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Decentralized Democracy

House Hansard - 112

44th Parl. 1st Sess.
October 18, 2022 10:00AM
  • Oct/18/22 2:13:24 p.m.
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Mr. Speaker, on October 11, I had the pleasure of welcoming nearly 100 people to my conference on economic development in my riding of Argenteuil—La Petite‑Nation. Participants came from the municipal, agricultural and tourism sectors, chambers of commerce and industry, as well as community organizations. I would like to thank my colleague, the member for Hochelaga and Parliamentary Secretary to the Minister of Housing, Diversity and Inclusion. Everyone appreciated her participation. As we know, economic recovery is one of our government's priorities, and I strongly believe that we must work closely with key players in the field. The topics discussed during the workshops were the environment, tourism, agriculture, jobs, high-speed Internet access, municipal financing, housing and the role of organizations in the regional economy. We had frank discussions about local concerns, about the challenges related to rural living. This conference helped me gain a better understanding of the issues. That is exactly what we will be working on in Argenteuil-La Petite-Nation.
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  • Oct/18/22 10:22:45 p.m.
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  • Re: Bill C-31 
Madam Speaker, I am pleased to have this opportunity to talk about our government's plan to improve Canadians' access to oral health care by introducing Bill C‑31. Budget 2022 allocated $5.3 billion over five years to Health Canada to provide dental care to Canadians whose family income is less than $90,000. Bill C‑31 authorizes the government to start putting some of that money into Canadians' pockets, starting with children under the age of 12, while simultaneously setting up a longer-term system. Oral health is part of overall health, well-being and quality of life, but we know that going to a dental care professional is out of reach for far too many people in this country. No one should have to choose between meeting their children's dental needs and putting food on the table. We know how heartbreaking it is for parents to see their children suffer, miss school and be embarrassed about the condition of their mouths without being able to give them the help they need. Many Canadians have dental coverage through private insurance plans provided by their employer, and some families receive support through existing government programs, like all of us here in the House of Commons. However, a large portion of the cost of dental care in Canada comes directly from the pockets of Canadians. Of the $16.4 billion spent on oral health care in 2019, 55% was covered by private insurance plans, 6% was publicly funded through various federal, provincial and territorial programs, and 39% was billed directly to patients. Roughly one-third of Canadians have no form of dental coverage, and 22% of Canadians say they avoid, or will avoid, seeing a dental professional because of the exorbitant costs involved. These Canadians who do not have access to dental care too often end up needing emergency dental surgery when their oral health condition worsens. Children from low-income families are twice as likely to require dental surgery under anaesthesia. These surgeries are painful for children and their families. They carry risks that are largely avoidable when ongoing oral health services are available. Emergency surgeries are also more expensive for the public health care system. Our government is working on designing and implementing a new national dental care plan that will enable more Canadians to get the dental care they need. In order to ensure that this plan is robust and fair and that it reflects current needs and realities, the government will continue to collaborate with stakeholders, first nations partners, and the provinces and territories in order to create a plan that meets the needs of Canadians. We have established and leveraged strong relationships with dental professionals, academics, researchers, leaders in the field, and other stakeholders to ensure that we understand the complex national landscape of dental care. Canadians deserve a plan that works for them. The government is taking the time to get this right. However, we cannot ignore the fact that while we are working hard on creating a long-term plan, Canadian children are currently suffering from the effects of childhood oral disease, with repercussions that could follow them their entire lives. The burden of poor oral health does not affect everyone equally. We know that the children of low-income families are the most affected. That is why we are introducing this bill: to start to break the cycle of poor oral health among the youngest Canadians as soon as possible. Our objective is to ensure that children under 12 without dental insurance can access the Canada dental benefit before the end of 2022. The target implementation date for the Canada dental benefit is December 1, 2022, pending parliamentary approval and royal assent for the bill, and the program would cover expenses retroactive to October 1, 2022. To access the benefit, parents or guardians of eligible children would need to apply through the Canada Revenue Agency. In addition, they would need to attest that their child does not have access to private dental care coverage and that they will have out-of-pocket dental care expenses for which they will use the benefit and for which they have not been and will not be fully reimbursed under another government plan. They must also attest that they understand they will need to provide documentation to verify that that out-of-pocket expenses occurred during the period of the benefit. This may include showing receipts to the CRA. At the same time, our government will continue to work on supporting the oral health of the middle class and those working hard to join it. We will continue to work with our partners and stakeholders to provide dental health care and make life more affordable. Our government will continue to fulfill its role by offering dental coverage to many Canadians. Through the non-insured health benefits program, the federal government provides dental coverage to recognized first nations and Inuit individuals. The children's oral health initiative provides preventive oral health services to first nations and Inuit children on reserve and in remote communities. The government provides limited dental coverage to people incarcerated in federal correctional facilities and to some newcomers through the interim federal health program. It also makes employer-sponsored dental insurance available to all federal public servants and retirees, members of the Royal Canadian Mounted Police, members of the Canadian Armed Forces and veterans. Supporting oral health is a complex goal. There is no simple solution that will remove all barriers to accessing oral health care services overnight. The government will rely on collaboration with the provinces and territories as well as indigenous partners and other stakeholders as we strive to get this right for Canadians. Some people might be concerned about the cost of this dental benefit and wonder how Canadians can afford it. My question to them is, how can children in Canada afford to miss two million days of school because of oral health issues? How can their parents afford to miss days of work when their kids cannot go to school because of dental issues? The best time to solve a problem is before it starts. We know that oral diseases often start in the preschool years. What we are doing is prevention. The preschool years are also an important time for establishing good lifestyle habits by making sure families have the means to give their children the preventive oral health care they need. Canadians will experience less pain and distress and reduce their health care costs over the course of their lifetime. When we as adults have a toothache, we go see a dentist right away because we are in pain. Kids under the age of 12 should also go see a dentist when they are in pain. By supporting this bill, members will make it possible for hundreds of thousands of Canadian parents to seek dental care for their children. The Canada dental benefit will give children a chance to get an existing problem fixed or receive much-needed preventive care, thereby contributing directly to reducing pain, creating more smiles and improving the health of children across Canada. In closing, we know parents want to do what is best for their children's health. This bill will help them do that. I ask all my colleagues to join me in voting to pass this bill so we can make affordable dental care available to Canada's most vulnerable children, giving all children a fair shot at a better quality of life.
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  • Oct/18/22 10:33:39 p.m.
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  • Re: Bill C-31 
Madam Speaker, of course we are working with the provinces and territories. How can they say that the system is working when almost 40% of young people are currently not receiving services? They have to pay for services, so they go without. I am from a rural riding. There are a number of rural ridings where many small businesses do not cover dental care. This bill will make things more equitable. We want equitable treatment in terms of oral health care for young people in every province.
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  • Oct/18/22 10:34:55 p.m.
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  • Re: Bill C-31 
Madam Speaker, in politics, there is a time for everything. We campaign, we set goals. We have focused on seniors and the middle class. We wanted to take money away from the rich and redistribute it. We focused on indigenous communities. Together with the NDP, we have reached out, and it is time we worked together to provide dental care across Canada, without neglecting any province, including the territories.
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  • Oct/18/22 10:36:24 p.m.
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  • Re: Bill C-31 
Madam Speaker, we are working together with all the provinces and territories to ensure that all children in Canada can have the same plan. We are also working with Quebec, which is a model for all of Canada. We are lucky that Quebec's dental plan already covers children 12 and under to a certain extent. Let us follow Quebec's lead. However, is there any difference between a child from Quebec and a child from Calgary or Prince Edward Island? To me, a 12-year-old child who needs dental care, whether they are from one end of the country or the other, deserves to have the same service.
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