My brother is in a long-term care home in London. He is confined to a wheelchair (paralyzed on his left side). Looking at posts on your website, you mention that extractions can be done at a hospital and OHIP "may" pay if the patient is "medically compromised". What constitutes "medically compromised"? He visited a clinic in December for an assessment, and it was recommended that he have his teeth extracted and that he be fitted for dentures. He has several teeth that are broken off at the gum line and most likely are infected. He is a senior and is on a very limited income. Any suggestions would be appreciated. Obviously, we are looking for the most cost-effective solution.

If his doctor recommends that he can only have it done in a hospital because of his condition and disability, then you should pursue this with his doctor.

Tick

Usually medical compromised would be anything that puts his life at risk if done in a dental office. The chance of bleeding profusely, a heart condition, an auto-immune disease, severe respiratory problems may all be reason for having the work done in hospital.
Talk to your brother's MD and ask him if he could help by writing a recommedation that it be done in hospital.
To save money on the cost of the dentures I'd suggest he see a denturist.