HealthcarePapers 20(1) September 2021 : 20-25.doi:10.12927/hcpap.2021.26644

Federalism and Long-Term Care in Canada: A New Approach

Carolyn Hughes Tuohy


The experience of the COVID-19 pandemic has fuelled demands for national threshold standards of quality for long-term care in Canada. The federal government, however, lacks jurisdiction for and experience with the provision of long-term care, which rests constitutionally with the provinces. A creative approach to providing new funding and effective regulatory standard setting would seize the potential of an area of jurisdiction shared by federal and provincial governments – old age security – to establish a long-term care insurance program administered by the federal government and jointly governed by federal and provincial governments.



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