Primary care with indigenous communities, just as with any other community, needs compassionate perseverance in individual cases but also touches on a communitarian value- system that can truly give insights into the community’s self-determined idea of health and wellbeing. It would also need a compassionate exploration of a community’s history and positioning of an individual-household contextual situation in the present-day political economy that values the individual over a more eco-centric idea of community. This commentary explores the contextual ideas and possibilities to take into account before a compassionate and technically sound primary care intervention within a continuum of care.