44th Parl. 1st Sess.
October 18, 2022 10:00AM
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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Madam Speaker, one of the things that I think health ministers across the country would say is that the government has done a tremendous job of consulting with them on a variety of health care matters, and has done far less damage, I would argue, to the health care system than the previous government did when it chose to gut transfer payments to the provinces for health care.
One of the most important things about the bill is that it helps the provinces support many of the plans they have, and where provinces do not have coverage for kids, it is something they could actually benefit from. Frankly, the benefit to provincial health care systems from kids with good oral health is not just a today thing. It is an outcome that delivers value today and in the future.
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Madam Speaker, I thank my colleague for her comments and her question.
We need to pay attention to our seniors. We will work together to improve oral health for all Canadians, particularly youth and seniors.
If we continue to work together, and if, as I hope, all members of the House of Commons here today support the bill, we will also be able to work on other elements.
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Mr. Speaker, I know you have had a busy day. It is an honour to have you with us this evening and to see you in the chair until perhaps late into the night.
I am pleased to participate in the debate on Bill C‑31. As everyone knows, this bill will make a benefit available to certain families with children, depending on their income, to pay for dental care services. It will also make a $500 lump sum housing benefit available to families who spend more than 30% of their income on rent.
I am not going to do a deep dive into this bill's strengths and weaknesses because I think the members for Mirabel and Berthier—Maskinongé have eloquently made its flaws and weaknesses clear to us all.
I want to talk about my experience as a health care professional, my knowledge of the Quebec health care system, its strengths and the improvements that could be made in the area of oral health. Beyond dental care, it is about the importance of oral health. It is about providing this care to as many people as possible who need it, especially to those who have limited resources and cannot afford the rather high costs involved in going to the dentist.
In my profession, when investments are made in a program or measure, it is important to immediately consider how the results will be evaluated. It is important to look at how continuous improvement is being measured. Is there any evidence that the money invested is achieving the desired goals?
Mr. Speaker, could those gentlemen speak more—
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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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Madam Speaker, a lot of the members here have been dancing around this issue and providing complicated questions and answers, but the issue to me is quite simple. One in four residents in my community do not have dental insurance. As a result, what we are seeing every year is an increasing severity of oral health deterioration among children. This dental health benefit will address both of those issues. I think this issue is quite simple.
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