Consider the scenario of Elena, a retired schoolteacher in Halifax whose husband, Arthur, is showing early signs of cognitive decline. She spends her evenings researching specialized memory care units, only to discover that the waitlist for a suitable facility in her province exceeds three years. Her anxiety is compounded by the fear that if she waits for public placement, Arthur’s condition will deteriorate to a point where he can no longer participate in his own care decisions, yet she cannot afford the substantial premiums of private home care aides. Across the country in Vancouver, Dr.