strong>ally occupied resulted in<br />

<strong>the</strong> destabilizati<strong>on</strong> <strong>of</strong> Métis self-governing processes, interrupti<strong>on</strong> <strong>of</strong> <strong>the</strong>ir traditi<strong>on</strong>al knowledge<br />

patterns, <str<strong>on</strong>g>and</str<strong>on</strong>g> oppressi<strong>on</strong> <strong>of</strong> Métis culture <str<strong>on</strong>g>and</str<strong>on</strong>g> language. Although <strong>of</strong> mixed heritage, Métis<br />

people have suffered effects similar to o<strong>the</strong>r Aboriginal peoples as a result <strong>of</strong> <strong>the</strong> col<strong>on</strong>izati<strong>on</strong> <strong>of</strong><br />

Canada <str<strong>on</strong>g>and</str<strong>on</strong>g> subsequent devaluati<strong>on</strong> <strong>of</strong> Aboriginal cultures <str<strong>on</strong>g>and</str<strong>on</strong>g> knowledge systems.<br />

Métis Portaging Trade Goods NWT<br />

Their mixed traditi<strong>on</strong>s <str<strong>on</strong>g>and</str<strong>on</strong>g> comm<str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>of</strong> both<br />

European <str<strong>on</strong>g>and</str<strong>on</strong>g> First Nati<strong>on</strong> languages, led to<br />

<strong>the</strong>ir role as logical intermediaries in <strong>the</strong><br />

commercial relati<strong>on</strong>ship between two<br />

civilizati<strong>on</strong>s. C<strong>on</strong>sequently, as a people <strong>the</strong>y<br />

were heavily involved in fur trading activities,<br />

which inevitably led to <strong>the</strong>ir widespread<br />

dependency <strong>on</strong> denatured foodstuffs, <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

alcohol which were obtained for trading<br />

services, or by barter <str<strong>on</strong>g>and</str<strong>on</strong>g> a corresp<strong>on</strong>ding<br />

ab<str<strong>on</strong>g>and</str<strong>on</strong>g><strong>on</strong>ment <strong>of</strong> living <strong>of</strong>f <strong>the</strong> l<str<strong>on</strong>g>and</str<strong>on</strong>g>. This greatly<br />

c<strong>on</strong>tributed to <strong>the</strong>ir experiencing <strong>the</strong> same range<br />

<strong>of</strong> devastating infectious, degenerative, <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

social diseases as <str<strong>on</strong>g>historical</str<strong>on</strong>g>ly occurred am<strong>on</strong>g<br />

<strong>the</strong>ir First Nati<strong>on</strong> cousins, <str<strong>on</strong>g>and</str<strong>on</strong>g> later <strong>the</strong> Inuit.<br />

By <strong>the</strong> end <strong>of</strong> <strong>the</strong> nineteenth century, most western Métis could be found living <strong>on</strong> <strong>the</strong> margins <strong>of</strong><br />

both First Nati<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> Euro-Canadian societies. Many lived <strong>on</strong> l<str<strong>on</strong>g>and</str<strong>on</strong>g>s adjacent to First Nati<strong>on</strong><br />

reserves, <str<strong>on</strong>g>and</str<strong>on</strong>g> although most held str<strong>on</strong>g ties <strong>of</strong> kinship with people <strong>on</strong> <strong>the</strong> reserve, <strong>the</strong>y were<br />

denied treaty <str<strong>on</strong>g>and</str<strong>on</strong>g> o<strong>the</strong>r benefits <str<strong>on</strong>g>and</str<strong>on</strong>g> services because <strong>of</strong> <strong>the</strong>ir ambiguous legal status. O<strong>the</strong>rs<br />

lived al<strong>on</strong>g road allowances <strong>on</strong> <strong>the</strong> outskirts <strong>of</strong> Euro-Canadian settlements, <str<strong>on</strong>g>and</str<strong>on</strong>g> were c<strong>on</strong>sidered<br />

squatters <strong>on</strong> provincial l<str<strong>on</strong>g>and</str<strong>on</strong>g>s. The more nor<strong>the</strong>rn Métis settlements like those in <strong>the</strong> south were<br />

impoverished, <str<strong>on</strong>g>and</str<strong>on</strong>g> infectious diseases, particularly tuberculosis <str<strong>on</strong>g>and</str<strong>on</strong>g> syphilis became rampant.<br />

Today, Métis People have nei<strong>the</strong>r treaties, nor a l<str<strong>on</strong>g>and</str<strong>on</strong>g> base within Canada. Most Métis People are<br />

disbursed across <strong>the</strong> country, living in urban, nor<strong>the</strong>rn <str<strong>on</strong>g>and</str<strong>on</strong>g> rural public communities. One<br />

excepti<strong>on</strong> to this is found in nor<strong>the</strong>rn Alberta. In 1932, <strong>the</strong> Government <strong>of</strong> Alberta set aside a<br />

modest l<str<strong>on</strong>g>and</str<strong>on</strong>g> base for <strong>the</strong> Métis <strong>of</strong> <strong>the</strong> regi<strong>on</strong>, now comprising eight communities known<br />

collectively as <strong>the</strong> Métis Settlements <strong>of</strong> Alberta. 46<br />

1.7 HISTORICAL OVERVIEW OF MEDICAL SERVICES TO CANADA’S FIRST PEOPLES<br />

The process <strong>of</strong> dealing with Aboriginal title <str<strong>on</strong>g>and</str<strong>on</strong>g> rights through formal treaty agreements began<br />

shortly after c<strong>on</strong>tact was established between Europeans <str<strong>on</strong>g>and</str<strong>on</strong>g> Aboriginal peoples <strong>of</strong> North<br />

America. These <strong>first</strong> agreements, <strong>the</strong> Peace <str<strong>on</strong>g>and</str<strong>on</strong>g> Friendship treaties, were c<strong>on</strong>cluded during a<br />

period <strong>of</strong> extended warfare between Engl<str<strong>on</strong>g>and</str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> France. They were intended to secure <strong>the</strong><br />

neutrality or assistance <strong>of</strong> <strong>the</strong> Aboriginal nati<strong>on</strong>s in exchange for a commitment not to impede<br />

<strong>the</strong>m in <strong>the</strong>ir traditi<strong>on</strong>al pursuits. Several <strong>of</strong> <strong>the</strong>se treaties were c<strong>on</strong>cluded by <strong>the</strong> British Crown<br />

16

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