Decolonization: CPSBC retires the crowned lion

Her Majesty Queen Elizabeth II died on 8 September 2022, the same day the College of Physicians and Surgeons of BC (CPSBC) surveyed the province’s doctors on a proposed new logo. The decision to retire the colonial crest coincides with the closing of the Second Elizabethan Age. In 2021, the registrar explained: “Since its adoption in 1886, the College crest has been the official stamp used on all our communication and documentation. The College crest is a distinctively colonial symbol with a lion wearing a crown on its head while sitting on top of another crown, reflecting the royal coat of arms of the British monarchy and all of its rights. This year we will be undertaking a significant rebranding process, which includes replacing the crest with a new identifier that reflects our current-day values of inclusivity and accessibility to all British Columbians.”

The coincidence of these two events marks an opportunity to examine medicine’s colonial roots in BC. In March 1778, Royal Navy captain James Cook was greeted by the Nuu-chah-nulth people in the place currently known as Nootka Sound, setting the stage for British colonization of present-day BC. In little under a century, the enormous land mass now known as BC was claimed for the Crown, with small reserve tracts set aside for the Indigenous population, whose numbers declined rapidly in the face of colonization.

In recent years, the CPSBC has recognized the need to improve its relationship with the Indigenous population and the care provided by the province’s doctors, retaining Stormy Lake Consulting to assist in the rebranding process. Stormy Lake distributed a questionnaire to physicians requesting feedback on the proposed new CPSBC logo. As its website states: “We live in a world of eroding trust. Brands are letting us down, facts are not constant, and social justice is having a moment. . . . As a result, trust has become the new currency. Marketing needs to work through the channels of trust: experiences, community, individual advocates, and reliable products.”

Can the CPSBC adopt new values, ensuring that physicians practise in a manner that is accessible, inclusive, and trust enhancing for Indigenous patients? Is substantive change possible in a body with a statutorily defined mandate to regulate a conservative profession firmly anchored in Western tradition?

The CPSBC is a direct descendant of the Royal College of Physicians of London, established by King Henry VIII in 1514. Medicine as practised by BC’s physicians today conforms to the Western medical model; academic physicians constantly refine the classification and treatment of illness based on data obtained via scientific study. Disease-focused Western medicine could hardly be more disparate, in both philosophy and practice, from the traditional techniques employed by Indigenous healers prior to colonization. And perhaps not surprisingly, it has been unable to ensure that the health of the Indigenous population rises to that of other groups.

What of the proposed new logo? The CPSBC survey questions whether it may be problematic or offensive. Could anyone genuinely take offense at such an innocent array of blue rectangles and half-circles? Perhaps they should have asked whether the logo truly signifies a break with colonial tradition. For while the regal lion and crowns are gone, the proposed logo consists of geometric figures not found in precolonial BC. They trace back to Euclidean geometry, a classical Greek discipline foundational to mathematics, relentless Western scientific progress, and ultimately colonization.

In fact, Western thinking is so ingrained that, in practice, it constitutes our only philosophical and political frame of reference for resolving issues of social justice. The notion that past harms against Indigenous people should be atoned for reflects an intrinsically Western, Judeo-Christian world view. Such harms are now being acknowledged and rectified through Western means: following years of litigation, the Supreme Court of Canada recognized Aboriginal land title in the landmark 1997 decision Delgamuukw v. British Columbia.

Change at the CPSBC is managed as it is in other Western institutions. Consensus has emerged that the medical profession and its regulator have failed Indigenous patients and that this wrong must be righted and the brand revised. With the problem identified, the issue has been outsourced to recognized experts in the field. In its own words, Stormy Lake Consulting is “a world-class strategy firm that uses research, facilitation, consultation, deep analysis, and insightful synthesis to bring sense-making strategic solutions to clients. In short, we turn ‘complex’ into ‘clear, compelling and useful.’”

The CPSBC will certainly rebrand, but can it truly “decolonize”—that is, discard the Western colonial mindset that governs its every action? Readers are invited to review a final quote form the Stormy Lake website to reach their own conclusion: “Strategy needs to identify . . . rational milestones and emotional states, matching the product to the moment, identifying the tools and information stakeholders use at each stage, and constantly updating itself as more information about the customer’s journey is learned.”
—David J. Esler, MD


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David J. Esler, MD, CCFP(EM). Decolonization: CPSBC retires the crowned lion. BCMJ, Vol. 64, No. 10, December, 2022, Page(s) 421 - Editorials.

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VJGimes says: reply

Ouch, why settle on Stormy Lake Condulting, area vide 403, Calgary, to draw something? Stormy Lake’s input can best be to seek subcontractors to bid, submit graphics, consideration to try to find a reference to whose traditional unceded lands we live, work, and play on. Handing it to a firm without reference to the issue, to address the issue seems, what is the word, insincere?

CHRISTINE ANNE ... says: reply

Dear Dr Esler

I need to comment on "Decolonization: CPSBC retires the crowned lion", Issue: BCMJ, vol. 64, No. 10, December 2022, Page 421 Editorials. While it is months since the editorial, the CPSBC has recently informed us of the new logo and related information.

The sentence: "The CPSBC is a direct descendant of the Royal College of Physicians of London, established by King Henry VIII in 1514." needs a caveat. I refer you to the "Crowned Lion" above which is "COLLEGE OF PHYSICIANS & SURGEONS INCORPORATED 1886".

From 1887 to 1921 "British Columbia medical men" were unable to practice in the British Empire, except in the British army and navy from 1912. This was due to a disconnect between the British North America Act and The Medical Act, 1886 [Imperial] which allowed reciprocity between the mother country and the federal government of self-governing colonies of the British Empire. It was not possible to bring the Medical Act, 1886 into force in Canada. In 1921 this was finally corrected by a "Henry VIII clause" re s. 48 Medical Act 1858 by two Lords of the Privy Council re "Physicians & Surgeons".

The College of Physicians & Surgeons of British Columbia (Medical Council of British Columbia) members of the College of Physicians and Surgeons of British Columbia still hold a direct (yet imperfect) registration form the Medical Act 1858 and the Charter of Henry VIII of 1518.

Of note, medical corporate entities established under the Medical Practitioners Act prior to June 1, 2009 were established under the College of Physicians & Surgeons of British Columbia and given a name and a "Tax Receipt" before that name was registered as a medical corporate entity with an incorporation number. This exposes all of those medical corporate entities created under the Medical Practitioners Act to fraud which is difficult to prove in a BC Court because the incorporation number is not used in BC Court applications.

I urge all BC medical practitioners who incorporated under the Medical Practitioners Act to obtain a MINC# if they do not have one or to request an official recognition of their MINC# as per the new CPSBC logo with the new values it is held to represent.

Christine Anne Whittington

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