Ontario Health Minister Deb Matthews at the release of the Living Longer, Living Well report, released at a Toronto hospital on Tuesday. (ANTONELLA ARTUSO/Toronto Sun)

TORONTO — Ontario is considering co-payments based on income for home and community support care services currently provided at no cost to the province's seniors.

“I think we need to have a discussion about what's fair," Health Minister Deb Matthews said of the proposal in Living Longer, Living Well, a new report on a seniors strategy for Ontario released Tuesday.

Ontario's population of seniors is expected to double over the next two decades, putting enormous stress on health-care resources.