Beginning with an overview of the impact of legal doctrines established by the United States and Canada on Native people, and moving on to explore a series of case studies indicative of the effects of domination "by North America's settler-states," the book concludes with a discussion paper offering a scenario for an alternate future.
As its foreword, the book features a poem by Jimmie Durham. The preface is by Winona LaDuke and poems from John Trudell's Living in Reality appear as preludes to each section. Russell Means' 1982 platform for president of the Oglala people is included as an appendix. Maps of Indian land claims/treaty areas are included. The book is dedicated "for my mother."
Churchill also discusses the Native North American diaspora caused by their displacement.
"Not only the people of the land are being destroyed, but, more and more, the land itself. The nature of native resistance to the continued onslaught of the invading industrial culture is shaped accordingly. It is a resistance forged in the crucible of a struggle for survival." —from the introduction