Twenty-four people are gathered in a circle around the room’s central buffalo hide, representing Indigenous nations and organizations from across the country. Some regions have specialized service agencies run by Indigenous directors that serve Indigenous children. In areas in which an Indigenous agency exists, mainstream agencies are obligated to transfer any Indigenous children who come to their attention. Intergenerational trauma and systemic inequities lead to comparatively poor health outcomes for Indigenous children, meaning that special—and often more costly—support is required. Today, more Indigenous children are separated from their families by the state than at the height of the residential school period.