SUMMARY — Provincial-Federal Tax Coordination
Consider the morning routine of Elena, a registered nurse working in a rural hospital in Northern Ontario. Her commute is lengthy, but her concern is less about the road conditions and more about the stability of her workplace. She knows that her hospital’s ability to hire new staff, update MRI machines, and expand mental health services depends heavily on the Ontario Health Transfer (OHT) from the federal government. When news breaks about a dispute between Ottawa and Toronto over the formula for calculating this transfer, Elena feels a visceral anxiety.