44th Parl. 1st Sess.
October 18, 2022 10:00AM
- Oct/18/22 2:37:33 p.m.
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Mr. Speaker, I understand that the Conservatives want to imitate what is currently going on in England, but I am not sure that is the right path to take.
Here at home, programs have been put in place to help children. I am thinking about the Canada child benefit that lifts children out of poverty. Is that what the Conservatives would cut? They should say so. Is it the guaranteed income supplement, which gives seniors a bit of a boost? Is that what they would cut? Would they cut the workers benefit? Again, it is easy to criticize, but they should have the courage to say what they would do.
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Mr. Speaker, I find it mighty rich that Conservatives are using all of their stalling tactics to prevent children from getting dental care, while MPs in the House get dental care, Conservative MPs.
I find it extremely disturbing and shameful that they are doing this. We need to move forward with this so that children get help so that they can deal with their dental work.
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Madam Speaker, I congratulate my colleague for wanting to take a closer look at the bill. That is exactly what we can do if we vote for the motion today. We can go to committee and take the time needed to listen to experts to see how taking care of our children's dental health means taking care of their health in general. It avoids them having to go to the hospital for emergency surgery that would not be needed if they had access to quality preventive dental care. It is for all children who need it in Quebec and elsewhere.
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Madam Speaker, there are two things: first, the process, and second, the outcomes.
This is the right process to proceed quickly to deliver better dental care for children.
On the outcome, about two million school days are missed by children every year because they need to go for emergency dental care. This is time wasted, obviously, for children. It is also an important burden for families. We need to do better. When children get sick, it is bad for their health and it is also bad for their long-term development, socially and health-wise, especially when they miss days at school.
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Unfortunately, Madam Speaker, what the member is saying is right. That is the impression that would be given to somebody who is paying attention to what is going on in the House.
To the member's point, he is absolutely right that there is no program that covers all children under 12. In fact, I hope the program does not stop there. I hope that one day there will be a dental care program similar to the health care program where everybody is covered. That is where we ultimately need to get. When the founders of our health care system created it, there was an understanding that pharmacare and dental care were on the horizon, that those things would happen in the future, and yet here we are so many decades later still waiting.
I applaud the NDP's passion for this and continually pushing for it. I am glad that we can work together on this. I hope this is not the end and that we can continue to see dental care expand not just to the criteria that we are seeing here, but, indeed, to more Canadians in the years to come.
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Madam Speaker, the most important thing is that we ensure we are giving kids the access they need to preventative dental health care. What we see quite often is that those who cannot afford dental care end up in our emergency rooms accessing emergency dental care, which is being paid for through our health care system anyway. What we can accomplish by providing that preventative work in advance is that we can help ensure that kids do not end up in an emergency room and put to sleep in order to have emergency dental work done on them.
The impact it will have on individuals in my community is similar to the impact it will have on individuals in his community and communities throughout Canada. This will help create a baseline by which we all agree that children need access to dental care to ensure they have a shot at a healthy life in the future.
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Mr. Speaker, it is such a pleasure to rise and talk about a really important issue, an issue that affects children in every region of our country. It is interesting that during this debate, the Conservative Party is trying to give a false impression. If we listened to the Conservatives, we would think there is no need for the program, that in most of the provinces, there is not a problem for children under the age of 12, that we should not worry because programs are in place. Nothing could be further from the truth. At the end of the day, there are children in every region of our country who will benefit from Bill C-31.
I understand Bloc members at times are a little confused and it seems they do not support the motion we are debating now, but I think they are going to support the legislation. The Conservatives, on the other hand, do not support the motion and do not support the legislation. There is a big difference. If we did not bring forward this motion, the bill would not pass in a timely fashion. As my colleague mentioned, if we left it up to the Conservative Party, the 11-year-olds and 12-year-olds today would have no chance to put in a claim.
The Conservative Party understands how important it is, from its perspective, to filibuster to prevent legislation from passing. What we are debating now is not Bill C-31. We are debating the process that we have to put into place to allow Bill C-31 to see the light of day, to allow it to get to committee. That is what this resolution is all about.
Earlier this morning when the House started, we saw the types of tactics the Conservative Party used. It moved concurrence in a committee report in order to kill three hours of government business time so that we would not be talking about the environment, because the Conservatives do not care about the environment. That is the reality. The Conservatives do not want to debate Bill S-5 and now they have come up with a way to prevent it from happening.
The motion we brought forward is supported by the New Democratic Party for good reason. Because of this motion, Canadians from coast to coast to coast can be assured there eventually will be a dental plan, but first the bill has to get through committee, report stage, third reading and through the Senate. However, at the very least, we are seeing some forward movement on the legislation, which I believe is a very strong, positive thing.
The member for Abbotsford talked about health outcomes. This legislation is about health outcomes. Whether people are from British Columbia, as the member for Abbotsford is, P.E.I. or Manitoba and every other jurisdiction in Canada, there are children in need of the type of dental program that this legislation would provide. By denying them the opportunity to have this kind of benefit, children will not get the dental work that is necessary and, as a direct result, will often be taking up emergency room spots in our hospital facilities.
The member for Regina—Lewvan talked about working with the provinces on health care. I would suggest that the member talk to some of the provinces and look at some of the issues facing health care today. One of those issues is backlogs for surgeries and so forth. He should check out the number of spaces in emergency rooms.
When we talk about healthy outcomes, it is more than just putting smiles on kids who are under 12 and supporting children with a dental program. It is also going to help seniors who need hip replacements and individuals who need to use emergency services, in particular our children's services, such as the children's hospital at the Health Sciences Centre. These are the types of things that, when we look at Bill C-31 and we want to talk about health outcomes, have to be factored in.
The member for Abbotsford talked about how we should put the legislation to the side for now because of the issue with inflation, or there was talk about other programs. That is what the member for Abbotsford said. We need to read what it is he said. At the end of the day, he did not believe we could bring forward this program. He wants to show that we are treating the issue of inflation in an appropriate fashion.
Need I remind the former critic for finance, the member for Abbotsford, to compare Canada's inflation rate to other countries around the world? At the end of the day, what we will find, whether it is the United States, England or most European Union countries, is that Canada's inflation rate is lower.
When the member talks about dealing with inflation, we are dealing with inflation in other legislation. On one of the pieces of legislation, Bill C-30, the member for Abbotsford actually voted in favour. That is dealing with inflation. We are saying we are going to increase the rebate for the GST. That would put cash in 11 million Canadians' pockets. That would put money in our communities, whether it is Abbotsford or Winnipeg North. That would help Canadians in a real and tangible way.
I have to be honest here. To the Conservatives' credit, they did flip-flop. Originally they opposed it, but they did come and support the bill and I am grateful to the Conservative Party for realizing that.
I say that because people could be somewhat encouraged by it. I would like to suggest to the Conservative Party that it do likewise for this bill. If I was to request hands up on the Conservative benches from those MPs who believe that not one of their constituents would benefit from the dental plan and not one of their constituents would benefit from the rent subsidy, they could show me a hand or stand up on a point of order and make that statement, but not one of them will raise a hand.
Some hon. members: Oh, oh!
Mr. Kevin Lamoureux: What member is that? Does anyone know what riding she represents?
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Mr. Speaker, I am truly honoured to be standing here to speak to this bill. Lots of people are still in the House and I know they are all excited about my speaking to this bill as well.
I want to start off with a quote. What I have been hearing for the last number of weeks is that we do not care about children. I want to read from something that I received this morning. It was sent to every member of Parliament. I really hope that government members are listening and reading their emails. This is a letter from Children First Canada which states, “Once ranked 10th amongst the OECD for the well-being of children, Canada has fallen sharply to 30th place. Children First Canada's latest raised-in-Canada research suggests Canada has reached a critical tipping point. Many children do not make it to their 18th birthday. The infant mortality rate in Canada is higher than in most wealthy countries and the leading cause of childhood deaths include preventable injuries, suicide and homicide. Those that do not survive are not thriving. One-half of kids experience poor mental health in the form of depression, one-third experience bullying, one-quarter experience sexual harassment or assault in school before reaching grade 7 and a fifth grow up in poverty.”
I wanted to read that into the record because we are talking about a program that was introduced earlier this year which I believe has not had the appropriate consultation, especially with the provinces. I would like to ask the government what consultation it did with the provinces. The consultation with the Canadian Dental Association makes it very clear that it is not pleased with this decision.
When I read something like this from the OECD stating that there is an astounding negative impact on our children under the government with its leadership, yet the government is telling us that we do not care about our children, perhaps it should look in the mirror and tell us how we went from 10th to 30th place. That is something really important that we should be looking at. I hope that members are reflecting on that as we have this discussion.
I am coming to this discussion on Bill C-31, the dental and rental bill as it has been called, by looking specifically at the dental aspect. I have applied my education in dental health from 1993 when I graduated and then worked in the field for a number of years, and then once I had children, my understanding of the field as well. I come to this with an understanding of how these programs work, what it looks like as a dental assistant, or a dental hygienist, or working and teaching people how to brush their teeth. I have had the opportunity to work very closely with many dentists, specifically Dr. Charlie Lynn in the city of London, where I have seen the importance of dental health.
When we talk about dental health, I would have to say it is one of my top three priorities, absolutely one of the key priorities when we are looking at health care. Dental health falls there, but what we are talking about is a program that we want to have nationally. This is where I applaud the government for understanding that dental health is very important, which it is, but come on. The government is providing a program that is so not beneficial to Canadian families. That is what I want to reflect on in this speech today.
Over 70% of Canadians are already covered under some programs. We know that children, specifically here in Ontario, are covered under a program called healthy smiles. Back when I graduated, it was called children in need of treatment. If anyone wants to debate it with me, they should go for it. I dare them. The fact is that children in need of treatment was an excellent program and was a very important program for low-income people.
I listened earlier to the Prime Minister talk about targeted funding. If we want to talk about targeted funding, the government should do what the provinces have asked for. The provinces have asked the government to expand the already existing programs.
That is why I say that the government has come up with a program that fills this little minute void and looks really great on paper. Meanwhile, it is sitting on $4.5 billion that was announced in last year's budget for mental health and the OECD has said that the well-being of our children has dropped from 10 down to 30 in its rankings. The government is putting forward a program that looks great on paper, but if it were to ask anything about the administrative costs, it would find out that those administrative costs are not going down to our children.
Once again, the government is wasting taxpayers' money. That is why I challenge the government to take a step back, take a look at this program, and start talking to the Canadian Dental Association and the Ontario Dental Association. I have read their reports. I have spoken to dentists and they are not in support of this program.
I will read from the newsletter of an organization, Atlas Dental. It states:
The federal government’s plan for now is both ambitious, ambiguous, and perhaps a little misguided. There are many questions that are yet to be answered before such a universal dental care program comes into effect. Such as exactly how much dental care coverage is each Canadian eligible for? What kind of dental services are covered? Will it be available under public health unit dentists or will it be open to private practice dentists as well?
Some answers are coming out, but at the same time, it does not answer the need.
It goes on to state:
During the 2021 Canadian federal election, the CDA recommended that Parliament conduct a detailed study on improving dental coverage for Canadians, within the first 12 months following the election. In the interim, the CDA recommended an investment of $600 million over the next five years to maintain and expand existing dental care programs delivered by provincial and territorial governments, particularly those targeting vulnerable populations.
The reason it is very important for me to put on the record is I do not know where the support for this program is, with the exception of the government bench. When we talk to dentists, the dental health associations and the public health associations about their needs and what they have asked for, the government is delivering something totally different. and I ask why. Why is the government putting forward a program when people have said this is not the way to do it?
When we look at dental programs, we should look at the schedules. This is getting into the weeds. A schedule is the lab work, the five-digit code that a dentist has to put in and say what it costs. For those working in programs like children in need of treatment or the healthy smiles program, there is a special code. People can go to their dentists, have work performed and there is a smaller cost associated with that.
Many of those programs are covered by Ontario Works, ODSP and an assortment of other programs. We are now going to be putting money into Canadians' bank accounts without actually doing the follow-up investigations that will be needed. If they are following the same schedules, because the government is saying it is going to be public and universal and it is going to be legal to have different schedule fees, what we will find is that they will be paying for a pantograph that will now be two or three times what the cost would have been under the child in need of treatment program. The filling that would have cost maybe $90 is now going to cost $345. It is a program that provides the services that Canadians need and that children across this country have received. Yes, there are gaps, but it would be replaced with a very ill-thought-out program. That is why I am very concerned.
I am going to talk about the rental benefit. I am very proud of my son, who finally moved into an apartment of his own. The cost is $1,400. What a great cost, because it is one of the most affordable apartments that he could find. The average rental cost in my community is over $2,000 and $500 does not even pay for a week's rent in the city of London. This would be a band-aid approach. Meanwhile, we see the housing markets skyrocket.
If we want to look at why apartment rents are so costly, it is because of where the houses are. If we want to compare the facts from 2018 to 2022 and look at what the market range is for real estate, we are going to find in some of our communities that there are differences of $250,000 to $300,000. This is really important to know because for someone trying to rent an apartment whose base cost was originally $345,000 and that person buys a home for $650,000, we all know that rental cost is going to go up. Then we have to add the interest rates that we are going to continue to see.
As members of the Conservative Party have been bringing forward time and time again, we see inflation and more spending by the government. We ask the government to please put a cap on it and to get something done right. It should fix our health care system with good programs and stay away from dental programs until the government gets it right. This is a failure. I hope the government can do better.
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Madam Speaker, one of the things we demonstrated, whether it is the health care accord or the first-ever child care accord with the different provinces and territories, is that at times there is an absolute need for the government to work with the provinces to implement a program. In this particular situation, it is very much a patchwork. We heard that during the debate, where some provinces are doing better than other provinces.
For the first time, for individuals who are financially challenged or at that lower income, their children who are under the age 12 are going to be receiving a benefit. That benefit is going to prevent many of those children from ever having to go into a hospital situation because they could not afford to get dental work done. It is more important to recognize that fact and implement the program, and I suspect there will be an ongoing dialogue to look at ways in which we can expand the dental care program and benefits.
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Madam Speaker, I think that my colleague believes that it is important for children under 12 to have dental care.
However, on the issue of priorities in health and social services, can he tell us who he thinks is best placed to determine, in each province, the health care and social services that need to be offered to the least fortunate populations and the population as a whole? What jurisdiction should deal with and handle this issue?
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Madam Speaker, I know the Alberta program she is talking about. I have, unfortunately, had to use that program. The Conservatives are upset with the fact that we are going to be delivering care to over 500,000 children.
Some hon. members: Oh, oh!
Mr. Blake Desjarlais: Madam Speaker, they are heckling right now. That is how badly they want to block this legislation and how badly they do not want those children to get that support. The Conservatives do not want that to happen.
I was raised 20 kilometres south of the member's riding. I had to enlist in that program and did not get the care I needed from that program. That is why this program is needed. Why will she not agree?
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