Health care reform is discussed at all levels of government in Canada and by provider and community groups. There is widespread recognition that significant reform in the delivery, funding and organization of health care is inevitable, and major reform initiatives are underway across the country, including in Ontario.The Wellesley Institute is interested in equity considerations becoming a part of these reforms as a means to address the systemic barriers that produce health disparities. We analyze the equity implications and potential of a number of critical reform issues.