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Decentralized Democracy

Senate Volume 153, Issue 76

44th Parl. 1st Sess.
November 1, 2022 02:00PM
  • Nov/1/22 2:00:00 p.m.

Senator Batters: Senator Yussuff, it appears that the government leader will, unfortunately, not be giving a second reading speech, so we will not get the chance to ask him questions about this bill. Therefore, I have to ask you this, as you are the sponsor of this important government bill. We have a mental health crisis in Canada right now. I personally haven’t heard the same about a dental health crisis. No doubt it’s important, but I don’t think it rises to that same level.

The Trudeau government, in the last election, made a very significant promise on mental health care, promising to establish a Canada mental health transfer to the tune of $4.5 billion, with the amount of $875 million that should have already been allocated and transferred. None of that money has flowed yet. Why did the government choose to spend this money on this particular aspect and not on mental health?

Senator Yussuff: Once again, senator, thank you very much for the question. As you know, mental health is an issue we all have to be concerned about as parliamentarians. The government has already made significant commitments to the provinces during the COVID period. They transferred money to the provinces to help deal with mental health issues. I’m sure that as provinces, territories and the federal government continue to talk, there will be additional support for the provinces in regard to the mental health needs of Canadians right across the country.

But equally so for many working families, while you did not hear about their need for dental health support, working families have been struggling with these issues for quite some time. Based on the estimate the government provided, I know for a fact that, at the end of the day, many families will be assisted. I don’t think we should prioritize dental care and dental support for working families over that of mental health. They are both equal. If you ask a family struggling with these issues, at the time you approach them, they will tell you what their priorities are.

While I recognize mental health is an important issue, we need to find ways to continue to support our provinces to ensure that Canadians can get the services they need. We should not somehow distinguish in terms of priority. When a family is struggling with an issue, that will be their priority. I know that for many working families in this country, dental care is a significant priority because they can’t afford to access dental care in this country.

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  • Nov/1/22 2:00:00 p.m.

Hon. Clément Gignac: Senator Yussuff, I want to congratulate you as a sponsor for your involvement. I think many of us — not to mention the majority of us — agree that we have to do something. Back in the 60s, the Royal Commission on Health Services, 1961 to 1964, did, in fact, mention that those services should be part of the national system.

Having said that, many provinces offer a different program. Interestingly enough, the Parliamentary Budget Officer has mentioned that at the cost of $700 million, Quebec residents will receive only 13% since Quebec has been pretty generous with the system they have in place.

In precise dollars, over the next five years, Quebec will receive $92 million, which is equivalent to Alberta but with a much bigger population. So my question is this: Since you probably have contact with the cabinet minister, do you think it will be a good idea to offer an opt-out clause for provinces under certain conditions in that the provinces will receive the money but have to respect some conditions? I think that would be much more efficient since dentists are provincially regulated and the provinces have contact with the dentists.

Senator Yussuff: Thank you for the question. As you know, the Quebec program only allows those under ten years of age to access dental care under certain conditions and is income tested.

In the next two years, the federal government and the provinces will be in some serious deliberations about what a national program should look like. I’m certain that at that time, as they have done throughout history, Quebec will negotiate a way to be compensated for a program that has some national standards.

Given this is an interim measure, I think it’s fair for families who have children under the age of 12 to know they will get this benefit, and it will help them get the care their children need. But in the long-term, as the federal government, provinces and territories negotiate, I hope we can have some national standards. Of course, if Quebec meets those standards, by all means they should be compensated.

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