Going once, going twice... Health care giants bid for home care Cashing in on need Ontario: Primed for costly privatization The cost of competition Staffing problems Out of pocket expenses on rise Funding and access cutbacks Home care is about women The need for federal action For-profit home care provision: expanding the market Olsten’s shoddy track record What is your province doing? Corporate classrooms costly...What is your province doing?
How much home care in your province is in the hands of profit makers? What’s been kept public?
This chart rates the provinces in terms of professional services (provided by RNs, occupational therapists, physiotherapists, social workers and case managers) and non-professional services (provided by homemakers, personal care workers, home support aides and meal program workers).
Self-managed care refers to individuals being funded directly by government to manage and pay for their own home care requirements.
The legal implications for self-managed care are alarming. For that reason, CUPE and other unions in Newfoundland and Labrador have challenged this system in the courts. Important questions arise. Who is the employer? Are the support workers individual contractors?
If workers are denied the right to unionize under self-managed care (or individualized funding) they will be destined to work for low wages, few if any benefits and extremely poor working conditions.
Province |
Public delivery |
Contracted out |
Self-managed care |
Newfoundland and laborador |
Case management (intake, assessment, approval of services) |
Home Support Services |
Yes |
Nova Scotia |
Case management |
75 per cent of nursing services and all home support services (to non-profits) |
No |
Prince Edward Island |
Professional and non-professional services |
Therapy services (physio, speech, dieticians) |
No |
New Brunswick |
All professional services |
Home support services and meals on wheels |
Yes, in some cases (adult foster care, alternative family living) |
Quebec |
All professional services and home support to high risk clients |
Home support services for the disabled; house cleaning for the elderly |
Yes, in some cases for the disabled, home support or respite care |
Ontario |
In 2000 only assessment, re-assessment and discharge will be publicly delivered |
All professional, homemaking and support services are to be contracted in the year 2000 |
Yes, for attendant care for adults with disabilities |
Manitoba |
Professional and non-professional services |
Therapy services |
Yes, for non- professional services only |
Saskatchewan |
Professionals doing assessment, re-assessment and discharge planning, a majority of professional and non-professional in-home services |
District Health Boards have the authority to contract services but very few have done so |
Yes, for disabled in some health districts |
Alberta |
Professionals doing assessment, re-assessment and discharge planning |
Home support services; some direct nursing care |
Yes, for home support services |
British Columbia |
All professional services |
Home support services |
Yes, for disabled independent living program |
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