Due to the societal, economic, and political forces that have evolved in the 21st century, the Canadian health care system has gone through a transition. This transition has been majorly caused by the population shifts like aging and the diversity of cultures, changing patterns of diseases, increased health care costs, and many other changes. Moreover, as the shift of illnesses from acute to chronic illnesses has become apparent, and since the population that reaches age 65 has increased, the focus of the health care system has shifted to disease management. Congruently, the number of illness cases in Canada has skyrocketed with many obesity cases and emerging infectious diseases.
Therefore, in the current Canadian health care system, the focus has shifted from health care promotion illness care in order to manage the chronic conditions. About four million Canadians still live in poverty, which constitutes a national disgrace after years of economic growth and national prosperity. Canada has one of the higher child poverty rates of the industrialized countries, and poverty is much more prevalent for the single elderly, the disabled, visible minorities, aboriginal people, and women. This kind of environment suggests why the concentration of the Canadian health care system is more in illness care than health promotion.