Our racism is a deeply hidden, systemic kind. It is in closely held personal beliefs, but often not put on public display. It is certainly worse in rural areas. It stems from judgement and ignorance.
It varies from province to province. In some places, de facto segregation still exists.
Understand, consecutive generations were taken from their parents to so-called residential schools. These were highly abusive environments, similar to China's re-education camps for Uyghurs. The last residential school closed in the late 1990's.
Children learn how to be parents, from their parents. For better or for worse. Take them away, traumatize them, then repeat for multiple generations and see what happens. It is not good.
I'm 31. When I was in school, we didn't learn about these atrocities. Really old stuff was talked about, like 17th century stuff, but the extent of the much more modern abuses was not part of the curriculum.
So the ignorance of their plight, combined with judgement of their behavior leads to the place where a doctor thinks he is doing society a favour by sterilizing this human being against her will.
Unfortunately, I think we are going to have our own angry-white-people feel-like-something-is-being-taken-away-from-them-and-need-someone-to-blame movement before things can get better.