Books·Canadian

Book of Hope by Agnes R. Pascal

Healthcare inequities in northern Canada.

Healthcare inequities in northern Canada

A cancer diagnosis can be life changing for anyone, bringing new physical and emotional realities, changed relationships, and often frustration when dealing with healthcare systems. But living north of sixty means dealing with a higher level of healthcare inequity. Agnes Pascal compiles firsthand narratives from Northern and Indigenous cancer survivors and caregivers that illuminate the unique challenges of healthcare accessibility in the North.

In this rare volume, more than thirty voices offer compassionate advice and insightful analysis born from experience. With courage and dignity, they discuss fear, grief, and death; the logistics of medical travel for treatment; Indigenous and Western medicine; structural determinants of health, including industrial pollution and environmental racism; and the impacts of residential schools and "Indian hospitals" on northern communities. In these pages people share that hope comes from building healing communities.

This book is for people with cancer and their caregivers; health policy makers and advocates; scholars and practitioners of healthcare, Indigenous governance, or environmental racism; and anyone interested grassroots, community-based peer support.

(From Fernwood Publishing

Book of Hope is available in April 2025. 

Agnes Pascal is Tetlit Gwich'in, originally from Fort McPherson, N.W.T. She was adopted at birth by her grandparents. Now living in Inuvik, N.W.T., Pascal founded the Inuvik Cancer Support group in 2018 after being diagnosed with breast cancer. Currently training to become a counselor at Rhodes Wellness College, Agnes considers her upbringing, community, and family to be her strengths. She is the mother of three young adults — Ronnie, Laura, and Seanna Pascal — and draws her biggest motivation from her children and her faith.