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Context: House Hansard - 128 - Nov/16/22

Mar/29/23 5:31:59 p.m.
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Madam Speaker, I enjoyed working with my hon. colleague on the health committee. I am a bit disappointed in my friend's pessimistic view of the efficiency of government. He seems to think government is not capable of delivering programs. He was highly skeptical that the federal government could deliver insurance for a dental plan. However, we know the federal government administers employment insurance for millions of Canadians. It administers the Canada pension plan for millions of seniors. It administers old age security for millions of citizens, and these programs include many people in the province of Quebec. I know he is a separatist, so it seems strange that he thinks the Province of Quebec could form a nation, but does not seem to think a nation-state is competent to deliver programs for citizens. My question is on dental care. The NDP's dental plan would mean that about two million Quebeckers at the end of this year, including seniors, children and people with disabilities, would be able to go to the dentist and have the federal government pay 100% of that cost. Can he tell the House why he is opposed to having people who are suffering in Quebec get the dental care they need at zero cost to the Government of Quebec?

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Nov/16/22 4:22:02 p.m.
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Re: Bill C-32

Mr. Speaker, a really important question the House needs to start taking into account is the cost of not dealing with the climate crisis. What are the costs of dealing with the massive damage that was done in the Atlantic provinces through the climate crisis, the hurricane that just hit there? What are the economic costs of having a drought in British Columbia, or having wildfires and towns being incinerated, such as what happened in Lytton? The costs are in the hundreds of billions of dollars. We better start accounting for that. If we do not deal with the climate crisis, if we continue to allow the untrammelled burning of carbon on this planet, as the Conservatives want, then economic activity is going to be ground to a halt in many cases. What we need in this country is to transition our economy to a sustainable one. I, for one, believe that is a way our country could benefit the 21st century. I do not think dealing with the climate crisis is a cost. It is an essential transition that will position our economy to be even more profitable in the 21st century. Ignoring the climate crisis, allowing disasters to occur and having our natural environment degraded to the point where the planet is sending a strong message that we cannot keep burning carbon the way we do, as the Conservatives want us to, is no economic plan that I can get behind.

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Oct/27/22 6:10:01 p.m.
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Re: Bill C-31

Mr. Speaker, I had the benefit of sitting in on a round table meeting that had not only the Canadian Dental Association but representatives from every province and territory of the country, including Alberta. This is what they told me about Alberta. They said that Alberta has an existing low-income and seniors program but, like Ontario, the coverage is poor. Dentists do not accept most patients or they ration patients. They said there are 750,000 visits to hospitals every year in Alberta for people who are accessing dental care. They said they need $4 billion to treat all untreated cavities in the province of Alberta. That does not sound like there is a very good program in Alberta to me. One of the myths is about the 10 provinces and territories that do have programs. I have met with all of them. None of them have a good program. There are gaps in coverage. There are high copays. What they really do is that they dump the cost onto dental professionals and they pay substandard rates to dentists, denturists and dental hygienists so that they are actually subsidizing the poor coverage that is already there. The plan that we are talking about is a normative plan for all Canadians that is as good as my hon. colleague's plan is.

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Oct/27/22 6:07:53 p.m.
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Re: Bill C-31

Mr. Speaker, I remember the words of J.S. Woodsworth, who said, “What we desire for ourselves, we wish for all.” I think that this is an excellent guiding principle as a matter of good citizenship and good governance. If I flip that around, I think of the utter hypocrisy of people in the House voting against providing dental care to Canada's poorest citizens, while they themselves get their teeth fixed, their spouses' teeth fixed and their children's teeth fixed, not paid for by them but paid for by the taxpayers. The leader of the official opposition has been in the House since he was 25 years old. He has been having his teeth fixed, paid for by the taxpayers, since he was 25, and he is going to stand in the House and say that people who make under $70,000 should not have dental insurance. Seniors over 65, do we know how many seniors over 65 make under $70,000 a year and have no dental insurance? Almost all of them. That is who the NDP is going to bring dental care to. I want to know what Conservatives will say to them next election.

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Oct/27/22 5:57:19 p.m.
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Re: Bill C-31

Mr. Speaker, I am honoured to rise today to speak to Bill C-31, the cost of living relief act. As the health critic for the NDP, I am particularly pleased to speak to the dental aspects of this legislation. Over 50 years ago, Tommy Douglas used his influence in a minority Parliament in this House to build our public health care system. This made access to physician and hospital care a right of citizenship in Canada rather than a privilege. This cherished institution, our public health care system, defines us as a nation. It is an affirmation that we will take care of each other when we are at our most vulnerable. It is a reflection of our commitment to equality and justice. However, our health care system is not perfect, and it is not complete. Many important health services remain uncovered across Canada. For these, patients remain at the mercy of their ability to pay. In this minority Parliament, Canada's New Democrats are once again putting progress ahead of partisanship to address one of the most glaring gaps in our public system, that of dental care. Through our confidence and supply agreement with the government, New Democrats were able to compel the Liberals to commit to a national dental care program for uninsured individuals and families with an income of less than $90,000 per year, with no copayments whatsoever for anyone making under $70,000 annually. We intend to build a comprehensive dental plan that would permit millions of Canadians to get dental services equal to what other insured Canadians enjoy, and ultimately to fold dental care into our public health care system as a universal publicly insured benefit, which it was always intended to be. The Canada dental benefit in this legislation is the first stage of this plan. It is a bridge payment that would allow children under 12 to get the dental care they need urgently while a comprehensive dental plan is developed by the end of 2023 for children under 18, seniors over 65 and people living with disabilities. That plan would then expand to all families in Canada with an income under $90,000 per year in 2025, covering an estimated nine million Canadians. The Canada dental benefit would provide eligible parents or guardians with up to $1,300 in direct, upfront, tax-free payments to cover dental expenses for their children under 12 years old over the next 14 months. The target implementation date for the program is December 1, 2022, and it would cover expenses retroactive to October 1. To access this benefit, parents or guardians would need to apply through the Canada Revenue Agency and attest that their child does not have access to private dental care insurance, that they will have out of pocket dental care expenses for which they would use the benefit, and that they understand they would need to retain documentation to verify that out of pocket dental care expenses occurred if required. There would be an effective audit and enforcement policy. Half a million kids across Canada would receive urgently needed investment for dental care. Unmet oral health needs impose significant costs on other parts of our public health care system through hospital stays for dental emergencies, as well as the long-term impacts of poor oral health on systemic disease. This is particularly true for children, since good oral health practices in childhood serve as a foundation for the rest of a person's life. We know oral health is an essential component of overall health. Tooth decay remains the most common childhood chronic disease in Canada. It is the most common reason for Canadian children to undergo day surgery, and it is a leading cause for children missing school. In addition to the pain and risk of an infection caused by tooth decay, it can also negatively impact a child's eating, sleeping and growth patterns while increasing the need for treatment later in life. Numbers cannot quantify the impacts of pain, the social impacts and economic losses suffered by people with untreated dental problems, yet today as we debate this bill in this House, over 35% of Canadians, some 13 million Canadians, have no dental insurance whatsoever, and nearly seven million Canadians who may even have it avoid going to the dentist every year because of the cost. Unsurprisingly, this impacts low-income and marginalized Canadians the most. Canada's most vulnerable people have the highest rates of dental decay and disease and the worst access to oral health care services. According to the Canadian Academy of Health Sciences, 50% of low-income Canadians, along with the majority of seniors over the age of 60, have no dental coverage. This is a serious public health issue. Untreated oral health issues lead to many serious conditions, such as cardiac problems, diabetes complications, low birth rates and fatal infections, not to mention the dental health effects of chronic pain, facial disfiguration and shame. That is why Canada's New Democrats have been driving the agenda forward on universal dental care for many years. At their first meeting following the 2019 election, the leader of the NDP pressed the Prime Minister to work across party lines to implement dental care for all Canadians. I was pleased to see the government acknowledge this NDP priority in the 2019 Speech from the Throne and was heartened to see in the Minister of Health's mandate letter at that time a direction to “Work with Parliament to study and analyze the possibility of national dental care.” Unfortunately, the Liberal government failed to take any action on this commitment in the last Parliament. In fact, when the New Democrats put forward a plan to fund a national dental care plan by taxing the windfalls reaped by pandemic profiteers and the ultrarich, the Liberals and Conservatives voted against that proposal. When my former caucus colleague Jack Harris introduced a motion in June 2021 to establish a federal dental care plan for uninsured Canadians with household incomes under $90,000 per year, like this plan, as a first step toward universal public dental care, again the Liberals and Conservatives voted it down. Today, we have an opportunity finally to move forward on national dental care in Canada. We must not squander it. This will represent the single greatest expansion of public health care in a generation and the largest investment in oral health in Canadian history. To those MPs who oppose this initiative, I wish to remind them that every member of this House receives dental coverage for themselves and their families paid for by taxpayers. When they vote against this bill, they are taking taxpayer dollars to cover their teeth and are saying no to the poorest Canadians for theirs, and that is a shame of the most grotesque proportions. I see people on the Conservative side showing us their teeth. That is disgusting. For those who claim we simply cannot afford to establish an urgently needed program, let us look at some numbers. The Parliamentary Budget Officer estimates that the Canada dental benefit will cost $703 million in total, and once fully implemented our national dental care plan will cost approximately $1.7 billion a year to provide coverage for nine million Canadians. We currently spend about $309 billion every year on health care in Canada. This dental care plan represents less than 1% of that, and that does not account for the savings we will achieve due to fewer emergency room visits and avoided serious health complications from untreated oral health issues later in life. Oral health is not a luxury; it is essential. Those who say we cannot afford dental care now because we have to fix our Canada health care system do not understand that oral health care is primary health care. We would never ask people what they would rather have, heart or cataract surgery, their broken leg fixed or hip surgery. Having one's mouth covered is as much a part of one's overall health as any other part of one's body. To those who say that the provinces or territories already cover dental care, I say this: That is a myth. There is no province or territory that covers all citizens with no copays in a comprehensive way for people making under $70,000. Every program I have looked at in this country virtually without exception is poorly funded, incomplete and reserved for too few people. It is time for us to put aside partisan differences. The mouth was always intended to be a part of our Canada health care system. It is only a historical anomaly that it is not. When Prime Minister Diefenbaker asked Justice Hall to recommend what should be in the Canada health care system in 1964, Justice Hall recommended that dental care be included. This is an over 50-year omission that we have the chance to rectify and the New Democrats are not going to stop until all Canadians can get their teeth fixed as a matter of right, just like they can with respect to every other necessary medical issue in this country.

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Oct/27/22 5:39:48 p.m.
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Re: Bill C-31

Mr. Speaker, I have been in this House for months and months listening to the Bloc Québécois demand additional Canada health transfers from the federal government to the province, and it is right about that. I agree. We do need the federal government to pay more of its share for health care. We have a bill before this House that would see the federal government send $1,300 to all Quebec parents who make under $70,000 a year and have children under the age of 12 and do not have dental coverage now. It would allow them to take their children to the dentist. There are no conditions whatsoever, and the Bloc opposes it. I am wondering if my hon. colleague can tell me why he is opposing the federal government sending out $1,300 for every child in Quebec who does not have dental care now, 100% of which would be paid by the federal government. What is he saying to those Quebec parents by opposing that payment?

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Context: House Hansard - 65 - May/5/22

Oct/27/22 5:24:59 p.m.
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Re: Bill C-31

Madam Speaker, the Bloc has claimed that our dental care program is discriminatory and unneeded in Quebec. This is demonstrably untrue. Every Quebec parent can apply for $1,300 per child to fix their teeth, just like every other Canadian parent. The provincial Quebec plan only covers children under 10, is poorly funded and has inadequate coverage. The Quebec representative of the Canadian Dental Association has confirmed the poor quality of the Quebec program, supports the federal plan and explicitly opposes sending the federal money directly to the Quebec government. Why is the Bloc putting politics over public health and opposing a plan that will help some 100,000 Quebec children who do not have the same dental care that Bloc members have?

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Context: House Hansard - 58 - Apr/26/22

May/5/22 1:15:14 p.m.
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Re: Bill C-19

Madam Speaker, the budget contains $300 million this year, $600 million next year and $1.2 billion the year after, for a total ongoing commitment of $1.7 billion thereafter, to provide dental care to some 6.5 million Canadians: the children, seniors, people living with disabilities and low-income families with no dental insurance now. My hon. colleague talked about being unable to afford things. I was in the House when the Conservatives wanted to increase military spending in this country to 2% of GDP, which would add about $26 billion every year to our budget. Does he think that spending $1.7 billion to bring dental care to 6.5 million Canadians is less of a priority than spending $26 billion a year? Can he explain to us why he thinks we can afford the military but cannot afford dental care given those numbers?

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Context: House Hansard - 58 - Apr/26/22

Apr/26/22 11:21:03 a.m.
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Madam Speaker, as I said in my speech, and I think my hon. colleague touched on it a bit, one of the signature pieces of this budget is the creation of a dental care program that will help six-and-a-half million Canadians get access to primary health care for their mouths. I know the Conservatives are opposing the budget and, in fact, they oppose dental care. I have not heard any positive comments from the Bloc Québécois on this. Can my hon. colleague share with the House what he thinks of dental care and whether his constituents would benefit from having a program that would help people who make under $90,000 a year get access to dental care?

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Context: House Hansard - 52 - Apr/4/22

Apr/26/22 10:37:13 a.m.
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Madam Speaker, I am pleased to split my time with my hon. colleague from Rosemont—La Petite-Patrie. It is a great privilege to rise in the House today and speak in support of this budget. I want to say at the outset that no budget is perfect. There are many, many provisions in budgets with which we agree, and there are obviously many with which we disagree. This budget is no different in that regard, and the NDP will continue to push for all of the progressive policies that we have historically pushed for, that we know Canadians need and that, unfortunately, are not contained in this budget. However, I rise today to speak in support of this budget, imperfect though it may be, for a couple of key reasons. As the health critic for the federal New Democratic Party of Canada, it is my unique privilege to be able to carry on the traditions of great health critics before me, going right back to Tommy Douglas, who is considered the father of medicare in this country. After examining this budget, I think that the absolutely most critical parts of it, and why all colleagues in this House should support this budget on a non-partisan basis on behalf of their constituents, are the historic elements it contains that would make Canadians healthier. I am going to focus on two parts of that: dental care and pharmacare. All Canadians know that a year ago the Liberals in this House voted against dental care for Canadians. A year later, here we are in a minority Parliament, and because of the hard work of 25 New Democrat MPs and of the New Democratic Party of Canada, this budget includes funding of $5.3 billion over five years and $1.7 billion a year ongoing thereafter to move ahead with a dental care program for millions of families that do not have private insurance in this country, that do not have access to dental care, with an income of $90,000 or less annually, with no copays whatsoever for anyone with an income of $70,000 or less annually. This budget includes funding to move ahead immediately on dental care for children under 12 years old, in 2022, and then next year, in 2023, expand it to all children under 18 years old, seniors, and persons living with a disability. By 2025, there would be full implementation for all individuals who meet the income criteria. This means 6.5 million Canadians, at least, would have access to primary dental care within the next 36 months because of this budget. I want to talk for a moment about dental care. I think everyone knows intuitively, without being a physician or having health care credentials, that dental care is a critical part of overall health. In fact, it is inconceivable that we have a public health care system that covers our entire bodies but carves out a section of our mouths from the tonsils forward and says that this is not covered by our public health care system. That is not only logically incongruous, but it is actually medically ridiculous. Poor oral health is linked to other serious health conditions, including cardiac problems, diabetes complications and even low birth rate and premature birth in women. Poor oral health can even kill. We pride ourselves in this country, I think across all aisles in this House, on having public health care, meaning that everybody, regardless of their station in life and their income, has access to primary health care. That is not true when it comes to dental care. When it comes to dental care, we have two-tiered, private access to health care in this country, and that is antithetical to our concept of what health care should be in this country. I should also point out that it is not just limited to physical health. People with poor oral health or bad teeth suffer from enormous mental health challenges as well. There has been a lot of focus on mental health from all parties in this House. I want to commend my colleagues, even in the Conservative Party, who have raised a number of significant deficiencies in our public health care system when it comes to mental health. Just yesterday, a Conservative member rose in this House and made a passionate plea for a suicide prevention hotline in this country. Mental health for people who are missing front teeth, people who are living with chronic pain, and seniors who have no teeth in their mouth and cannot afford dentures has an enormous impact on self-esteem and mental wellness. We should be as concerned about that as about any other mental health issue. There are, of course, economic impacts. People with poor teeth have their job and career aspirations interrupted. Members can imagine interviewing an applicant for a job who shows up and is missing top front teeth. We make judgments about people, and people are embarrassed about the state of their teeth, because they are in their face. It is what we present to the world. I think it is long past time that we brought dental care to every Canadian for economic, physical, mental and emotional health reasons. Ironically, dental care was always intended to be part of our public health care system. Back in the 1960s, the Hall commission recommended that dental care be part of our public health care system, and the only reason it was not implemented at the time was not because of cost, but because it was felt that Canada did not have sufficient dentists in this country to provide the services. That is not the case anymore. What is the reality today? It is that 35% of Canadians, which is about 13 million Canadians, do not have access to any dental insurance whatsoever, and that understates the problem, because many more have insufficient, substandard or sporadic coverage with high copays, annual limits or high deductibles. This budget, due to our work, aims to address this. New Democrats believe passionately and fervently in having universal access to public health care, so we consider this to be a down payment on our ultimate goal, which is universal dental care for every Canadian, regardless of the size of their wallet, through our public health care system, like every other medical procedure, whether it is a broken leg, heart surgery or cataract surgery. A broken tooth or an oral health issue should be no different. I want to just briefly mention a couple of the key components that need to go into a dental plan. We need to create a plan with a good range of services, comparable to any normal plan in place now for Canadians, including the plans that we as MPs have. I want to see a proper fee schedule, so that all of the dental professionals who deliver these services are compensated fairly for their time and skill. We want to make sure that all dental professionals are involved in the creation of this plan: not only dentists, but dental hygienists, dental assistants, denturists and dental therapists. We want to build a system based on prevention of decay and oral disease, because ultimately, at the end of the day, that will save money. Right now, we are fooling ourselves if we think that ignoring this problem is economically smart, because Canadians are, in record numbers, appearing in emergency rooms in every province and territory in this country every day with dental issues. In fact, I am told that the number one reason for children to enter emergency rooms in this country is poor oral health. I want to speak for a brief moment on pharmacare, because this budget also includes steps, pressured by the New Democrats, to move toward universal and national pharmacare. This budget includes the requirement to table a pharmacare act by the end of next year and to task the Canadian drug agency to develop a national formulary, which were two of the steps recommended by the Hoskins report and part of the NDP's long-standing call. New Democrats believe that comprehensive public drug coverage should be in place for all Canadians as soon as possible. Every year, as with dental care, millions of Canadians are forced to go without their prescription medications, simply because they cannot afford them. Again, there is two-tiered health care in this country. If people are rich, they can get medicine; if they are poor, they do not. That is contrary to Canadian values. One in five Canadians, which is seven and a half million citizens, has either no prescription drug coverage or inadequate insurance, and Canadians, ironically, consistently pay among the highest prices in the world for prescription drugs. Under the agreement made between the New Democrats and the Liberals, we aim to fix this. We will do that by compelling the introduction of legislation, creating a national formulary for essential medicines and creating a bulk-buying program, so that we can start saving money. I want to end by saying that pharmacare saves money. It would save $5 billion a year in this country; it would save businesses $16.6 billion annually; families would see their out-of-pocket drug costs reduced by $6.4 billion; and the average business would save $750, with families saving $350 a year. It makes good economic sense. I urge all my colleagues to support this budget.

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Context: House Hansard - 13 - Dec/8/21

Apr/4/22 2:14:15 p.m.
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Mr. Speaker, April is Oral Health Month and today marks the beginning of National Dental Hygienists Week. This week's theme, “Oral Health for Total Health”, reminds us that taking care of our mouth, teeth and gums is critical to our overall well-being. However, despite clear links between poor oral health and serious medical conditions, over 35% of Canadians have no dental insurance and seven million people avoid the dentist every year because of the cost. After decades of advocacy, New Democrats are proud to have secured an agreement with the government to deliver a national dental care plan, starting with low-income Canadians. Coverage will start for children under 12 this year, expand to those under 18, seniors and persons with disabilities next year and be fully implemented in 2024. This Oral Health Month, let us celebrate and work together to make this long overdue primary health care a reality for all Canadians in our country.

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