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This commentary has been provided by Barry R. Ashpole of Guelph, Ontario.

Two important human service issues have emerged in recent years and continue to generate a great deal of attention in both the political and public arenas:

1) the pressure on the public purse for the future provision and delivery of health care and social services to the population-at-large; and,

2) meeting the needs of the elderly, who are living longer, in greater numbers than in past generations, and with a corresponding increase in the incidence of chronic or long-term illness or disability.


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