Income, education, job security, food and housing, and gender and race are all examples of the social determinants of health. These factors influence the health and well-being of patients, as well as how they interact with health care providers and receive health care, and unfortunately, certain biases can become a barrier to maintaining good health in some communities. Indigenous groups in North America and US-associated Pacific jurisdictions have been subjected to occupation and forced relocation, mandated boarding schools, and other attempts by state and federal governments to eliminate their cultural strengths and resources.