Healthcare
Healthcare delivery is a provincial responsibility. Ontario decides how many hospital beds, how many nurses, and how care is delivered. The federal government provides funding through transfers.
Federal
- Canada Health Transfer (CHT) funding
- Drug approval through Health Canada
- Indigenous health services
- Veterans healthcare
- Quarantine and border health
- Setting national healthcare standards
Examples:
- • Approved COVID vaccines
- • Sets conditions on transfer payments
- • Runs First Nations health programs
Provincial
Primary- Hospital funding and operations
- OHIP coverage decisions
- Physician and nurse compensation
- Long-term care regulation and oversight
- Nursing staffing levels and ratios
- Mental health and addiction services
- Home care programs
Examples:
- • Decides ER funding levels
- • Sets nurse-to-patient ratios
- • Regulates and inspects LTC homes
- • Passed Bill 124 capping wages
Municipal
- Public health units (shared provincial funding)
- Ambulance services (some regions)
- Local health promotion programs
Examples:
- • Toronto Public Health
- • Local vaccination clinics
It's Complicated
Healthcare funding comes from Ottawa via the Canada Health Transfer, but the province has full control over how that money is spent. When Ford blames federal funding levels, he's ignoring that Ontario has left billions in health transfers unspent while cutting nursing positions and capping wages with Bill 124.
Common Misconceptions
- ✗The federal government runs hospitals (they don't)
- ✗Ottawa sets nurse wages (the province does)
- ✗Trudeau can fix ER wait times (only Ford can)
Related Ford Files Cases
Shoppers Drug Mart billed Ontario $81 million for medication reviews over two years—more than the previous six years combined—while pharmacists reported corporate pressure to conduct unnecessary reviews and meet targets.
Clearpoint Health Revolving Door ScandalFormer Health Minister Christine Elliott became a lobbyist for Clearpoint Health Network—whose Don Mills clinic received a 278% funding increase during her tenure—and now lobbies for more funding while the chain gets paid double what public hospitals receive for identical surgeries.
Hospital Funding Below InflationHospital funding increases failed to keep pace with inflation, producing real-dollar cuts. Two 2026 CCPA reports document the consequences: a $3 billion FAO-documented funding shortfall, a 67% rise in 90th-percentile ER assessment waits, a 52% rise in admission waits, and 55% of hospitals in deficit with 70% projected for 2025/26.
Private Healthcare Clinic ExpansionThe government dramatically expanded funding for private surgical clinics while public hospital operating rooms sit empty due to staffing shortages.
Home Care Privatization ExpansionSystematic expansion of for-profit home care delivery while public and non-profit providers face funding challenges, shifting public healthcare dollars to private shareholders.
+6 more cases