Featured Current Issue Past Issues Special Issues Masthead For Authors HealthcarePapers 22(3) January 2025 : 40-45.doi:10.12927/hcpap.2025.27532 Commentary Constance MacIntosh The Canada Health Act (CHA) (1985) has fostered gaps in Indigenous healthcare services, through its ambiguous inclusion of Indigenous communities without acknowledging their unique needs and failing to engage the fact that provincial/territorial, federal and Indigenous governments all act as primary care providers.