Over the last 20 years, essential changes have occurred in the policies guiding and structuring the delivery of healthcare to Canada’s First Nations, Inuit and Métis people; the changes over the last 10 years have been particularly dramatic. This course provides historical context for the status of present-day Aboriginal health services in the federal and provincial government. It describes how key decision-makers have come to recognize that First Nations, Inuit and Métis people must be intimately involved in making healthcare services more culturally appropriate, and highlights the importance of allowing First Nations, Inuit and Métis people to develop, plan, manage and control their own health services.