HEALTH CARE AND CULTURAL CHANGE: THE INDIAN EXPERIENCE IN THE CENTRAL SUBARCTIC T. Kue Young Toronto, University of Toronto Press, 1989. 177pp, paper, ISBN 0-8020-5784-5 (cloth) $27.50, 0-8020-6697-6 (paper) $14.95. CIP Grades 11 and up/Ages 16 and up Reviewed by Ruth Bainbridge. Volume 17 Number 4 1989 July This book is well organized and logically laid out, beginning with an introduction that provides an overview of the rest of the book. The author then proceeds to describe the physical environment, the history and the socioeconomic conditions of the native people in this geographic region. Maps and graphs are incorporated throughout the text. Using an historical perspective, the author discusses how the environment, both physical and human, has affected the health status, beginning with the pre-European period. Government involvement is, of course, an important part and he outlines the progression from the services promised in the "medicine chest" clause of Treaty 6 signed in 1876 to the present multi-million-dollar health-care system now in place. According to his data, health services currently available in the remote communities of the Canadian subarctic are superior to those available to most Canadians. Why then does this same area rate poorly in health status? Young answers this in the last chapter and outlines what he feels should be done to improve existing services so that the goal of WHO "health for all by the year 2000" can be met. An index, an extensive list of references and a chapter-by-chapter notation guideline are included. The author has made use of the data gathered by many other researchers and refers briefly to their findings but I was often left with the desire to know more about the many aspects touched upon and wish that this book contained a more in-depth presentation. It is a very readable overview of the health status and services of the native population of the central subarctic of Canada and would serve as a useful guide to anyone interested or involved in the health-care system as well as anyone interested in native studies. Ruth Bainbridge. Humber College, Toronto, Ont.