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Long term care is highly regulated in Canada.  It is a Provincial reponsibility and falls under each province's regulatory framework.

This explains why we have different terminology in each province and different acts that govern the licensing, regulation, care standards, staffing requirements, building design standards and costs.

 

Another aspect of regulation and government funding is that it results in restricted levels of supply.  That has the effect of significantly increased wait lists, particularly now with many governments struggling with their budgets.


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