Submission ID 132030

Issue/Objective Black African women in Canada sustain a care economy the state has systematically defunded, even as policy and public rhetoric position them as debtors to a generous nation. This research names that contradiction the False Debtor: a colonial inversion in which the workers sustaining public life are recast as burdens on public resources. The objective is to show that this inversion is not a bureaucratic failure but a deliberate design of Canadian migration governance, with direct implications for global health workforce ethics.
Methodology/Approach This research applies critical policy analysis grounded in feminist political economy and Black feminist theory. The corpus comprises Immigration, Refugees and Citizenship Canada policy texts, federal settlement program guidelines, Ontario labour market and licensure data, the Financial Accountability Office's 2023-2026 health sector projections, and Ontario Human Rights Commission rulings. Sources were read against primary and secondary literature on Black women's migration to Canada (1790s-present) to trace continuities between historical recruitment regimes and contemporary settlement.
Results The analysis identifies four mechanisms that produce the False Debtor. Commodified recruitment routes newcomer women into pre-identified labour shortages, with settlement agencies marketing them to employers as inventory; racialized women make up 13 percent of Ontario's workforce but 27 percent of home health care workers. Credential captivity holds them there through credential non-recognition and status precarity. Colonial generosity narrates underpaid care work as dignity and belonging, even as visible-minority newcomer women earn $26,624 annually compared to $42,591 for non-visible-minority newcomer men. Diaspora reproduction outsources recruitment to women the system has already extracted from. Provincial austerity accelerates all four simultaneously.
Discussion/Conclusion The False Debtor framework reframes care workforce shortages as organized extraction rather than market failure, with implications for any country importing health labour from the Global South. Reclaiming global health equity requires more than naming: decoupling immigration status from employer-specific permits so women can negotiate, organize, and exit without forfeiting status; treating state language that frames underpaid conscription as "dignity" or "belonging" as colonial violence subject to policy review; and reversing the fiscal withdrawal that produces the care shortage.
Presenters and Affiliations Ifrah Ismail University of Toronto Dalla Lana School of Public Health
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