Aboriginal health care is provided in the United States by the Indian Health Service, an agency of the federal Department of Health and Human Services. IHS serves American Indians and Alaska Natives. Health care for Alaska Natives had been considered a national model for public health care. Very poor current management of IHS has raised flags about a possible decline in the quality of IHS care in the lower 48 and Alaska. IHS has lost the ability to connect promised health care to actual results, accompanied by a budget.
   Health care for indigenous Canadians is complicated and inconsistent across Canada. Health Canada provides health care for First Nations, Metis, and Inuit, with some exceptions. The Canadian government is having difficulty pulling all the parts together into a consistent health care program with a budget that connects health care delivery to the quality of care promised. Nunavut, the Inuit homeland, has its own health care system. Another exception is British Columbia, which recently became the first Province to recognize and form government-to-government relationships with their First Nations tribes. The BC First Nations Health Authority provides a full spectrum of health services.

The Decline of the Indian Health Service Programs for Alaska and the Lower 48 States

The Poor Heath Care in 49 First Nation communities of the Nishnawbe Aski Nation of Northern Ontario, Canada.

The Improving Health Care Planning and Outcomes of First Nations communities in British Columbia.