Implications of shifting health care policy for caregiving in Canada

The health care system in Canada, like other industrialized countries, is undergoing a questioning and a change unlike any it has seen for many decades. This article begins with a brief description of the Canadian health care system, then discusses the shifts taking place in health care policy, the assumptions behind these shifts, and the choices that are being made. The current debate draws on knowledge about seniors and their caregivers. The shifts also have implications for caregiving, and these are examined. It is concluded that the new vision of an appropriate health care system that is emerging provides opportunity for greater recognition of and participation by caregivers. At the same time, however, it holds the danger that the burden of care will be shifted even more to their shoulders. It is not yet clear which direction it is going to take.