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Crime & Justice • Indigenous Rights

Joyce Echaquan

Joyce Echaquan was an Atikamekw woman from Manawan, Quebec, whose death in a Joliette hospital in 2020 drew national attention to anti-Indigenous racism in Canadian health care.

By Ethan Anderson| Reviewed by Olivia Bennett, Standards & Fact-Checking Lead| Updated July 26, 2026|2 min read| Fact-checked

Joyce Echaquan was an Atikamekw woman from Manawan, Quebec, whose death in a Joliette hospital in 2020 drew national attention to anti-Indigenous racism in Canadian health care. A coroner later concluded that racism and prejudice contributed to her death, which was officially attributed to pulmonary edema.

Background

Joyce Echaquan was from the Atikamekw community of Manawan, Quebec, and was the mother of seven children. Reports describe her as being 37 years old at the time of her death in 2020.

Hospital death and video

Echaquan died shortly after recording and sharing video from a hospital in Joliette, where staff were heard insulting her and making assumptions about her condition. The incident was widely reported as an example of anti-Indigenous racism in health care.

Coroner’s findings

Quebec coroner Géhane Kamel concluded that the death was preventable and that racism and prejudice contributed to it. The report identified pulmonary edema as the cause of death while criticizing staff assumptions that Echaquan was experiencing drug withdrawal.

Public response and legacy

Her death prompted protests, legal action by her family, and renewed debate about systemic racism in Quebec institutions. It also helped inspire discussions around Joyce’s Principle, a framework for equitable and culturally safe health care for Indigenous peoples.

Key facts

  • Echaquan was a 37-year-old Atikamekw mother of seven from Manawan, Quebec.
  • She died at the Centre hospitalier de Lanaudière in Joliette, Quebec, on September 28, 2020.
  • Before her death, she livestreamed hospital staff making racist and derogatory comments toward her.
  • A Quebec coroner concluded that racism and prejudice contributed to her death and called it a preventable case of racism.
  • Her death helped spur broader public discussion of systemic racism in Quebec and Canada’s health-care system.
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Canadian context

Echaquan’s death became a major Canadian public issue, especially in Quebec, and intensified discussion about anti-Indigenous racism, health-care access, and institutional reform.

Frequently asked questions

Who was Joyce Echaquan?
Joyce Echaquan was an Atikamekw woman from Manawan, Quebec, whose 2020 death in a hospital in Joliette sparked national debate about racism in health care.
When did Joyce Echaquan die?
She died on September 28, 2020.
What was her cause of death?
The coroner said the official cause of death was pulmonary edema, or fluid in the lungs.
Why is Joyce Echaquan widely known?
She is widely known because she livestreamed racist treatment by hospital staff shortly before her death, making her case a focus of public concern about systemic racism.
Did a coroner find racism involved?
Yes. The Quebec coroner concluded that racism and prejudice contributed to her death and described it as a preventable case of racism.
What is Joyce’s Principle?
Joyce’s Principle is an Indigenous-led framework developed after her death to promote equitable and culturally safe access to health and social services for Indigenous peoples.

References

  1. BBC Newshttps://www.bbc.com/news/world-us-canada-58819203
    Supports: Coroner finding that racism played a role; cause of death; mother of seven
  2. CBC Newshttps://www.cbc.ca/news/canada/montreal/joyce-echaquan-systemic-racism-quebec-government-1.6196038
    Supports: Coroner conclusion; systemic racism; hospital details
  3. CBC Newshttps://www.cbc.ca/news/canada/montreal/2-7-million-suit-against-lanaudi%C3%A8re-health-authority-joyce-echaquan-1.6600656
    Supports: Date, age, community, hospital, family lawsuit
  4. CBC Newshttps://www.cbc.ca/news/canada/montreal/family-of-joyce-echaquan-announce-legal-action-1.5747675
    Supports: Background, hospital death, legal action, livestreamed abuse
  5. CBC Newshttps://www.cbc.ca/news/canada/montreal/echaquan-five-years-later-principle-systemic-racism-1.7645758
    Supports: Joyce's Principle and legacy
  6. EBSCO Research Startershttps://www.ebsco.com/research-starters/health-and-medicine/death-joyce-echaquan
    Supports: Public impact, systemic racism, Joyce's Principle