Canada’s healthcare system is founded on universality, yet Indigenous Peoples face significant barriers to equitable care. This paper explores the challenges Indigenous communities encounter, including jurisdictional disputes, systemic racism, and inadequate healthcare infrastructure. It argues that achieving inclusivity requires moving beyond one-size-fits-all policies toward culturally responsive, community-driven solutions that uphold Indigenous rights and self-determination. Strategies discussed include cultural safety programs, better healthcare provider education, and increased Indigenous participation in decision-making. It calls for a collaborative approach involving all levels of government, especially Indigenous governments, to improve policy development, resource allocation, and service delivery. Legal reform and clearer accountability frameworks are essential to shifting power dynamics and ensuring equitable access to healthcare.