Those requiring LTC, and their families, would benefit from a LTC system that provides an adequate supply of beds in facilities that are conveniently located and adequately and appropriately staffed with personnel providing attentive and considerate person-centered care, sensitive to personal, cultural, or special needs. When these criteria are not met, quality and access issues can arise. LTC in Canada falls under provincial responsibility; therefore, for convenience’s sake, we focus on LTC in two provinces, Ontario and Quebec.