Quebec proposes national autonomy allowance to fund home care for seniors

The Quebec Coalition for Healthy Aging is urging the creation of a National Autonomy Allocation (RNAA) that would be primarily financed through payroll contributions. The scheme aims to pay for home‑care services and to expand long‑term‑care accommodation for seniors.

An Aviseo Conseil report commissioned by the Association for Public Health in Quebec estimates that up to 350,000 Quebecers will need assistance with autonomy by 2030. Former health minister Rémy Trudel warned, "In 2030, there will be 350,000 seniors in Quebec needing services of various levels; we must address this now." A Léger poll found that 84% of respondents support the RNAA and 60% would prefer home services over institutional care. The report notes that the province’s current funding model cannot meet the projected demand without raising debt or taxes, placing a burden on future generations.

Supporters argue the RNAA would provide a predictable financing stream for home‑support and additional long‑term‑care beds, while critics point to Quebec’s already high tax rates and limited fiscal space.