The gathering at Magnetawan Community Centre hummed with the energy of possibility. Last Thursday evening, locals from across Almaguin Highlands filled the room, united by a shared concern that has grown increasingly urgent in this remote stretch of Ontario—access to consistent, quality healthcare.
For Marnie, a mother of three who drove 40 minutes from South River to attend, the issue couldn’t be more personal. “When my youngest developed a high fever last winter, our only option was the emergency room in Huntsville. That’s nearly an hour away on roads that aren’t always passable,” she told me as we waited for the meeting to begin.
The Almaguin Healthcare Access Initiative, launched earlier this year by a coalition of concerned residents and healthcare professionals, has quickly gained momentum. Thursday’s meeting marked a crucial milestone as municipal leaders from across the region publicly endorsed the effort.
“What we’re seeing is unprecedented collaboration,” explained Dr. Sarah Winfield, a family physician who splits her time between Sundridge and Burk’s Falls. “The healthcare gaps in Almaguin have existed for decades, but the pandemic exposed just how vulnerable our communities are.”
The statistics support Dr. Winfield’s assessment. According to data from the North East Local Health Integration Network, Almaguin Highlands has approximately 40% fewer primary care providers per capita than the provincial average. This disparity translates to more than 4,000 residents without a family doctor—in a region where the nearest hospital can be over an hour away in winter conditions.
The initiative’s four-point plan, unveiled at the meeting, focuses on immediate and long-term solutions: establishing a regional urgent care clinic, creating a healthcare provider recruitment strategy, developing transportation options for vulnerable residents, and building a permanent healthcare hub to serve the dispersed communities throughout Almaguin.
South River Mayor Jim Coleman described the initiative as “the most promising development for healthcare in our region that I’ve seen in my 15 years in municipal politics.” He was joined by leaders from Magnetawan, Strong, Sundridge, and Burk’s Falls in signing a memorandum of support that commits municipal resources to the effort.
What makes this initiative different from previous attempts is its community-centered approach. Walking around the meeting room, I was struck by the diversity of participants—elderly residents who’ve watched rural healthcare options dwindle over decades, young families struggling to find pediatric care, and business owners concerned about attracting workers to a region with limited health services.
“We’ve studied what’s worked in other rural areas,” explained Jen Patterson, chair of the initiative’s steering committee. “The most successful models bring together municipal leadership, healthcare professionals, and community voices. That’s exactly what we’re building here.”
Patterson referenced a 2021 study by the Rural Ontario Institute that identified community-led healthcare collaboratives as having higher sustainability rates than top-down solutions imposed by provincial authorities.
For Indigenous communities in the region, healthcare access comes with additional challenges. Robert Pawis, health director for Shawanaga First Nation, spoke about the importance of culturally appropriate care.
“Our people need services that respect traditional approaches to wellness alongside Western medicine,” Pawis explained. “Any regional solution must include Indigenous perspectives and leadership from the beginning.”
The provincial government has taken notice. While no Ministry of Health representatives attended Thursday’s meeting, the initiative recently received correspondence indicating potential support through Ontario’s Health Care Connect program and the Northern Ontario School of Medicine’s Rural Residency initiatives.
The healthcare challenges facing Almaguin reflect broader issues in rural communities across Canada. A 2022 report from the Canadian Medical Association found that rural Canadians are three times more likely than their urban counterparts to report difficulty accessing primary care.
“Rural healthcare isn’t just about having a doctor nearby,” Dr. Winfield emphasized. “It’s about creating sustainable systems that can weather retirements, accommodate seasonal population fluctuations, and provide appropriate emergency response.”
As I walked the community centre grounds after the meeting, I spoke with Morgan Chen, a recent arrival who moved his family from Toronto to Sundridge during the pandemic.
“We came for the quality of life,” Chen said, gesturing toward the sunset-painted lake visible beyond the trees. “But healthcare access wasn’t something we fully considered. Now we’re driving back to the city for routine appointments because we can’t find a family doctor here.”
Chen’s experience represents the double-edged sword of rural growth. The pandemic-driven migration to areas like Almaguin has brought new energy and economic opportunities, but it has also strained already limited healthcare resources.
The next steps for the initiative include a formal presentation to the North East Ontario Health Team in September and the launch of a community survey to precisely map healthcare needs across the region.
“This isn’t going to be solved overnight,” Patterson cautioned as volunteers cleared chairs at the meeting’s end. “But for the first time, we have all the key players at the table, and we’re speaking with one voice.”
For residents like Marnie, that coordinated voice offers hope. “I love raising my kids here,” she said, “but sometimes I wonder if it’s fair to them, living somewhere where basic healthcare isn’t guaranteed. If this initiative succeeds, maybe I won’t have to make that choice.”
The Almaguin Healthcare Access Initiative will hold its next public meeting on September 15th at the Sundridge Community Centre. More information is available through municipal offices throughout the Almaguin Highlands region.