For the past decade, health care reform in Ontario has been an important topic of political and social debate. To gain a better sense of what problems are present within the health care system of our community, our health policy class at the University of Toronto, in partnership with the Ontario Health Coalition, undertook to research and write a report on the state of health care specifically in Toronto. We researched two main aspects: access to health care and the status of some key social determinants of health. While our report is not a comprehensive review of every aspect of health care in Toronto, the focus of our research was on the unmet needs of the system and equity issues that make access to care and health poorer for particular groups.