The number and mix of staff, their training, equipment, and care models — none of these have evolved in step with the changing profile and needs of residents. [...] As with other causal relationships identified in this paper, the links between education/training and quality of care are both direct and indirect, and the evidence is both specific (quantitative and medical) and broad (qualitative and social). [...] Non-profit ownership and delivery are essential to improving both access and quality Just as staffing issues have multiple and strong effects on the health and well-being of workers and residents, so too is privatization of residential long-term care a shared concern with many dimensions. [...] It is difficult to reverse, weakens transparency and accountability, and opens seniors’ care to in- stability and displacements that are costly and harmful for residents, workers, and the health care system. [...] Residential Long-Term Care in Canada: Our Vision for Better seniors’ Care 27 Part of a larger vision sOLUTION: Expand residential long-term care, home and community care services to meet the needs of Canadian seniors, as part of a comprehensive and integrated system.