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The COVID-19 pandemic has drastically changed employment situations for workers everywhere. This is especially true among people with disabilities and chronic health conditions who face greater risks in contracting COVID-19 and experience larger disadvantages within the labor market. Drawing from original data gathered through a national online survey (N= 1,027) and integrated set of virtual interviews (N= 50) with Canadians with disabilities and chronic health conditions, our findings show that although the pandemic has not directly led to job losses for most people with disabilities and chronic health conditions, respondents who have lost employment due to COVID-19 are struggling. Even though employed workers have been faring better, half were concerned about losing their jobs within the next year, and these concerns were more prevalent among part-time and non-union workers. Our findings emphasize the potential for growing economic insecurity as the pandemic continues to wreak havoc on employment situations among marginalized groups.

Background Although the COVID-19 pandemic has led to worsening mental health outcomes throughout the Canadian population, its effects have been more acute among already marginalized groups, including people with disabilities and chronic health conditions. This paper examines how heightened fears of contracting the virus, financial impacts, and social isolation contribute to declining mental health among this already vulnerable group. Objective/hypothesis This paper investigates how increases in anxiety, stress, and despair are associated with concerns about getting infected, COVID-19-induced financial hardship, and increased social isolation as a result of adhering to protective measures among people with disabilities and chronic health conditions. Methods This study uses original national quota-based online survey data (n=1027) collected in June 2020 from people with disabilities and chronic health conditions. Threelogistic regressionmodels investigate the relationship between COVID-19’s effects on finances, concerns about contracting the virus, changes in loneliness and belonging, and measures taken to combat the spread of COVID-19 and reports of increased anxiety, stress, and despair, net of covariates. Results Models show that increased anxiety, stress, and despair were associated with negative financial effects of COVID-19, greater concerns about contracting COVID-19, increased loneliness, and decreased feelings of belonging. Net of other covariates, increased measures taken to combat COVID-19 was not significantly associated with mental health outcomes. Conclusions Findings address how the global health crisis is contributing to declining mental health status through heightened concerns over contracting the virus, increases in economic insecurity, and growing social isolation, speaking to how health pandemics exacerbate health inequalities.

This study examines how people with disabilities and chronic health conditions—members of a large and diverse group often overlooked by Canadian public policy—are making sense of the Canadian federal government’s response to COVID-19. Using original national online survey data collected in June 2020 (N= 1,027), we investigate how members of this group view the government’s overall response. Although survey results show broad support for the federal government’s pandemic response, findings also indicate fractures based on disability type and specific health condition, political partisanship, region, and experiences with COVID-19. Among these, identification with the Liberal party and receipt of CERB stand out as associated with more positive views. Further examination of qualitative responses shows that these views are also linked to differing perspectives surrounding government benefits and spending, partisan divisions, and other social and cultural cleavages. La présente étude porte sur la façon dont les personnes atteintes de handicap ou de maladie chronique — appartenant à un vaste groupe diversifié, souvent ignoré des politiques publiques canadiennes — interprètent la réaction du gouvernement fédéral canadien à la COVID‑19. À l’aide de données nationales exclusives tirées d’un sondage en ligne effectué en juin 2020 (N= 1 027), nous analysons le point de vue des membres de ce groupe quant à la réaction globale du gouvernement. Bien que les résultats du sondage témoignent d’un large appui à la réaction du gouvernement fédéral à la pandémie, nos observations révèlent également des failles selon la nature du handicap et les particularités liées à l’état de santé, l’allégeance politique, la région et les expériences en ce qui a trait à la COVID‑19. Entre autres éléments, l’allégeance au Parti libéral et le statut de bénéficiaire de la PCU se signalent comme étant associés à des points de vue plus positifs. Un examen plus approfondi des réactions qualitatives montre que ces points de vue sont également liés à des perspectives divergentes entourant les prestations et les dépenses gouvernementales, les divisions partisanes et autres clivages sociaux et culturels.

Crowdfunding, the practice of asking for money from others using the Internet, is a major private means through which Canadians are funding their health care and education. Crowdfunding has proliferated in Canada during the 2010s and continues to grow, approaching the revenues of Canada's major traditional charities. Proponents describe it as an empowering practice from which anyone can benefit. If its gains are inequitably distributed, however, increasing reliance on this private funding mechanism, especially in core areas of welfare state provision, can further exacerbate inequalities of opportunity and income. This study asks why Canadians turn to health care and education crowdfunding and how equitably funds are raised using this novel method. Based on a mixed methods analysis of 319 campaigns conducted on two prominent crowdfunding platforms between 2012 and 2014, we find that crowdfunding users' needs frequently correspond to known gaps in the contemporary social safety net, including in the area of cancer care, and that campaigns for older and visible minority Canadians face a disadvantage. We argue that health care and education crowdfunding is a response to the shortcomings of Canadian welfare state provision, but one that reproduces offline inequalities with potentially perilous consequences for democratic life and individual suffering.Une source privée principale pour financer la santé et l’éducation est le financement participatif, une pratique qui consiste à demander de l'argent aux autres par internet. Le financement participatif a proliféré au Canada pendant les années 2010 et continue de croître, se rapprochant des revenus générés par la charité traditionnelle. Les défenseurs présentent cette source de financement comme une pratique augmentant le pouvoir de ceux qui en bénéficient. Cependant, si les gains sont inégalement distribués, cette source de financement augmente les inégalités des chances et du revenu. Cette étude demande pourquoi les Canadiens se tournent vers cette source de financement en santé et éducation et à quel point elle est équitable. Se fondant sur une méthode d'analyse mixte de 319 collecteurs de fond utilisée sur deux plates-formes importantes de financement participatif en 2012 et 2014, nous avons trouvé que les besoins des utilisateurs de cette source de financement correspondent souvent aux inégalités habituelles dans le filet de sécurité social contemporain, incluant le secteur du cancer et les campagnes de financement des plus vieux et des minorités visibles canadiennes. Nous argumentons que cette source de financement en santé et éducation est une réponse aux manques de l’État providence qui reproduit des inégalités hors internet, avec des conséquences potentiellement périlleuses pour la vie démocratique et la souffrance des individus.