" ... The language gap, and the condescension of health workers from away, have consistently been identified as an impediment to care in Nunavut and other Indigenous communities..."

I wished it were as simple as that .... 
A member of my extended family worked at a northern comunity nursing station for several years - and it was not pretty. Of course TB was imported and the natives had no resistance. Language is also a barrier, as are culturally embedded belief systems and attitudes. Condescension ? Perhaps - but more likely a case ot total frustration at the lack of progress and integration. In this particular case the location was so remote that there was simply no timely access short of an air lift - and resistance to obtain help. Yet the same air lift was quite effective at importing booze, tobacco ....

The deeper root cause is the maintnance of remot inaccessible communities and the cultural disconnect they nourish. Who is at fault ? Doesn't really matter - change the future !!