On January 18, 1988, five men from Sandy Lake First Nation went on a hunger strike to protest the deterioration of equitable and quality health care for First Nation communities. Negotiations with Health and Welfare Canada led to an agreement between the federal government and Nishnawbe Aski Nation, on behalf of the communities. The hunger strike ended on January 20, 1988. Under the agreement a commitment was made to improve health services, which would be “consistent with, and support, the right of Indian people to determine their own health needs and to control the health delivery system by which their needs are met.”
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