Thread 03 · Racialized but Human · September 25, 2026

Joyce Echaquan, and what her name asks of us

From Joyce Echaquan to myths about pain: understanding why being believed is already a health issue.

1 · The scene

Three in the morning, an emergency room. A woman clutches her stomach and waits. She has already explained twice. She wonders whether she has to scream to be believed, or above all not scream.

At the end of the hall, a nurse stops, sits down at her level and says: "Tell me." That is where care begins.

Original vignette

2 · The documented case

Joyce Echaquan, and what her name asks of us

On September 28, 2020, Joyce Echaquan, an Atikamekw woman from Manawan, died at the Joliette hospital after livestreaming insults from staff members. In her report of October 1, 2021, coroner Géhane Kamel concluded that the racism and prejudice she endured "certainly contributed to her death."

On November 16, 2020, the Council of the Atikamekw of Manawan and the Atikamekw Nation Council tabled Joyce's Principle: guaranteeing all Indigenous people equitable access, without discrimination, to social and health services. As of September 2026, the Government of Quebec has still not adopted it.

This is not an isolated case. In British Columbia, the In Plain Sight report (2020) found that 84% of Indigenous respondents said they had experienced discrimination in health care. In the United States, a study published in PNAS in 2016 showed that half of 222 white medical students and residents believed at least one myth about biological differences between Black and white people. Those students rated a Black patient's pain lower.

History weighs too: from 1932 to 1972, the Tuskegee study followed 600 Black men, 399 of them with syphilis, without offering them real treatment. President Clinton offered an official apology on May 16, 1997. Naming these wounds is the first step toward caring differently.

1 in 2white medical students and residents believed at least one biological myth (PNAS, 2016)
84%of Indigenous respondents experienced discrimination in health care (B.C., 2020)
40 yearslength of the Tuskegee study, 1932 to 1972

3 · The voice

“The racism and prejudice […] certainly contributed to her death.”
Géhane Kamel, coroner, report on the death of Joyce Echaquan, 2021 (our translation)

4 · The question

What if the first question of care were: do I truly believe what this person is telling me about their pain?

Sources

  1. Radio-Canada, report by coroner Géhane Kamel, October 1, 2021 (in French). ici.radio-canada.ca
  2. La Tribune, on Joyce's Principle and the political debate, September 18, 2026 (in French). www.latribune.ca
  3. K. M. Hoffman et al., PNAS, 2016 (PubMed). pubmed.ncbi.nlm.nih.gov
  4. CBC, In Plain Sight report, November 30, 2020. www.cbc.ca
  5. CDC, "The U.S. Public Health Service Untreated Syphilis Study at Tuskegee." www.cdc.gov

Every figure on this page links to a verifiable public source.

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