“…To date, this entitlement has been interpreted as access to the full continuum of care (family physicians, specialists, hospital, public health, etc.). In the continental United States, under-resourcing and structural issues (small dispersed populations, diseconomies of scale) have resulted in chronic staff shortages within the Indian Health Service, barriers to accessing quality care, and poorer outcomes for Indigenous peoples (Levinson, 2016 , 1868, 1904a, 1904b, 1924, 1971, 1975, 1992Canada, 1876aCanada, , 1876bCanada, , 1966Canada, , 1974Canada, , 1982bCanada, , 1985Foighel, 1979;Health Canada, 1979;Government of Canada, 1985;Canada and Nunavut Tapariit Kanatami, 1993;Case and Voluck, 2002;Aaen-Larsen, 2004;Koivurova, 2008;Greenland, 2009; United States of American Office of the Legislative Counsel, 2010; Constituteproject.org, 2014;Statistics Canada, 2016a, 2016bStatistics Denmark, 2018;Statistics Greenland, 2018 Guarantees extend only to small-numbered Indigenous peoples with population of less than 50,000 members (Xanthaki, 2004).…”