Quebec's system was built with good intentions — and it's not keeping up
In Quebec, caring for an aging parent isn’t just something families do — it’s something families are expected to do. The term aidant naturel — natural caregiver — implies it comes instinctively, that doing it less than fully is somehow going against your nature.
And so when families turn to the public system for guidance, what they find feels reassuring at first. The programs are thoughtfully named and clearly described. Reading about them — the Chèque Emploi-Service, the provincial tax credits, the CLSC home care mandate — you might reasonably conclude that when the moment comes, the system will be there.
Then the moment comes.
The gap between what families expect and what they actually experience is not the fault of the people working inside it. The nurses, social workers, and attendants at CLSCs across Montréal are, in our experience, doing remarkable work under conditions that ask far too much of far too few. We work alongside many of them every week. We have enormous respect for what they carry.
“The insufficiency is structural. Demand has outpaced capacity in ways that individual commitment cannot compensate for.”