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Immigrants Power Canada’s Healthcare Workforce in 2025

Canada’s Healthcare System: The Crucial Role of Immigrants in Sustaining Workforce Growth

Over the past two decades, Canada’s healthcare system has experienced unprecedented growth, with health sector jobs more than doubling from 1998 to 2024. This surge, which adds nearly 900,000 positions—a staggering 114.8% increase—has outpaced the overall economic growth. However, despite this expansion, the system is under considerable strain due to an aging workforce and increasing service demands.

An Aging Workforce and Its Implications

As of 2024, almost 18% of healthcare workers are aged 55 or older. This demographic shift poses a significant challenge, especially as the population ages and the demand for healthcare services escalates. The generational change signifies that Canada cannot solely depend on the domestic workforce to fill gaps. Here, immigrants emerge as a vital solution, playing an essential role in stabilizing healthcare services across the country.

Immigrants: A Source of Renewal

The sustainability of the healthcare workforce can be gauged through the occupational renewal ratio, which compares younger professionals (aged 25–34) entering the field to older workers (aged 55–64) nearing retirement. In 2024, the overall renewal ratio stood at 1.9, indicating a healthy influx of younger workers. However, the figures vary significantly across different roles. For instance, licensed practical nurses boast a renewal ratio of 2.2, while critical support roles like nurse aides, orderlies, and patient service associates languish at a troubling 0.9. This disparity highlights the urgent need for renewal in these essential positions, which immigrants are increasingly filling.

In fact, 24% of nurse aides aged 25–34 were either recent immigrants or non-permanent residents, further emphasizing the critical role immigrants play in sustaining these occupations.

Underutilization of Immigrant Talent

Despite the influx of skilled immigrants, many face significant barriers that prevent them from fully utilizing their qualifications. A striking 47% of recent immigrants working as nurse aides possess a bachelor’s degree or higher—compared to just 6.3% of their Canadian-born counterparts. This trend is mirrored among licensed practical nurses, where 62% of recent immigrants hold university degrees, nearly equating their educational level to that of registered nurses in Canada.

Yet, these highly qualified individuals often find themselves relegated to support roles due to obstacles such as non-recognition of foreign credentials and lack of Canadian work experience. This underemployment not only affects the immigrants but also exacerbates the strain on the healthcare system.

The Growing Demand for Healthcare Services

The urgency of addressing these challenges is underscored by the projected growth of Canada’s senior population, expected to reach 11.8 million by 2051. Coupled with the alarming job vacancies in health occupations—nearly 97,500 as of late 2022—there is a clear need for a robust healthcare workforce that can meet rising demands.

Policy Recommendations for a Sustainable Future

To harness the potential of immigrant healthcare workers and ensure a stable healthcare future, Canada must consider several policy shifts:

  1. Accelerate Credential Recognition: Streamlining the process for recognizing foreign qualifications can help immigrants transition into their professional roles faster.

  2. Expand Bridging Programs: These programs can assist immigrants in meeting Canadian licensing standards, ensuring their skills are effectively utilized.

  3. Support Upskilling and Mentorship: Providing pathways for continued education and mentorship can empower immigrant workers to advance in their careers.

  4. Align Immigration with Labour Needs: A more strategic approach to immigration that considers labor market demands in healthcare can enhance workforce sustainability.

Conclusion: Immigrants at the Heart of Healthcare Renewal

In conclusion, immigrants are not just supplementary to Canada’s healthcare workforce; they are integral to its survival and growth. As the country grapples with an aging population and increasing healthcare demands, the focus must shift towards recruiting, retaining, and empowering skilled immigrants. By fostering an inclusive environment that recognizes and utilizes their talents, Canada can ensure its healthcare system remains robust and responsive to the needs of its citizens.

The future of healthcare in Canada depends on a committed effort to integrate immigrant professionals fully into the fabric of the healthcare system—transforming challenges into opportunities for a healthier society.

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