Even though an integral part of the health determinant known as ‘culture’ encompasses the concept of language, several Francophone communities in Canada are still facing difficulties accessing French-language services. This can be due to a variety of reasons. First of all, it is not guaranteed that most (of any) services take the needed measures to ensure that patient is aware of the availability, accessibility, and quality of the French language-service offered. There seems to be a lack of communication and overall awareness at a variety of level, such as within communities, but also throughout organizations (municipal, provincial and even federal) as well as throughout policy and research. This can also be due to the biopsychosocial components of the patients’ lives - ethical health care, including the active offer and right of being cared for in the language of your choice, is built around relationships with the community and most of all with the professionals responsible for the patients’ health and overall wellbeing. Lastly, it is crucial to consider the variety of determinants of health that may be different for certain Francophone communities (from others) do to culture, gender, age, income, and others. Health professionals and researchers should consider and recognize the patterns and differences within the different types of Francophone communities and what type of access to services and French-speaking services to push for and to make available in given communities.