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. Author manuscript; available in PMC: 2016 Oct 22.
Published in final edited form as: Stud Polit Econ. 2015 Mar 1;95(1):29–58. doi: 10.1080/19187033.2015.11674945

Table 6.

Summary of Key Historical Junctures in the Development of LTC in Ontario

Time Periods and Political/Economic Trends Provincial Trend Key Regulations Ontario Political Party in Power
1940s – 1965 Shift to Keynesianism

  • Proliferation of FPI

 None Progressive Conservative (1943 – 1985)
1966–1990 From Keynesianism to neo-liberalism

  • Introduction of provincial regulation

  • Expansion of public funding

 Ontario Nursing Homes Act (1966)
Federal Medical Care Act (1966)
Ontario Extended Care Funding (1972)
Canada Health Act (1984)
Canada – US Free Trade Agreement (1989)		 Progressive Conservative (until 1985)
Liberal (1985 – 1990)
1990–2006 Neo- liberalism

  • Centralization in Ministry of Health and Long-term Care

  • Funding parity between non-profits/public/for-profits

  • Introduction of case mix index system to fund on basis of medical complexity

 The Long-Term Care Act (1973)
Long Term Care Statute Law Amendment Act – (Bill 101) (1993)
North American Free Trade Agreement (1994)		 New Democratic Party (1990 – 1995)
Progressive Conservatives (1995 – 2003)
Liberals (2003 – present)
2007 – present
Neo- liberalism

  • Austerity

  • Regulatory Rigidity

  • Consolidation

 Ontario Long-term Care Act, 2007 (passed in 2010) Liberals (2003 – present)