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Decentralized Democracy

House Hansard - 112

44th Parl. 1st Sess.
October 18, 2022 10:00AM
  • Oct/18/22 3:57:33 p.m.
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  • Re: Bill C-31 
Madam Speaker, $10 billion is the number that we need to understand very clearly in the House that this bill is going to cost Canadians. We also understand that perhaps what the minister is saying could be nuanced a bit in the sense that 11 of 13 jurisdictions have dental programs at the current time for low-income and special needs children. There is also the NIHB program. Perhaps the minister would want to nuance what he has said around that a bit. However, $10 billion is the real reason we should not have closure on this bill. We should have very robust and open debate with respect to how we spend Canadians' money.
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  • Oct/18/22 3:58:18 p.m.
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  • Re: Bill C-31 
Madam Speaker, I want to congratulate my colleague, because I do not think I have done that yet, on his appointment as my critic. We are going to be working together to support health and the appropriate health care of Canadian citizens. Let me once again point out that about 4% of total dental care expenditures are currently covered by provinces and territories, and 40% by citizens. Approximately 33% of families with children do not go to see a dentist every year because they are afraid of the cost that it would involve for their families. This is very concerning, obviously, because of the severe impact it has on the mental and physical health of all those children and families.
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  • Oct/18/22 3:59:08 p.m.
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  • Re: Bill C-31 
Madam Speaker, I am wondering if the minister could provide his thoughts on the importance of passing the legislation in a timely fashion, so that what is being resourced here can actually be delivered, given the importance of getting this money into the pockets of Canadians who need it in order to guarantee that dental service. If it was up to the Conservative Party, without this time allocation we would likely not see the legislation pass this year. Therefore, the government, working with the NDP, has come to an agreement that would ultimately see these benefits being delivered. Could the minister provide his thoughts on the timing of the passage of this bill and how important that is?
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  • Oct/18/22 3:59:52 p.m.
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  • Re: Bill C-31 
Madam Speaker, it is all right for people to not always agree on every bill. It is perfectly fine in a democracy. However, it would be unfortunate if, just because some members in the House do not like or do not approve of a particular bill, the majority of the members of this House could not vote in favour of it and move forward towards delivering the types of services my colleague has already mentioned. We want to move ahead. I mentioned $2 billion as being the cost of emergency hospital costs because people did not have access to preventive dental care and instead ended up in a hospital for the types of services that would not have been needed had they had access to appropriate affordable dental care.
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  • Oct/18/22 4:00:46 p.m.
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  • Re: Bill C-31 
Madam Speaker, I appreciate joining the debate. I was a member of the Legislative Assembly of Saskatchewan for eight years before I was able to have the honour of this job. We dealt a lot with health and dental care, and I know there are jurisdictions across the country that have dental programs in place for low-income families and for children with disabilities. Could the minister please outline how many of the provinces asked for this program? I know the health ministers meet at federal-provincial-territorial meetings. How many of the provincial health ministers had this dental program as their top ask or their top priority, consulting within their jurisdictions or with their partners? I would really like to hear that answer, and I would appreciate it if the minister could talk about the consultations he had with health ministers for this program.
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  • Oct/18/22 4:01:35 p.m.
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  • Re: Bill C-31 
Madam Speaker, my colleagues are as knowledgeable as we are. The $2 billion I just mentioned earlier are costs that provinces and territories need to pay because of the need to hospitalize people, children in particular, who do not have access to good-quality, preventative dental care. These are big costs that provinces and territories need to incur. More importantly, these are severe health costs that families and children need to bear because they do not have access to affordable quality dental care. We are working together, complementing each other, supporting their efforts and adding to those efforts the fact that we are going to support about 500,000 children with this particular bill and support families with children and all those who care for those people in the current system.
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  • Oct/18/22 4:02:36 p.m.
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  • Re: Bill C-31 
Madam Speaker, the underlying premise of Bill C-31 is an assumption that the government is even capable of delivering a $10-billion program, yet its record in government is appalling when we think of the mess it made of passports, when we think of the mess it made of ArriveCAN, when we think of the mess it made with the Canada Infrastructure Bank and even with the delivery of the CERB program. What makes the minister think that he and his government can actually deliver a $10-billion national dental care program in a coherent and accountable way?
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  • Oct/18/22 4:03:19 p.m.
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  • Re: Bill C-31 
Madam Speaker, the member is experienced enough to know that this is indeed ambitious, but it is necessary. As we have said, this is going to help about seven million Canadians who currently do not go to see a dentist or dental hygienist because they just cannot afford the dental care they need. What do they do? They wait until their oral health has become very bad, and then they end up in a hospital, with all of the physical, mental and social difficulties that come with ending up in a hospital, as opposed to going and seeing a dentist, with the diagnostics, treatments and preventative services that I think all families and children need in this particular country.
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  • Oct/18/22 4:04:13 p.m.
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  • Re: Bill C-31 
Madam Speaker, during the 2015 campaign, the Liberal Party promised to uphold the standing committees' independence, but today's motion regarding Government Business No. 20 flies in the face of that principle of independence, in particular subparagraph (c)(ii), where the government says, “amendments to the bill, including from independent members, shall be submitted to the clerk of the committee by 6:00 p.m. on Thursday, October 20, 2022, and distributed to the committee members in both official languages by noon on Friday, October 21, 2022”. Why is the government shutting down debate in the House? Why is the government— An hon. member: Interfering. Mr. Brad Vis: Why is it interfering in the committee's debate?
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  • Oct/18/22 4:05:19 p.m.
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Order. Everyone knows we do not provide that kind of help in the House. The hon. minister.
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  • Oct/18/22 4:05:28 p.m.
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  • Re: Bill C-31 
Madam Speaker, our colleague's French was already fantastic, but with a bit of help, it is even better. His question was excellent. He is a man of principle and he mentioned the word “principle”. We are at second reading. This is when we look at the principle of the bill. We then go to committee to determine whether the provisions of the bill allow us to achieve that principle. We need to vote on the principle now to be able to move on to the important detailed study of this bill, which we look forward to doing in committee, obviously within an independent framework, because committees remain independent in their work.
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  • Oct/18/22 4:06:15 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:07:08 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:07:35 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:08:16 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:08:49 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:09:25 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:10:07 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:10:45 p.m.
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  • Re: Bill C-31 
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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  • Oct/18/22 4:11:29 p.m.
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  • Re: Bill C-31 
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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