interventions such as institutional care, promoting competitive market-based care delivery systems as cost-effective solutions to care for dependent and disabled persons. With support from both movements, community care gained popularity as a moral and cost-effective alternative to institutional care. Deinstitutionalisation coincided with an economic downturn in the 1980s. The goals of the independent living movement - choice, control, and quality care - were essentially co-opted by neoliberal ideals of cost-control, self-sufficiency, and minimalist state intervention. Deinstitutionalisation occurred alongside health and welfare service restructuring in a concerted effort to reduce public spending and improve the efficiency of formal care. Service reductions were justified by neoliberal beliefs that all people ought to be independent, or at least have families that could provide support. Community care has been structured as a compromise between neoliberal values and the lived realities of disabled and dependent persons of the independent living movement. Home care, or home-based community care, came into effect in the 1980s in most Canadian Provinces as one policy solution to bridge the gap between institutional and community care. The transition is ongoing and contentious. Home care is not covered under the 1984 Canada Health Act, and the provincial and federal governments tend to squabble over funding. All levels of government are pressured to limit spending while maintaining equitable and accessible services for disabled and dependent persons. The result is a fragile system of provincially run community care services that ration medical care while avoiding the complex social issue of long-term community care reform. Canadian policymakers talk about a social model of disability and typically recognise that this model is preferred by disabled persons, however, the policy reality of independent living falls closer to a model that combines biomedical and neoliberal ideologies while neglecting social and environmental determinants of ability. Independent living remains difficult for many people and institutionalisation is offered as an ongoing practical solution to meeting care needs. Noticeable in the ideological push for independent living is the marketisation of institutional care as independent living in 21st century Canada. Funding is through a decentralised mix of publicly paid, private-for-profit, and private-not-for-profit systems. Beyond home care, community care is offered through a variety of service delivery models including supportive living, assisted living, and long-term care. These newer forms of institutional care attempt to maximise independent living while minimising care provided, both to support disabled and dependent person's identified needs and to control costs