Samir Sinha of Mount Sinai and the University Health Network Hospitals in Toronto, Canada, explores the policy issues associated with aging in Canada. People 65 years and over make up 14.6 percent of Canada's population but account for half of the nation's spending on health and social care. According to Sinha, Canada needs to offer lower-cost, non-hospital options for elder care, but it needs to do so in a way that preserves choice. Sinha asks whether Canada should develop a national strategy for seniors. He suggests that a national seniors strategy could address the social determinants of health for seniors, including poverty reduction, and could promote greater investments in health promotion and preventive care. He predicts that senior care will become a top issue in Canada's 2015 federal election.

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