摘要:This paper explores shifts in public and private care delivery over time through an analysis of Ontario’s approach to long-term care funding and regulation in relation to other jurisdictions in Canada and abroad. The case of the evolution of Ontario’s long-term care policy—from the 1940s until early 2013—shows how moving from compliance- to deterrence-oriented regulation can support the consolidation of commercial providers’ ownership and increase the likelihood of nonprofit and public providers outsourcing their management.