Levelling the playing field? Exploring the implications of managed competition for voluntary sector providers of long-term care in small town Ontario

摘要: This paper considers how long-term care restructuring, under the rubric of managed competition, has increased pressure on voluntary sector providers to elderly populations in small, rural places. Drawing in-depth interviews with key-informants from non-profit organizations, we present a case study set Ontario develop situated understanding impact restructuring care. We contend that competition (underway since 1995) constrained providers, eroded service choices, and reduced access areas leaving more disadvantaged than ever before when it comes public provisioning.