Between the decriminalization of contraception in 1969 and the introduction of the Charter of Rights and Freedoms in 1982, a landmark decade in the struggle for women's rights, public discourse about birth control and family planning was transformed. At the same time, a transnational conversation about the "population bomb" that threatened global famine caused by overpopulation embraced birth control technologies for a different set of reasons, revisiting controversial ideas about eugenics, heredity, and degeneration. In Challenging Choices Erika Dyck and Maureen Lux argue that reproductive politics in 1970s Canada were shaped by competing ideologies on global population control, poverty, personal autonomy, race, and gender. For some Canadians the 1970s did not bring about an era of reproductive liberty but instead reinforced traditional power dynamics and paternalistic structures of authority. Dyck and Lux present case studies of four groups of Canadians who were routinely excluded from progressive, reformist discourse: Indigenous women and their communities, those with intellectual and physical disabilities, teenage girls, and men. In different ways, each faced new levels of government regulation, scrutiny, or state intervention as they negotiated their reproductive health, rights, and responsibilities in the so-called era of sexual liberation. While acknowledging the reproductive rights gains that were made in the 1970s, the authors argue that the legal changes affected Canadians differently depending on age, social position, gender, health status, and cultural background. Illustrating the many ways to plan a modern family, these case studies reveal how the relative merits of life and choice were pitted against each other to create a new moral landscape for evaluating classic questions about population control.

In this seminal work, Maureen Lux takes issue with the 'biological invasion' theory of the impact of disease on Plains Aboriginal people. She challenges the view that Aboriginal medicine was helpless to deal with the diseases brought by European newcomers and that Aboriginal people therefore surrendered their spirituality to Christianity. Biological invasion, Lux argues, was accompanied by military, cultural, and economic invasions, which, combined with the loss of the bison herds and forced settlement on reserves, led to population decline. The diseases killing the Plains people were not contagious epidemics but the grinding diseases of poverty, malnutrition, and overcrowding.

"Medicine That Walks" provides a grim social history of medicine over the turn of the century. It traces the relationship between the ill and the well, from the 1880s when Aboriginal people were perceived as a vanishing race doomed to extinction, to the 1940s when they came to be seen as a disease menace to the Canadian public. Drawing on archival material, ethnography, archaeology, epidemiology, ethnobotany, and oral histories, Lux describes how bureaucrats, missionaries, and particularly physicians explained the high death rates and continued ill health of the Plains people in the quasi-scientific language of racial evolution that inferred the survival of the fittest. The Plains people's poverty and ill health were seen as both an inevitable stage in the struggle for 'civilization' and as further evidence that assimilation was the only path to good health.

The people lived and coped with a cruel set of circumstances, but they survived, in large part because they consistently demanded a role in their own health and recovery. Painstakingly researched and convincingly argued, this work will change our understanding of a significant era in western Canadian history.

Winner of the 2001 Clio Award, Prairies Region, presented by the Canadian Historical Association, and the 2002 Jason A. Hannah Medal