In April 2001, the Canadian government established the Romanow Commission to deliberate with citizens on the future of healthcare in Canada. However, the commission overlooked the serious issue of engaging marginalised groups such as Aboriginal people, and did not provide separate participatory spaces for such groups. While some Aboriginal people participated in the dialogues, the outcomes did not fully reflect Aboriginal health issues.
In the late 1990s several policy issues concerning the Canadian public health care system became the subject of public debate in Canada. These included the rising costs of the system, including cost per capita; which level of government should bear rising costs; whether and what forms of privatization should be introduced; delays in receiving treatment; the quality of treatment; differences in access to treatments in different provinces (so-called "uneven coverage"); and the extent to which health care service delivery was disaggregated.
Developing a Framework for a Mental Health Strategy for Canada was a project started by the Mental Health Commission of Canada that took place from June 2008 until September 2009. The goal of the project was to increase awareness of the issue of mental health to the nation and to create and frame an official strategy for the country of Canada to adhere to, in order to properly address the issue as a unified nation.