44th Parl. 1st Sess.
October 18, 2022 10:00AM
Madam Speaker, I have great concerns about the fact that we are not continuing this conversation in the House. When we look at the various scenarios where we have a lot of apprehension about the way the government has managed to bring its programs forward, I have concerns.
I hear all the time from my constituents that the Liberals put these programs out there, but they do not put the meat on the bones before they present it in this place. That is my concern. When we are talking about that kind of money, are we going to be in a circumstance like we were with CERB, where they just shut off all the checks and balances and let people apply, and then, after the fact, try to deal with the challenges? I understand that there probably are some young people falling through the cracks, but to have the federal government engaging in this way is very concerning.
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Madam Speaker, my colleague speaks about her concerns, and she can legitimately have concerns. Those concerns, indeed, need to be addressed by the committee. She also mentioned meat on the bone. Meat on the bone is what the committee will need to do very soon, hopefully, looking at each clause to make sure it is best suited to support the principles defended by this bill at second reading.
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Madam Speaker, I had a meeting this morning with representatives from the Canadian Life and Health Insurance Association. They raised a concern about the government introducing an alternative to dental insurance. A lot of companies, particularly SMEs, will withdraw from group insurance programs. That could have major consequences for access to several types of insurance that are not limited to dental insurance. Access to such insurance is a major competitive advantage for employees and employers.
If government dental insurance is imposed, our businesses may no longer have access to insurance plans. Has the minister considered this possibility?
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Madam Speaker, the member for Abitibi—Témiscamingue is quite right in saying that this is a risk that must be considered.
Any public program obviously comes with considerations of possible movements and possible partial or considerable withdrawal from programs already offered by other governments or the private sector. That is an element that the member and other members on the committee can raise during the study of the bill at committee after second reading.
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Madam Speaker, I would like to reiterate a question that has already been asked of my colleague and I would like a clear answer.
Many have asked if the provinces were consulted. Did the provinces ask, yes or no, for this type of dental program that is presented in this grand bill that contains all kinds of things? The question is simple and I would like my colleague, who is good at dodging answers, to answer it.
Yes or no, did the provinces ask for this? Yes or no, were the provinces consulted on this program?
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Madam Speaker, I am very happy that my colleague asked that question.
All of Canada's health ministers have had the opportunity to speak with one another quite regularly over the past several months. We did so again a few weeks ago, and I did so several times over the summer.
We have spoken frequently about this dental insurance program since it was first announced a few months ago. My officials and provincial and territorial government officials speak with each other very regularly in order to share all relevant information, because we know, as my colleague suggested, that this work must be done in a complementary way to support the dental care needs of all Quebeckers and all Canadians.
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Uqaqtittiji, it is really unfortunate that the Conservatives are seeing this as a cost to Canadians, when it really has to be seen as a benefit to low-income families. Having said that, I think we also need to recognize the urgent issues we need to address, especially around mental health. The Mental Health Commission of Canada estimates, for example, that mental health issues and illness cost Canada at least $50 billion every year. We need to focus on that as well.
Could the minister please respond to the issue?
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Madam Speaker, I think we are all grateful to hear this question. As we said earlier, mental health is an integral part of health. Mental health care has to be a part of health care.
We also mentioned earlier that approximately $6 billion is already in the fiscal framework for the next five years to support mental health care, home care, community care and additional investments for long-term care. We know, because we said it during the campaign, that we will be doing more. In particular, we will be putting into place mental health transfers specifically targeted to the things that our colleague mentioned earlier.
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Madam Speaker, it is always a pleasure to rise on behalf of the people of Kamloops—Thompson—Cariboo.
I have grave concerns. The government cannot deliver a $57 passport. How is it going to deliver a $10-billion dental care program?
I want to put that aside, though, and build on the question from my colleague from Mégantic—L'Érable and my colleague from Regina—Lewvan because we have not heard an answer. How many provinces asked for this? His answer should start with a number.
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Madam Speaker, there are two answers
The first is the $25 billion through the Canada child benefit. It is a big amount of money. Every month, it lifts approximately 400,000 children out of poverty, plus obviously, all of their parents. That is a big amount, but it has a big impact in our society. It makes our society more fair and prosperous.
We believe that better equity, better justice and better health for Canadians should also be achieved through investing in the dental care and dental health of our children and families.
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- Oct/18/22 4:12:49 p.m.
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I wish to inform the House that because of the deferred recorded divisions, Government Orders will be extended by 26 minutes.
It is my duty to interrupt the proceedings at this time to put forthwith the question on the motion now before the House.
The question is on the motion.
If a member of a recognized party present in the House wishes to request a recorded division or that the motion be adopted on division, I would invite them to rise and indicate it to the Chair.
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- Oct/18/22 4:13:34 p.m.
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- Oct/18/22 4:13:34 p.m.
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Madam Speaker, we request a recorded division.
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I declare the motion carried.
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Mr. Speaker, I rise today to speak to this very important motion that would put into process how we will ultimately resolve the bill before us, Bill C-31, a bill to enact very important supports for Canadians, in particular Canadians who are struggling the most right now and Canadians who are experiencing the effects of global inflation and everything that is going on in the world at this moment.
Specifically, this programming motion would set in motion a series of events. The first thing that would happen is we would finish disposing of this piece of legislation today at second reading. We would then send it off to committee. Once it gets to committee, it would have a certain amount of time to go through clause-by-clause and other considerations the committee might have. Then it would return to this House later next week to be finally voted on.
I think this motion to program Bill C-31 is very important. It is very important because so many Canadians out there who are experiencing the hardships associated with rising costs right now would benefit from the supports in the bill. I know there have been many complaints, from the Conservatives in particular, about the democratic process and how this is an affront to democracy, but in all fairness, if we look back at what happened this morning, we can see that the Conservatives were utilizing the opportunity to bring forward a concurrence motion to essentially shut down government debate.
Quite often this question will be asked: Why can the government not seem to program properly to put bills forward or schedule its agenda? What we hear repeatedly is that the government is completely incapable of doing that. Well, the reality is, as Parliament is set up this way, that the opposition has certain tools and tactics it can use to slow things down. In reality, this is, really, the tool opposition MPs have. The tool an opposition has in Parliament, whether it is this Parliament or a provincial legislature, is to slow things down and get things to move as slowly as possible to try to perhaps drum up more support for its position or whatever it might be.
I understand that. I understand why the opposition is doing what it is doing from time to time. I understand where its desire comes from to slow things down and effectively stop legislation from moving forward. However, I also have great concern over doing that on this particular bill. This is a bill that would genuinely help the most vulnerable people in our communities.
When games are played by opposition parties to slow certain bills down that might not have the immediate consequential impacts that this one does, I can at least understand why they are doing it, even though it frustrates me at those times as well. In this particular case, it cannot be accepted. We have our positions on this. It is quite clear that different parties feel different ways about it. My understanding is that the Conservatives are still not in favour of Bill C-31. They did seem to jump on board with the GST rebate bill the government tabled a few weeks ago, but with this particular one they are not doing so.
It has become very clear to the House where the direction is. I can pretty much predict what the vote will be when we vote on this bill, whether we vote on it next week or eight weeks from now. The only people, individuals or stakeholders who would be affected by further delays are those who would benefit from these very important supports. That is why, in working with the NDP, we are programming this particular bill, Bill C-31. It is so we can see it through the rest of the legislative process, bring it into law and get supports to Canadians.
As I indicated earlier, many individuals in our communities are facing a rising cost of living. Everybody is facing it, but it is certainly affecting certain people quite a bit more than others in terms of their ability to support themselves. That is what this government has been focused on. It is focusing on providing supports and making sure that the individuals in our communities who are suffering the most can actually get benefits.
This is what we saw during the COVID pandemic. Unfortunately, one of the realities of the pandemic is that the disparity between the haves and the have-nots has grown even more. We need to focus on bringing forward supports that can try to address this.
When individuals are properly maintaining their health because they have access to the various different social supports that are out there, we will see more prosperous individuals who will contribute more effectively to our economy, which is a good thing, quite frankly, for everybody. That is why I am very pleased to see this particular piece of legislation move forward through this programming motion and be brought into law.
The part I want to focus on is dental care. One out of three Canadians cannot afford dental care. The bill goes toward helping those Canadians specifically. What the bill proposes is that families that make $90,000 and less will be able to access supports for dental care for children under the age of 12.
I heard a comment from my Conservative colleagues in particular during the half hour of questions and answers with the minister that these supports already exist in provinces. I can speak to Ontario, as an example, it being my home province. It is correct that some supports do exist, but the bulk of those supports are primarily geared toward assisting individuals once they are experiencing an emergency. If I heard the minister correctly earlier, he said the majority, or a certain percentage, I believe it was around 30% or 40%, of children who were accessing emergency dental care were being given anaesthesia. They were in a state of having to have emergency surgery.
That is not what this is about. This is not about just providing for individuals once they get to the point of having a medical emergency. It is about helping with preventative dental care and getting the support to young children who need it in advance so they do not get to that place of having to show up at an emergency department to get emergency dental care.
That is the first thing I would say about the argument regarding the provinces that are already providing these supports. The other thing I would say is that it is not holistic. It is not complete. It is not a standardized program throughout our entire country. When we can provide a standard quality of care throughout the entire country, and in this case as it relates to children under the age of 12 who qualify, everybody will be taken care of to the same minimum level of care.
It is one thing for an Ontario MP to stand up and say that these already exist in Ontario, even if it is only to a certain degree, and there is some truth to that, but it is not entirely true. It is one thing for MPs to stand up and say that, but it does not mean it is consistent across the entire country. This is a legislature that looks at the entire country, not just one province or another province. In my opinion, it is very important that we establish this minimum standard of benchmark, especially when we know that one-third of Canadians cannot afford dental care. My plea to colleagues across the way is that in the interest of establishing this standardized care, we need to move forward with a dental plan.
The other question we heard from the Conservatives, and this was asked of the minister as well, was how many provinces asked for this. A couple of my Conservative friends repeatedly asked how many as the minister was trying to answer the question. I did not realize that we had to wait for provinces to ask us for something before we could propose an idea. The job of this legislature is not to just sit here and wait for provinces to ask for things and then respond. Our job here is to represent all Canadians, so if we could come up with a good idea and a good concept for all Canadians, we should do that.
What the Conservatives are really trying to get at when they say that is that we are only doing this for political reasons because the NDP wanted it in a supply and confidence agreement. Fair enough, I will say to my Conservative colleagues. There is truth in the fact that when we are in a partnership and looking to work with other people, we have to make concessions. We compromise and we work together.
I will be equally critical of my friends in the NDP. To stand there and say that they forced the government to do this is a bit of an overreach, and to suggest that somehow the government was forced into doing this is not true. What we see here is an opportunity to work together with another political party to advance goals that are in the best interests of Canadians.
A lot of great legislation was adopted in this House during minority Parliaments, which is when different parties have to work together. The creation of our flag, the flag that is right next to the Speaker's chair, was created during a minority Parliament. The NDP never misses an opportunity to remind us that the great legacy of Tommy Douglas is health care, which is another thing that happened during a minority Parliament. I believe OAS was also created during a minority Parliament.
That is the whole point. I find it very rich when the criticism is “How dare you let another party tell you what to do?” This is the whole point of our coming together in this place, to work together. It is to realize that one of the most important objectives of the NDP in this Parliament was to do something for young children in terms of dental care. We recognized that and we had equally important pieces of policy that we wanted to put forward. We recognized that because this is a minority Parliament, we have to work together. We have to collaborate. We have to sit down and ask how we advance objectives. That is a responsible legislative process unfolding.
I must admit I am perplexed when I hear criticisms, in particular the bulk of it coming from the Conservatives, about two political parties working together in this legislature. That is indeed exactly what we are supposed to do, if not always, most importantly during the time when there is a minority government.
I will conclude by saying that this programming motion that we are debating right now regarding Bill C-31 is incredibly important. I think it is time to put the political games aside for a second and recognize that whether members support the legislation or not, whether members think this would drive inflation or not, regardless of any individual thought on it, members must recognize and must agree that there will be some people out there who would benefit from this.
If members know that the writing is on the wall and that it is inevitable, and they know where this is going and know what the outcome will be, let us have our say in here. Let us say our piece. Let us get up and debate it. Let us put forward our ideas, our concepts and our positions on it, but then let us let it come to a vote.
Let us not use this bill as an opportunity to use that one tool I spoke of earlier that the opposition has, which is to slow down and stall legislation. Let us at least let this very important piece of legislation move through the process so that those who really need it, whether or not members agree that this is the best way to deliver it to them, let us just make sure that they can get these supports so that they can be taken care of, especially right now in the time of need of so many individuals in our country.
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Madam Speaker, in the earlier debate, the hon. member referenced questions that colleagues from this side of the House were asking as to the status of the consultations and the actual number of asks from provinces.
I come much more from an ag background, where there is a long-standing tradition where ag is a shared jurisdiction. We have a long-standing tradition of a 60-40 cost share on much of the programming.
When we are dealing with the area of health, where does jurisdiction come into it? What is the agreed upon cost share? We hear the provinces asking for more money. That is where the relevance comes from the question of the interaction between the federal government and the provinces.
I will ask the question again. What are the provinces telling the government about dental health care?
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Madam Speaker, the Conservatives are trying to set this narrative that we are trying to propose something that was never asked for. My counter-argument to that earlier was that I do not understand why we need to wait to have that request made of us. Why is this legislature not mature enough and capable enough to set policy on its own without requiring that?
The member compared it to agriculture. The delivery of health care might be the responsibility of the provinces, but certainly the cost of health care is not solely on the provinces. The cost of health care is through a formula that has been prescribed. In my opinion, that is what is so important when talking about this. Yes, there is shared jurisdiction in terms of paying for it. Delivery might be more on the provincial side, but that does not mean the federal government cannot initiate policy that will help out individuals through CRA, as this would do.
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Madam Speaker, I thank my colleague for his speech. He refers to provincial programs as though they were leftover programs and inadequate solutions, when the Quebec program already exists. What we are asking is not just to tell them to accept the program as it is and give us the money. What Quebec is asking for is the right to opt out with full financial compensation for programs with comparable objectives.
I understand that they want to do something big that they call “national”. They say this is the Parliament of Canada and that this applies to all Canadians, but when it was time for the carbon tax, the provinces that performed like Quebec with its permit trading system, the government was very proud to allow Quebec to opt out because it was effective.
Why does that work for the carbon tax but, suddenly, when the government has this desire to centralize everything, the principle of asymmetry no longer exists?
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Madam Speaker, the member and I have spoken specifically on the carbon tax in the past and I have been very complimentary of Quebec's very aggressive position when it relates to pricing pollution. It understands it. It gets it.
As it relates to this particular bill, conceptually I am very much supportive of ensuring that individuals under 12 years of age who are in families that make less than $90,000 a year get access to this funding. If the member is suggesting that we need to further look at the bill to ensure individuals are taken care of and that Quebec in particular would have an opportunity to realize some savings due to the fact that it is already doing this, then that is something that could come up in committee where the bill is going to next.
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Madam Speaker, this debate always strays away from the real need for dental care in this country. When people say programs already exist, it is simply not true. There is no province that provides coverage for every family, every individual, every person with a disability who earns less than $90,000 a year. It simply does not exist in this country. I can tell the House about a family that came into my office for help on another federal program and literally burst into tears when they found out they could take their kids to the dentist.
We have heard the Conservatives, in particular their leader, talk like Santa to working people, but when it comes to trying to delay this program so that cheques do not come out before the end of the year, their delay tactics look a lot more like Scrooge.
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