Wilp Wa'ums: colonial encounter, decolonization and medical care among the Nisga'a.

The Nisga'a Nation of Northwestern British Columbia have been pioneers in the area of obtaining administrative control over health services. This would seem to mark the end of medical colonialism for this First Nation. But the author argues that health program devolution, in this case, was part of a longer tradition of incorporating aspects of non-Native medicine in a way that supported Nisga'a social structure. Nevertheless, the author argues that health program devolution is part of the process of decolonization since it has supported the traditional social structure, enhanced community self-esteem and provided an opportunity for the locus of control to shift from the medical profession and the federal government to Nisga'a people. This paper sets the development of Nisga'a-centered health care in a historical context that sees the Nisga'a exerting a resistive will in the context of medical colonialism in twentieth century British Columbia.