Forget, EvelynLavoie, Josée G.2019-09-252019-09-252009-01-14200817057841http://hdl.handle.net/20.500.12424/172120This study reports on a financial analysis of current and prospective First Nations health expenditures, and documents areas of cost shifting from the federal government onto provincial health budgets. The loss of status related to Bill C-31 (which regulates Indian status) and exogamous parenting mean larger numbers of children not eligible for Indian status and its associated funding. In this context, the cost shifting not only affects provincial budgets, but also First Nations organizations and individuals. The study highlights the need to invest in primary health care in order to address the projected rising costs and meet Manitoba First Nations’ needs. The study also underlines the need for cross-jurisdictional cooperation. Keywords: primary health care, Aboriginal, policy, expenditures, equityengWith permission of the license/copyright holderhealth carehealth ethicsBioethicsHealth ethicsArticle