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Decentralized Democracy

House Hansard - 100

44th Parl. 1st Sess.
September 22, 2022 10:00AM
  • Sep/22/22 10:19:01 a.m.
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  • Re: Bill C-31 
Madam Speaker, a question immediately came to mind when I was listening to the speech by the health minister, the same minister who refused to have any discussions with the provinces about health costs and what to do about health care. Did the minister consult the province of Quebec, the government of Quebec and, above all, the health minister of Quebec about establishing its dental care program for children?
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  • Sep/22/22 10:19:33 a.m.
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  • Re: Bill C-31 
Madam Speaker, before answering definitely yes to the last question, I would like to correct the introduction a little. The introduction to the question suggests that we have not worked together over the past few months. I suggest that my hon. colleague speak to his counterpart, Quebec's health minister—even though he may be a little busy right now—and check with him about all the exchanges we have had over the past year, which led to positive health outcomes, especially in the fight against COVID-19. Those outcomes have been significant for the country and certainly for all Quebeckers.
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  • Sep/22/22 10:20:13 a.m.
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  • Re: Bill C-31 
Madam Speaker, I would love to know whether the Minister of Health realizes that Quebec already covers dental care for kids under the age of nine. Did he factor that into his program? How does he plan to compensate Quebeckers whose taxes will be paying for benefits that are allocated elsewhere in Canada? Quebeckers already pay for such a program and our health care system is in need of funding. This all boils down to one question: When will the minister look at increasing health transfers and letting Quebec do its job?
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  • Sep/22/22 10:20:52 a.m.
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  • Re: Bill C-31 
Madam Speaker, there is good news for children in Quebec. Quebec's system partially covers dental care for children up to the age of nine and we are proud of that. The good news is that the Canadian government is going to expand that coverage to older children and to more types of care. Preventive health care is essential in Quebec and all across the country. We want the sick to be properly looked after, and we also want to prevent people from getting sick. The additional coverage that our government is providing through the Canada dental benefit will give hundreds of thousands of kids under the age of 12 in Quebec access to better preventive dental care.
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  • Sep/22/22 11:05:58 a.m.
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  • Re: Bill C-31 
Madam Speaker, I want to congratulate the new leader of the Conservative Party on his election. I just want to remind him, however, that the leadership race is over and that we are debating Bill C‑31. This bill is yet another federal encroachment on the jurisdiction of Quebec and the provinces, which brings me to the subject of health transfers. My colleague's speech was very long indeed, but it did not include a single word about health transfers. I have been here for three years, and every time I ask Conservative members a question about health transfers, I get the same meaningless answer. They say they are going to sit down with the premiers and then make a decision. The problem is that the premiers of Quebec and the provinces have already sat down together and have already figured out that they need health transfers to go up to 35%. Now that the Conservative Party has a new leader, will it finally commit to giving Quebec and the provinces the 35% health transfer increase they want? Is the party ready to provide a meaningful answer? Does it have a different answer now?
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  • Sep/22/22 11:29:08 a.m.
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  • Re: Bill C-31 
Madam Speaker, I would like to take a moment to thank my constituents in the beautiful riding of Mirabel for putting their trust in me one year ago today. Every day, I am reminded what an honour it is to represent them. I have been thinking about my constituents. I was thinking about them yesterday. I was thinking about them this morning. I was thinking that last year, the people of Mirabel, along with all Quebeckers and Canadians, voted in a minority government. They voted in a government that was meant to work with the other opposition parties, discuss with them and be constructive. That is what the people of Mirabel wanted. That is what Quebeckers wanted. That is what Canadians wanted. A minority government is not necessarily a weak government. It can be a government that is strong because it seeks consensus, engages in dialogue, listens and communicates with the provinces and Quebec. A minority government can be a strong government if it goes about things the right way. However, what the current Liberal government decided to do is an admission of weakness. It has rejected the mandate it was given. Rather than doing the work that Canadians and Quebeckers asked it to do, this government decided to give in to the NDP's laundry list of demands to circumvent democracy. There is a reason we are presented with flawed, convoluted, last-minute bills like Bill C-31. Drafting good bills, especially budgetary and financial bills, takes time, thought, preparation and consensus. To top it all off, the bill before us today deals with health care. It is important to note that dental health is part of overall health. What is more, this is a field in which Ottawa does not know what it is doing. It does not have the expertise or the jurisdiction. It is not set up for this. This summer, the people of Mirabel saw that the federal government was unable to issue passports, so they are not convinced that they want the federal government messing with their teeth. We understand. That is fair. What is worse is that there is no connection—
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  • Sep/22/22 11:32:01 a.m.
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  • Re: Bill C-31 
Madam Speaker, I apologize. I am sorry for having to be told and I will be sure not to do it again. Bill C-31 has no teeth and has nothing to do with dental health. It does not meet dental needs. It is not insurance, and it is not dental insurance. This bill reflects a total lack of understanding of the existing programs in Quebec and also in other provinces. I am going to explain what Bill C‑31 really does. All it does is top up the family benefits and the Canada child benefit that already exist. The Bloc Québécois asked for targeted measures to help families with children, low-income families, taxi drivers and people currently affected by rising prices. However, all the government is saying is that it will top up the Canada child benefit for families with an income of less than $90,000 a year to help them deal with the increased cost of living. Now the NDP is telling the government that this bill has no teeth. The government says that those who want the benefit should submit the dentist's bill, even if it is just for $1, $2 or $3 for strawberry-flavored fluoride, for example, and they will be fully reimbursed. The Minister of Health is an economist, so he should know that there are no assurances in that. He should know that this program may help families, but instead of increasing their benefits, the government wants them to submit their receipts to the Canada Revenue Agency, fill out forms in triplicate and use the My Account portal. We all know how well MyAccount works and how much everybody loves using it. The government wants people to fill out paperwork, and if they do not have the money to pay for care up front, then they need to fill out even more paperwork to get the money up front and eventually receive care. Ordinarily, if the NDP were not here to get in the way of families and these benefits, the government would give the people money and they would go to the dentist or wherever. This bill is a benefits increase disguised as a dental program where families are asked to spend their time filling out paperwork. I congratulate the NDP. This whole thing is meant to give the NDP members a chance to parade around their ridings, lying through their teeth about having achieved something for dental health. I have news for them: They have been shafted, and on top of that, families will to deal with red tape. This is unacceptable. It is especially unacceptable because Quebec is getting shafted even more than the NDP on this issue. To qualify for this Canada child benefit top-up, the child's dental care must not be fully covered through private or public insurance. However, since 1974, Quebec has had an extremely progressive policy for children under 10. It covers most of the services that families need. This program could be enhanced, which would be possible if Ottawa would provide health transfers. This program means that Quebeckers who go to the dentist for routine care do not have to pay a cent. They are not eligible for this federal money. What should Quebeckers do, ask for strawberry-flavoured fluoride or an extra filling? Should we ask for additional services and try to spend more at the dentist, just so we can get a benefit that could have been enhanced, by consensus in the House, at the touch of a button? This is all because of the little deal reached between the Liberals and the NDP. The Liberals do not want to talk to the Bloc Québécois, the Conservatives or the Greens in order to work the way a Parliament should work. Not surprisingly, when the Liberals unveiled Bill C‑31, they came off looking kind of foolish. The day they made the announcement, there just happened to be a press conference in Quebec where people in the field, people who had spent more than just a couple of weeks thinking and talking about the issue, people who are very familiar with the issue, asked the Government of Quebec to increase public coverage in Quebec and urge Ottawa to boost health transfers. These people were asked what they thought of the federal government's Bill C‑31, which will not actually cover any additional services and will get families tangled up in red tape, forcing them to take the kids on fun family outings to the Canada Revenue Agency instead of helping them with their homework. Unions, seniors' advocacy groups and the poor responded quite eloquently to Bill C‑31. I want to read from a document that I have here. The response is so clear that I could not have said it better myself. They said that it is nonsense. That is what people in the know are saying. For years, they have been asking for services, for real coverage. They are asking to be able to go to the dentist under an existing program and have the services already covered. We have gotten to this point because the federal government broke its promise to negotiate health transfers with the provinces. Since the start of the pandemic, the Prime Minister has been telling us that there is a pandemic going on, that now is not the time, that it is too soon. The government said that once the pandemic was over, it would negotiate increased health transfers with the provinces, as Quebec and the provinces are calling for. Everyone agrees on increasing health transfers, except the federal government. When it comes to health transfers, the government has no money, but when it comes to things the NDP wants, there is always money available. The pandemic is over. The temporary EI measures are set to be lifted on Sunday. Some 60% of workers in Quebec and Canada who are receiving EI will be left high and dry, on the basis that the pandemic is over. It does seem to be over, since Bill C‑31 would implement measures to increase families' purchasing power, given that we are in the midst of a postpandemic surge in inflation, which we hope is temporary. Enough with this nonsense. People need real care. Children need real dental care. The provinces are the experts here, and that is how it should be. The government must keep its word. I want to conclude by saying that we will vote in favour of the bill because we support the principle. I think it needs some work in committee. With a few fillings, some fluoride, a good brushing, a rinse and a few amendments, this bill might just pass the smell test.
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  • Sep/22/22 11:39:15 a.m.
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  • Re: Bill C-31 
Madam Speaker, I am glad the member is going to be supporting the bill. It is a good piece of legislation. There are some provinces that actually advance dental care more than other provinces. The legislation we are talking about would assist thousands of children in all regions of the country, including in the province of Quebec, where I would see it more so as complementing the services Quebec currently offers. Why, in any fashion, would the Bloc prevent a federal initiative that would provide badly needed dental care to children of all regions of our country?
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  • Sep/22/22 11:40:01 a.m.
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  • Re: Bill C-31 
Madam Speaker, I am starting to have some experience here, so I know not to expect the member for Winnipeg North to actually listen to my speech. I said that the bill is full of cavities, but, speaking of care, there might be a way to make it better. I understand that the member comes from a province that does not have a progressive provincial dental insurance program like Quebec does. I understand that it is not part of his culture to know that Quebec already has this type of program. The government is not helping families by duplicating the program, by complicating it and by creating obstacles for families who want an increase in family benefits. Rather than giving them money, the government is telling them to go to the CRA to have their claims verified. How is that good news for families? I would like someone to explain that to me.
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  • Sep/22/22 11:41:50 a.m.
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  • Re: Bill C-31 
Madam Speaker, the NDP member just demonstrated the problem. The member for Rosemont—La Petite‑Patrie is going to tell his constituents that they have dental insurance. However, when parents in Rosemont—La Petite‑Patrie go to the dentist with their nine-year-old child, they will realize that they still have the same insurance they had before, the one from Quebec, and they will have to ask for a slightly higher receipt and get services that are not covered in order to get the full amount. It seems that the member spends a lot of time in parks like Molson park. I hope he will take the opportunity to tell people that to get better benefits for children they will have to waste a lot of time with CRA and maybe even suffer through an audit if the dentist cancels their day. I wish him luck at the parks.
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  • Sep/22/22 11:53:28 a.m.
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  • Re: Bill C-31 
Madam Speaker, I disagree with much of what the member has said. For the Prime Minister, the government and the constituents I represent, the Canada Health Act and the health and general well-being of Canadians from coast to coast to coast are things we are greatly concerned about. That is why we have invested historic amounts of money. Never before has a federal government given as much money toward health care as this government has. That is why we have invested in things such as mental health and long-term care. Today's bill is all about providing dental care and making it affordable for children under the age of 12. Is this member, and the member who spoke before her, trying to say that it does not complement the system in the province of Quebec? Not all provinces are equal. Is she saying that not one of her constituents would benefit by this program? If she is, she is wrong.
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  • Sep/22/22 11:54:34 a.m.
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  • Re: Bill C-31 
Madam Speaker, my colleague's propensity for putting words in my mouth is incredible. I did not say that no one would benefit from this. I said that these services fall under the jurisdiction of Quebec and the Canadian provinces. If a Canadian province, such as his, wants to have access to dental insurance, real dental insurance, not a temporary cheque, then so be it. However, the other provinces, the ones that want to manage this jurisdiction of service delivery on their own, should have the right to opt out with compensation.
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  • Sep/22/22 11:55:19 a.m.
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  • Re: Bill C-31 
Madam Speaker, I thank my colleague for her speech. I was touched when she talked about how people are going through tough times, how they are struggling and living off of rice and peanut butter. As the cost of living goes up, we are seeing more and more of that in our communities. I am quite proud of what we have been able to accomplish by forcing the Liberals to bring in measures that will really help people. Yes, the money for dental care this year is a temporary measure. It is not real insurance yet. We are working on adding teens, seniors and people with disabilities next year. Other measures, such as doubling the GST/HST credit, will help people in need who are having trouble paying for groceries these days. We also talked the government into a $500 Canada housing benefit top-up for people who are finding it hard to pay the rent. That extra $500 will help 580,000 Quebeckers. For all these reasons, I think today's bill is good news for the people of Quebec.
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  • Sep/22/22 11:57:49 a.m.
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  • Re: Bill C-31 
Madam Speaker, I completely agree. A cheque is not insurance. What we need to do is work on bringing in real insurance with the right to opt out with compensation for Quebec and the Canadian provinces that wish to administer that insurance themselves.
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  • Sep/22/22 12:17:56 p.m.
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  • Re: Bill C-31 
Mr. Speaker, I appreciate the comments the leader has made. In listening to the debate today, it is disappointing to see that the Conservatives, in contrast to the government and the NDP, seem to not want to support our children. This bill is focused, in terms of children under 12, in providing a benefit that will truly have a positive impact. Then there were the concerns expressed by the Bloc members that the people of Quebec would not necessarily benefit from the program. Does the leader of the New Democratic Party not agree that today it is time for us to have a national footprint on the issue of dental care and that this is a good starting point, dealing with kids under the age of 12?
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  • Sep/22/22 12:21:36 p.m.
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  • Re: Bill C-31 
Mr. Speaker, what I have been hearing from my colleague, the leader of the NDP, is nothing new. He is always promoting greater federal interference in provincial jurisdictions and, in particular, Quebec's jurisdictions. He made an impassioned plea for better dental care. I completely agree that we need better dental care. However, does the member not realize that Quebec already has a dental plan for families with children under 10? A new federal program like the one being proposed would do nothing for all of these Quebeckers. If the Government of Quebec wanted its fair share, it could decide to make cuts to ensure that Quebeckers have access to this new benefit. Is my colleague aware of the negative impacts this bill would have on some Quebeckers? That is what we would have to do if we wanted to be consistent and wanted to get our fair share. That is not what I want, however. I want better coverage. What we ultimately want is for the federal government to give proper compensation to Quebec.
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  • Sep/22/22 12:24:15 p.m.
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  • Re: Bill C-31 
Mr. Speaker, Quebec always has the right to opt out with full compensation. I want to share a story. I was in a taxi in Quebec City. The driver told me that the most important thing for him was dental care. This senior citizen said that he really appreciated the fact that I was trying to implement that kind of program. He never mentioned infringing on jurisdictions. He said that he wanted a dental care program. Perhaps my hon. colleague should try talking to people. Ordinary people want programs that work. Ordinary people do not talk about jurisdictions or interference. They want us to help them and respect them. They want to be able to get dental care. That is exactly what we are going to give our seniors across the country over the coming year. They will be able to get dental care, and that will be done while respecting jurisdictions. However, I still want to point out that ordinary people do not talk about that. We respect Quebec's jurisdiction and will continue to do so. People want respect and programs that help them, and that is exactly what we will give them.
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  • Sep/22/22 12:52:56 p.m.
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  • Re: Bill C-31 
Mr. Speaker, I need my colleague's opinion. My thoughts are along the same lines as my Conservative colleague who spoke earlier. As we know, the government has been dealing with numerous issues related to existing programs such as passports, employment insurance and so on. Considering that anyone could have predicted how complicated it would be to get this new benefit or cheque to mesh with the programs already in place in some provinces and in Quebec, would it not have been simpler to finally agree to the unanimous request that Quebec and the provinces have been making for years now? Would it not have been simpler to increase health transfers to the provinces so that they could apply the funding to a dental insurance program, if they so choose, or improve other health care services? Would it not have been simpler, in light of how complicated everything is right now, to do that rather than add another layer of complex management?
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  • Sep/22/22 1:19:51 p.m.
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  • Re: Bill C-31 
Mr. Speaker, before I ask a question, I would like to say that my thoughts are with your constituents and everyone in places like Nova Scotia, the Maritimes, the Magdalen Islands, the Lower North Shore and Newfoundland, who are bracing for hurricane Fiona. I want to express my support as the storm looms, and I hope everyone in your area stays safe. Earlier, I was listening to my colleague from Leeds—Grenville—Thousand Islands and Rideau Lakes, and he sounded a lot like a Bloc member speaking English. Much of what he said was exactly what the Bloc has been fighting for for ages: provincial jurisdiction over health care. I found that very interesting. Earlier, my colleague from Lac‑Saint‑Jean asked the Leader of the Opposition a question after his lengthy speech. He asked him whether he supported the provincial and Quebec premiers' unanimous demand for an unconditional increase in health transfers to 35%. We could not get an answer out of the Leader of the Opposition. This despite the fact that my colleague's speech seemed to indicate his strong support for respecting provincial jurisdiction. Was my colleague suggesting that the new Conservative Party intends to increase federal health transfers in response to the demands of Quebec and the provinces?
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  • Sep/22/22 1:42:13 p.m.
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  • Re: Bill C-31 
Mr. Speaker, I thank my hon. colleague for his speech. I wonder if he could clarify something for me. I am concerned because Quebec already has a program that covers a good portion of dental costs for children under 10. Quebec taxpayers are accustomed to their tax dollars being used for this. I cannot even guarantee that it will be used only for dental care. Someone can submit a receipt for $100 but get $650 back and do whatever they want with the other $550. This is not a dental insurance program; it is throwing money out the window. Besides that, I also want to know whether the government has thought about how it plans to compensate Quebec taxpayers, who pay for their own dental care and who will pay for that of other provinces. Why is the money not being transferred to the governments that have the jurisdiction to do this, that is, the 10 provinces?
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