The Hidden Cost of Closing Local Public Health Units

Update
The board of Southeast Public Health (SEPH) has passed a motion asking its CEO to reconsider a plan to shutter eight rural offices and explain what led to that decision. The call comes as officials across eastern Ontario speak out against the proposed closures, which were due to take effect in March. SEPH announced last week that it planned to terminated leases in Almonte, Gananoque, Kemptville, Napanee, Perth, Picton and Trenton. An eighth office in Cloyne which SEPH owns would be sold.

When you’ve lived long enough in a rural place, you develop a sense for which institutions actually bind a community together. Some of them are obvious; the hockey arena, the library, the one café where you run into half the town before nine in the morning. Others do their work quietly. Public health units fall into that latter category. They never announce their importance; they simply keep a community ticking along.

That’s why the proposed closure of the Kemptville public health unit has struck such a deep chord in eastern Ontario. To anyone outside the region, it probably looks like a simple administrative shuffle: move the services to Ottawa or Kingston and carry on. But those who live here know that distance has a way of turning a small inconvenience into a real barrier. Rural health research is clear on that point. Canadian Institute for Health Information (CIHI) notes that rural residents face travel burdens six times higher than people in cities, and that even modest distance cuts down uptake of preventive care. It’s not theory. It’s Thursday morning in North Grenville.

A public health visit is rarely glamorous. Nobody posts a celebratory photo after getting their drinking-water sample tested or updating their child’s vaccination record, but these are the tasks that keep a place running, in the same way tightening a hinge keeps a door from falling off. When the unit is close, as the Kemptville unit is, tucked neatly beside the hospital, parents can stop in between shifts, seniors can get help without arranging a ride, and newcomers can manage the long list of small bureaucratic necessities required to make a life in a new place. When that office moves forty, sixty or maybe eighty kilometres down the road, the entire calculation changes.

People take a full day off work. Children miss school. A family without a reliable car postpones the visit until “next month.” And a problem that could have been handled locally becomes an emergency that costs everyone more: the household, the employer, and the healthcare system itself. That is the part governments always seem to forget: the cost of a rural resident sitting in a car for two hours is not measured in fuel receipts alone. It’s measured in missed wages, lost productivity, and the slow erosion of trust in the very systems meant to safeguard public health.

There is also the quieter economic impact. Studies of rural healthcare closures show a pattern: when services disappear, the ripple effects spread. Local hiring dries up. Families choose to settle elsewhere. Seniors relocate to be closer to care. The community loses a little more gravity, a little more anchoring. Rural towns rarely collapse in dramatic fashion; they thin out one service at a time.

All of this feels especially unnecessary in a place like North Grenville. The region is one of the fastest-growing in eastern Ontario. School enrolment is up. Housing construction is steady. The local hospital is expanding, not shrinking. The public health unit is not some neglected outpost; it’s a well-used, well-located service connected directly to the community’s primary health campus. Closing it now is the policy equivalent of removing the front steps during a house renovation: technically possible, but it makes entering the home far harder for everyone.

Public health is fundamentally about prevention, and prevention only works when it’s woven into daily life. When it’s close, familiar, and easy to reach. Kemptville has all of those conditions already. The proposal to centralize services somewhere down Highway 416 or the 401 misunderstands the landscape entirely. Rural communities don’t need systems pulled farther away. They need them held closer, strengthened, and modernized in place.

The truth is simple: local public health units are part of rural infrastructure. Not decorative. Not optional. They are as important as roads, schools, and clean water. You invest in them because they prevent larger problems; social, economic, and medical from taking root.

And in a growing rural township like North Grenville, the smart money isn’t on withdrawal. It’s on staying put.

Building the Future: Kemptville’s Affordable Housing Vision

In communities across Canada, the housing crisis has become more than a policy debate, it’s a daily struggle. While costs rise and waitlists grow, the Municipality of North Grenville, just south of Ottawa, is offering a bold response. Its $25 million proposal to convert Bell Hall, a vacant dormitory on the Kemptville Campus, into more than 60 affordable rental units is both practical and symbolic, a microcosm of what’s possible when local governments lead.

The campus itself is a 630-acre hub of community, education, and sustainability activities. Once part of the University of Guelph’s agricultural network, it’s now owned by the municipality and governed by a 2021 master plan that prioritizes adaptive reuse, environmental responsibility, and deep community engagement. Bell Hall fits that vision precisely; a municipally owned, appropriately zoned, fully serviced building, already standing and waiting to be converted.

This is not a speculative plan. Developed over months with input from senior staff and not-for-profit partners, the Bell Hall project targets the real needs of North Grenville’s most vulnerable; seniors, veterans, and working families being priced out of their hometown. It offers not just housing, but stability, dignity, and a sense of belonging.

And yet, despite being shovel-ready, the proposal remains stalled in a growing backlog at the Canada Mortgage and Housing Corporation (CMHC). It’s a familiar story for municipalities across the country, many of whom are reporting delays due to limited federal processing capacity, particularly in underwriting. As federal priorities shift with the political winds, viable projects are left in limbo.

Mayor Nancy Peckford recently sounded the alarm in the Ottawa Citizen, arguing that the issue is not preferential treatment, but systemic inefficiency. Her call for transparency and faster turnaround is resonating with other small communities also ready to build. In an age where housing need is immediate, the logic is simple: when a plan meets all the criteria, and the groundwork is laid, it should move forward.

Some critics are suggesting that municipalities are just now “stepping up” on housing, but local governments have long managed zoning and development approvals. What’s new is the scale and pace of their engagement, assembling land, forming partnerships, applying for federal tools, and leading where senior governments lag.

North Grenville’s approach is part of a broader shift in small-town Canada, where pressures once confined to major cities are now spreading. The housing crisis isn’t urban anymore, it’s national. In this context, Bell Hall becomes more than a local project. It’s a test of the federal-municipal partnership that modern housing policy demands.

There’s also economic logic behind the urgency. A 2023 Deloitte report estimated that expanding community housing could add $70 billion to Canada’s GDP over five years. In places like Kemptville, where growth is manageable and materials can be sourced locally, the multiplier effects are significant with jobs, procurement, community stabilization, and reduced strain on health and social services.

And this is just one community. Rural municipalities across Eastern Ontario are facing similar challenges – aging populations, limited rental stock, and infrastructure that hasn’t kept pace. A regional alliance, or even a coordinated appeal, could elevate the urgency of rural housing and draw more attention to what’s at stake.

North Grenville is ready. Bell Hall is ready. The question is whether the federal system is ready to respond with the speed and seriousness the moment demands. If the next government wants to prove its commitment to housing, here is the perfect place to start.