ABSTRACT
Canada consists of a federal system, with a unique separation of powers. For example, the federal government's role in health has been traditionally to fund and support the provincial and territorial health services, among other things. However, there is also centralization of particular policies, such as during public health crises, consisting of collaboration with provincial governments, whereas the federal government maintains control over things such as travel, entry and exit, and border control. From the perspective of the separation of powers, there is a clear tendency for provincial governments to be enumerated authority in many areas in health and social policy, together with local authority, although for the most part, it is greatly restricted. For example, Toronto Public Health often follows the mandates of the province of Ontario. Decisions of local restrictions, such as the closure of retail spaces, cinemas/movie theaters, malls, and other facilities, as well as the push against mass gatherings in local parks during the coronavirus (COVID-19) pandemic were, at times, advocated by the local governments and municipalities to the provincial government, in which the former claimed some power and authority. At another point in time, the province of Ontario had expressed that the police would have powers to ask motorists questions about where they were going;however, the Toronto Police Services refused to follow this mandate as it could lead to bias and adverse racial tensions or experiences. It led to the provincial government to formally issue an apology. Meanwhile, many different approaches to public health that were implemented by the federal government also affected local governments, which had resulted in restrictions, such as in travel, yet they resulted in positive changes in terms of epidemic containment. While Canada's case count was low compared to the United States and other countries, Canada was slow in its approach to immunizations during the first half of 2021. As of writing this chapter, the number of cases of COVID-19 was 1,460,175, with total deaths of 26,761 (Government of Canada). © 2023 John Wiley & Sons, Inc.
ABSTRACT
Previous research indicates that Canadian healthcare workers, particularly long-term care (LTC) workers, are frequently composed of immigrant and racialized/visible minorities (VM) who are often precariously employed, underpaid, and face significant work-related stress, violence, injuries, illness, and health inequities. Few studies, however, have analyzed the contributions and impact of their labor in international contexts and on global communities. For instance, it is estimated that over CAD 5 billion-worth of remittances originate from Canada, yet no studies to date have examined the contributions of these remittances from Canadian workers, especially from urbanized regions consisting of VM and immigrants who live and/or work in diverse and multicultural places like Toronto. The present study is the first to investigate health and LTC workers’ roles and behaviors as related to remittances. The rationale for this study is to fill important knowledge gaps. Accordingly, this study asked: Do health/LTC workers in the site of study send remittances? If so, which workers send remittances, and who are the recipients of these remittances? What is the range of monetary value of annual remittances that each worker is able to send? What is the purpose of these remittances? What motivates the decision to send remittances? This mixed-methods study used a single-case design and relied on interviews and a survey. The results indicate that many LTC workers provided significant financial support to transnational families, up to CAD 15,000 annually, for a variety of reasons, including support for education and healthcare costs, or as gifts during cultural festivals. However, the inability to send remittances was also a source of distress for those who wanted to assist their families but were unable to do so. These findings raise important questions that could be directed for future research. For example, are there circumstances under which financial remittances are funded through loans or debt? What are the implications for the sustainability and impact of remittances, given the current COVID-19 pandemic and its economic effect of dampening incomes and wages, worsening migrants’ health, wellbeing, and quality of life, as well as adversely affecting recipient economies and the quality of life of global communities?. © 2021 by the author. Licensee MDPI, Basel, Switzerland.