Book of Hope

Healthcare and Survival in the North

by Agnes R. Pascal  

Firsthand narratives from Northern and Indigenous cancer survivors and caregivers offer compassionate advice and insightful analysis about healthcare in rural northern communities.

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PDF available April 22

EPUB available April 22

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  • Forthcoming April 2025
  • ISBN: 9781773637365
  • 192 pages
  • $29.00
  • For sale worldwide
  • PDF Forthcoming April 2025
  • ISBN: 9781773637891
  • $28.99
  • For sale worldwide
  • EPUB Forthcoming April 2025
  • ISBN: 9781773637778
  • $28.99
  • For sale worldwide

About the book

A cancer diagnosis can be life changing for anyone, bringing new physical and emotional realities, changed relationships, and often frustration when dealing with healthcare systems. But living north of sixty means dealing with a higher level of healthcare inequity. Agnes Pascal compiles firsthand narratives from Northern and Indigenous cancer survivors and caregivers that illuminate the unique challenges of health-care accessibility in the North.

In this rare volume, more than thirty voices offer compassionate advice and insightful analysis born from experience. With courage and dignity, they discuss fear, grief, and death; the logistics of medical travel for treatment; Indigenous and Western medicine; structural determinants of health, including industrial pollution and environmental racism; and the impacts of residential schools and “Indian hospitals” on northern communities. In these pages people share that hope comes from building healing communities.

This book is for people with cancer and their caregivers; health policy makers and advocates; scholars and practitioners of healthcare, Indigenous governance, or environmental racism; and anyone interested grassroots, community-based peer support. 

Health & Illness Indigenous Resistance & Decolonization

What people are saying

Richard Van Camp, author of Gather: Richard Van Camp on the Joy of Storytelling

“This book is a chorus of bravery, one every health practitioner should read so they can understand that as devastating as a cancer diagnosis is to the patient, it also affects the patient’s family, extended family and community. Thankfully, there is hope once diagnosed and the stories from these survivors is a testimony to the power of compassion, technology, teamwork, follow up and after care. I am in awe of the humility, courage, insight and gratitude in every story here. Mahsi cho.”

Stephanie Irlbacher-Fox, scientific director at Hotıì ts’eeda

“Prioritizing the voices of northern and Indigenous cancer patients, especially those from small communities, is critical for ensuring positive change within the Northwest Territories healthcare system. The inner strength of patients and the insights they share, are a gift to us all. ”

Sabet Biscaye, director of Gender Equity Division at Government of the Northwest Territories

“Being diagnosed with cancer can be a frightening experience but it can also be a journey of hope. This book does a wonderful job of encouraging those dealing with cancer and their families not to give up.”

Laurie Sarkadi, author of Voice in the Wild

“At times both a love letter to and indictment of a healthcare system that requires cancer patients to fly vast distances, often alone, for medical care, Book of Hope offers intimate and rare insights into life in the North, from northerners. These are powerful and astonishing stories about the ways traditional Indigenous medicine, dreams, faith and modern cancer treatments can impact the human body and spirit. It would be hard for anyone to read this and not be inspired, as I was, by the wisdom in these pages.”

Dr. Crystal Gail Fraser, Gwichyà Gwich’in, from Inuvik and Dachan Choo Gę̀hnjik, Northwest Territories, Associate Professor in History and Native Studies, University of Alberta

“This is a true exposé of the hardships that northerners experience, simply trying to access good healthcare.”

Author

Agnes R. Pascal

Agnes Pascal is Tetlit Gwich’in, originally from Fort McPherson, Northwest Territories. She was custom adopted by her Jijii (grandfather) Ronnie and Jijuu (grandmother) Laura Pascal at birth. Her Jijii died of cancer a year and half later. She lives in Inuvik, where she founded the Inuvik Cancer Support group in 2018 after being diagnosed with breast cancer. She is training to become a counsellor with Rhodes Wellness College. Agnes  sees her upbringing, community, and family as her strengths. She's a mom to three young adults: Ronnie, Laura, and Seanna Pascal. Her children and her faith are her biggest motivations in life.

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