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

Healthc Pap. 2021 Sep;20(1):20-25. doi: 10.12927/hcpap.2021.26644.


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.

MeSH terms

  • COVID-19*
  • Canada
  • Humans
  • Long-Term Care*
  • Pandemics
  • SARS-CoV-2