2020 - In Plain Sight Report

In Plain Sight: Addressing Indigenous-specific Racism and Discrimination in B.C. Health Care (PDF) is a report that makes 24 recommendations to address widespread, systemic Indigenous-specific racism in the healthcare system. The investigation and recommendations were informed by close to 9000 patients, family members, third-party witnesses and healthcare workers whose input was gathered between July 9 and August 27, 2020.

The 24 recommendations are actions in relation to Systems, Behaviours and Beliefs; many of them speak to changes required by health professions regulatory colleges (e.g. in policies and standards), changes needed to the regulatory complaints process, and the role of regulatory colleges in ensuring their registrants practice culturally safe and humble care.

Some have raised concerns about the reliance on the In Plain Sight Report, the final report of the Addressing Racism inquiry, given the questions about one of its key authors, Dr. Mary Ellen Turpel-Lafond. The In Plain Sight team was comprised of a number of recognized Indigenous advisors and leaders. While Dr. Turpel-Lafond was the chair of the investigation, the investigation as a whole is larger than her.

The report and its recommendations are a summation of thousands of Indigenous people’s experiences, stories and facts highlighting their experiences within the BC healthcare system. The report’s information, data, facts and recommendations are not contestable. Indigenous-specific racism is prevalent throughout BC’s healthcare system, and it originates in the province’s settler colonialism history.

We need to continue to recognize and honour the contributions of these individuals to the report and to use their shared knowledge and guidance to improve the healthcare system. The work stands on its own merit, and we value the evidence it has provided as we meet our obligations and commitments as a regulator to minimize the harm caused to Indigenous people by systemic racism within the BC healthcare system. (Adapted with permission from BC College of Nurses and Midwives.)