44th Parl. 1st Sess.
September 22, 2022 10:00AM
moved that Bill C-31, An Act respecting cost of living relief measures related to dental care and rental housing, be read the second time and referred to a committee.
He said: Mr. Speaker, I will be sharing my time with the Parliamentary Secretary to the Minister of Housing and Diversity and Inclusion.
I am thankful for the opportunity to rise today in the House to open this important debate on Bill C-31, an act respecting cost of living relief measures related to dental care and rental housing.
These days everyone is feeling the effects of the increased cost of living. This situation is particularly difficult for families. We know that all parents want what is best for their children.
However, with inflation the way it is, oral health care may be out of reach for the more than one-third of Canadians who do not have dental insurance and their children.
That is why, this week, we introduced a bill that proposes a Canadian dental benefit to help families who are having difficulty paying for dental care for their children. The introduction of this benefit is the first step toward a comprehensive, long-term national dental care program.
Investing in oral health is about more than just avoiding cavities. It is essential to overall health. By making routine dental care more accessible to Canadian families, we can prevent children's minor oral health problems from becoming major issues that are more costly, painful and difficult to address. For example, poor oral health is linked to major chronic diseases such as diabetes and heart disease.
Poor oral health clearly places a heavy burden on children, parents and the health care system across the country. The direct and indirect costs affect us all, and we can all benefit from the improvements that proper oral health care can bring to the overall health of the Canadian population.
The proposed Canada dental benefit is a first important step toward that goal. The proposed benefit would start by helping children who are more in need, because when it comes to poor oral health, kids have the most to lose. Many oral diseases can begin in the preschool years, and tooth decay is the most common chronic disease in Canada for children. That is also true around the world.
In Canada, the treatment of dental problems is the leading cause of day surgery under general anaesthesia for children under the age of five. Once again, these dental problems are not shared equally among all kids. Research shows that dental diseases tend to be found mostly among children from lower-income families, indigenous children, new immigrants and children living with disabilities or who have special health care needs. The good news is that with the right amount of care, these oral health issues and the longer-term health problems they create are preventable.
Here is how the Canada dental benefit would work. Beginning in late 2022, parents whose adjusted family net income is under $90,000 and who do not have access to private dental insurance can claim the Canada dental benefit for their eligible children under 12.
The Canada Revenue Agency, the CRA, will administer the benefit. Parents will be able to apply through the CRA's My Account portal or their contact centre. If eligible, they will receive an initial payment that they can use to see a dentist with their child.
We want to eliminate as many obstacles to accessing dental care as possible by making sure that families do not have to cover dental expenses they cannot afford.
The Canada dental benefit will provide up to $650 per year per child under 12. It will be available to eligible families and children and will not be taxed.
We realize that it is essential for Canadians with urgent dental care needs to get funding quickly and easily. That is why the benefit will be offered to claimants before the dental care is provided. That money can be used to cover oral health services offered by any independent, regulated oral health care provider in Canada.
In the event a person has paid for care before applying for the benefit, they can apply for the benefit retroactively, as long as the care was received during the eligibility period and was not reimbursed by another program.
If this bill is passed, Health Canada and the CRA will work closely together to ensure that Canadians receive their benefits as quickly as possible.
The CRA has the necessary resources and experience to offer this program thanks to its vast, secure infrastructure and its long-standing experience in delivering services to Canadians. The CRA will verify compliance before and after the payment to protect itself against fraud and ensure that the program is being used as intended.
If the bill is passed, Health Canada will act quickly to ensure that Canadian families who qualify for the Canada dental benefit are well informed about how to apply for it.
In collaboration with the CRA, Health Canada will launch a national public education campaign to inform qualifying families about the program and will oversee the implementation of the benefit.
As I mentioned, the proposed Canada dental benefit is an interim benefit. This measure would provide immediate financial support to low- and middle-income Canadian families, allowing them to begin addressing their eligible children’s dental care needs sooner rather than later. While this interim program is in place, the Government of Canada will take the necessary steps to build a comprehensive, longer-term dental care program. That includes engaging with key stakeholders, including the provinces and territories, indigenous organizations, dental associations and industry to help inform our approach to implementing a long-term Canadian dental care program.
This past summer, for example, the Minister of Public Services and Procurement and I launched a request for information with industry representatives, and Health Canada reached out to provinces and territories to better understand what is needed to successfully implement a long-term Canadian dental care program. What we learned through that process will help inform our approach as we work toward a permanent program.
I am pleased with the progress our government continues to make on this front as we develop and take necessary steps to put in place a robust, sustainable long-term dental care program for Canadians. I look forward to providing more details on that front in the coming months.
If passed, this bill will help hundreds of thousands of Canadian children who do not currently have access to dental care because of the cost of that care. Bill C-31 proposes an interim benefit, because children, whose teeth are still developing, are a priority for our government and for anyone who cares about oral health.
That being said, in closing, I would like to take a moment to talk about timelines. In budget 2022, our government committed to helping our youngest Canadians access dental care by the end of the year. Our goal is to ensure that children under 12 can access the Canada dental benefit by the end of 2022. I therefore urge all hon. members of the House to support this bill, an act respecting cost of living relief measures related to dental care and rental housing, without delay.
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Madam Speaker, when we look at the legislation, it is important to note that what we are doing is helping society deal with a very serious problem. Teeth decay and surgeries as a direct result of children not having a dental plan are having a profound impact on other aspects of quality of life and health care costs.
I wonder if the member could provide her comments in regard to the benefits of helping our children at this time.
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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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Madam Speaker, allow me to begin this first speech of the fall session by taking the time to salute my constituents in Beauport—Limoilou, not only those who re-elected me just a year ago, but all my constituents since I share my days with them. What brings us together goes beyond partisanship and politics, and so I send them my regards.
My speech today should be of interest to my constituents because it is about things that affect their daily lives, things they work hard for, in other words, rent, dental insurance, quality of life and so on.
I will talk about two things: the dental benefit and the rent support program.
This spring, when we were getting ready to vote on the budget implementation bill, some members in the House stated loud and clear that they were voting in favour of the bill in order to keep one of their promises, which was one of the reasons they reached an agreement with the Liberal Party, namely the implementation of dental insurance.
However, the current bill does not actually establish dental insurance. A benefit and insurance are two completely different concepts. Insurance pays for all or part of the dental care a person receives in a year. A benefit is an amount of money given at some point during the year. Too bad if it does not cover all the costs, but it is nice if it does.
In this case, we are talking about $650 a year for a family earning less than $70,000 in that year. I have four children. There have been times in my life when my spouse and I have made less than $70,000 a year. Quebec covers some dental care, but not basic care like annual scaling and cleaning, or sealing pits and fissures in adult teeth to prevent cavities. It was over $400 a year for basic care for my four children. Two of them required appointments every six months. I am fastidious about dental hygiene. There are years when we had to cut our budget to make sure our children saw a dentist. There are years when they did not see one at all because we could not afford it.
In addition to not adequately covering people's needs, getting the benefit is going to be a pain, because parents have to claim it through CRA's My Account portal. As my colleague said, that means parents need access to a computer and the Internet, which not everyone has. When people have to cut spending, the Internet is often one of the things they let go of. Parents also have to trust a system that has either lost data or been hacked in recent years. Sounds great, right?
Why not set up a simpler process, such as using health cards? True, health cards are within the purview of Quebec and the Canadian provinces, not the federal government.
Need I remind the House that dental care is health care and is therefore under the jurisdiction of the governments of Quebec and the Canadian provinces? Quebec has dental insurance, as I said earlier. It used to be much more comprehensive, but is only partial now. When federal health transfers were pared down in the 1990s, Quebec and the Canadian provinces had to make tough choices. One of those choices was to reduce the age of eligibility for free dental care from 18 to 10. My father did not have to pay for my dental care because it was covered.
The federal government is once again infringing on an area of Quebec or provincial jurisdiction rather than fulfilling its constitutional duty with regard to health transfers. It is rather ridiculous that the separatist party in the House is the one reminding the federal government of its constitutional duties. The government wants to look like the great saviour when it is actually the one that has been causing these problems since the 1990s. Basically, the government is pulling a Perry, the firefighter who set fire to the Montreal Parliament building in 1849. He knew how to set fires and put them out.
By cutting health transfers, the federal government knew full well that the burden would fall on the shoulders of Quebec and the provinces rather than on its own. It knew that Quebec and the provinces would be forced to cut public services and programs. It knew that those cuts would tarnish the reputation of Quebec and the provinces. It knew that, as a result, over time, any separatist movement in Quebec or the other provinces would be undermined. However, the bad news is that the opposite is happening. What is good news for Quebec and the provinces may not be good news for the federal government.
The federal government is the main reason for the cuts in Quebec and the provinces, the same federal government that, today, is setting itself up as the great saviour of services and keeps repeating that it is not an ATM. I would like to remind the federal government that the money in that so-called ATM belongs to citizens. That money did not grow on trees. The federal government needs to abide by the constitutional agreements and increase transfers to the amount called for by Quebec and the provinces. That is a good deal, because they are only calling for 35% when, under the agreements, the federal government should be paying them 50%.
Some are sure to argue that the current bill introduces an interim measure for two years while a real insurance program is being created. What will happen in two years? There will probably be an election. The interim measure might end up being in place longer than expected, to the point of being seen as permanent. It is kind of the same thing with employment insurance, which has its share of problems. We are told the situation is temporary and that improvements will be made. That was supposed to happen this summer. The reform will be put off indefinitely even though the government says it is urgent. We have heard that before.
In the parliamentary process, suggestions can be made in the form of amendments introduced in committee. The first suggestion would definitely be to respect constitutional agreements regarding health transfers. The second may be to give Quebec and those provinces that may choose to do so the option of opting out with compensation. Doing so would be in line with the Constitution in that it would keep the federal government out of jurisdictions that are not its own.
I now want to briefly talk about my daughter's experience as a renter. My darling Zoé managed to find a place to live 20 minutes from her work and 40 minutes from her school by bus. The apartment is two rooms, in a dark, unheated semi-basement. The cheapest she could find was $900. The $500 a year would represent around 0.46% of her housing costs. That does not include food. She is fortunate that mom and dad can help her, but that is not the case for everyone. The figure of 0.46% in no way commensurate with inflation, which is hovering around 7% and is even higher for rents. It makes no sense to me when someone claims that taking 10% off of $2,500 makes a housing unit affordable. That is more expensive than a mortgage and it makes no sense.
Sending this cheque is not unlike patching a crumbling wall with a glue stick. The wall needs to be fixed. In other words, we need programs that are sustainable and predictable. It is ridiculous that an organization would go through the hassle of creating an entire housing program only to be told, “sorry, but the deadline has passed”. The organization wasted $35,000 to $50,000 on expertise and wages that turned out to be completely useless.
Starting in 2016, 100,000 units per year were supposed to be built in order to meet the growing demographic need. 2016 was six years ago, so we are talking about 600,000 units. Things are not getting any better. I would hope that no one here has had to cut up towels to make diapers, like I did. I hope that no one here has had to stock their cupboard with beans, instant rice, peanut butter and bread to feed their family, like I did. I hope no one has had to roll their pennies to buy milk. That is where unaffordable rent gets us.
I still have laundry—
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Mr. Speaker, my hon. colleague and dear friend raises a really important issue. People waiting for this care could have got it earlier. We want them to know that we are fighting for them, and by next year there will be a national federal program that will cover children 18 and under, seniors and people living with disabilities. This will provide so much help those people. As the hon. member for Victoria mentioned, it will be life-changing.
I want the family she mentioned to know that we will be fighting for it. We are going to ensure it gets that respect and dignity. We will ensure that members of the family are able to take care of their teeth. We are going to make that happen.
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