Often underappreciated is the impact on mental health and wellbeing that the climate emergency can have for Indigenous communities. This lack of response is not unique to Northern Canada. Communities are facing the layered mental health impacts of increasingly having to stay indoors after the long winter, disrupting cultural practices. These health system changes require mobilisation of funding that is not currently available, deep courage from healthcare leadership, and the true and real embodiment of the urgency we face to create change. We urgently need healthcare system transformation within Canada and abroad.