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Rotman Insights Hub | University of Toronto - Rotman School of Management Groundbreaking ideas and research for engaged leaders
Rotman Insights Hub | University of Toronto - Rotman School of Management

Neglected No More: The Urgent Need to Improve the Lives of Canada's Elders in the Wake of a Pandemic

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André Picard, Leslee Thompson, Brian Golden


It took the coronavirus pandemic to open our eyes to the deplorable state of so many of the nation's long-term care homes: the inhumane conditions, overworked and underpaid staff, and lack of oversight. 

When COVID-19 spread through seniors' residences across Canada, the impact was horrific. Along with widespread illness and a devastating death toll, the situation exposed a decades-old crisis: the shocking systemic neglect towards our elders.

Called in to provide emergency care in some of the hardest-hit facilities in Ontario and Quebec, the military issued damning reports of what they encountered. And yet, the failings that were exposed--unappetizing meals, infrequent baths, overmedication, physical abuse and inadequate personal care--have persisted for years in these institutions.

In Neglected No More, André Picard takes a hard look at how we came to embrace mass institutionalization, and lays out what can and must be done to improve the state of care for our elders, a highly vulnerable population with complex needs and little ability to advocate for themselves.

Picard shows that the entire eldercare system—fragmented, underfunded and unsupported--is long overdue for a fundamental rethink. We need to find ways to ensure seniors can age gracefully in the community for longer, with supportive home care and respite for family caregivers, and ensure that long-term care homes are not warehouses of isolation and neglect. Our elders deserve nothing less.


André Picard is a health reporter and columnist for The Globe and Mail, where he has been a staff writer since 1987. He is also the author of five bestselling books. André is an eight-time nominee for the National Newspaper Awards, Canada's top journalism prize, and past winner of a prestigious Michener Award for Meritorious Public Service Journalism. He was named Canada's first "Public Health Hero" by the Canadian Public Health Association, and a "Champion of Mental Health" by the Canadian Alliance on Mental Illness and Mental Health, and received the Queen Elizabeth II Diamond Jubilee Medal for his dedication to improving healthcare. He has received honorary doctorates from six universities, including UBC and the University of Toronto.
Leslee Thompson is CEO, Accreditation Canada and Health Standards Organization, and Executive-in-Residence at the Rotman School.
Brian Golden is the Sandra Rotman Chair in Health Sector Strategy, University of Toronto and The University Health Network; Professor of Strategic Management, Academic Director, Sandra Rotman Centre for Health Sector Strategy, Co-Academic Director, Global Executive MBA Program in Healthcare and The Life Sciences, and Academic Director, Global Executive MBA, Rotman School of Management