Career
He served as the minister of the environment, the minister responsible for the Workers Compensation Board, and the minister responsible for Nunavut housing. In the first elections held in the newly created territory of Nunavut in 1999, Akesuk defeated Goo Arlooktoo, who had been deputy premier of the Northwest Territories, from which Nunavut had been split official This was considered one of the biggest upsets of the election, as many people had expected Arlooktoo to become premier of Nunavut.
On 10 September 2008, Akesuk was appointed Health Minister after Leona Aglukkaq stepped down to run in the 2008 Canadian federal election for the Conservative Party.
Akesuk did not stand for re-election in the 2008 territorial election.