Firstly, the abscence of an integrated response to long term care is troubling in that if one  spouse needs long term care, the other spouse has no assurance that they will be able to end up in the same facility. Ideally there should be two person housing available at the same facility so that transition is seamless.

Secondly provincial governments should consider establishing long term facilities in warmer countries like Mexico - respect for the elderly is still the norm there, the winters are milder, there are expatriate communitieswith excellent entertainment, and it would be cheaper than in Canada.