Chair Fonseca and committee members, good afternoon.
My name is Joan Rush, and I'm here on behalf of the Canadian Society for Disability and Oral Health, or CSDH. We thank you for this opportunity to speak to Bill C-59 and the Canada dental care plan, or CDCP. In addition to my comments to you, please refer to our written brief, which includes more detailed information on our recommendations to the committee.
The CSDH is a pan-Canadian, not-for-profit society run by expert oral health professionals and committed volunteers. We advocate for needed change to Canada's systems for oral health care delivery, education, research and governance to ensure equitable access to medically necessary oral health care for persons with disabilities.
More than 27% of Canadians live with a disability, half of them with a severe disability. Canadians with disabilities have the highest rates of dental disease among all Canadian adults and face the greatest barriers to accessing oral health care.
The CDCP presents an opportunity to lower these barriers and has the potential to enable Canada to meet its legal obligations to Canadians who live with disabilities. The CSDH applauds the federal government, which worked closely with its minority government colleagues, for creating the CDCP.
However, the CDCP will succeed in improving the oral health of Canadians who live with disabilities only if Canada's health, education, research and governance systems support it.
Regarding Bill C-59, the CSDH understands that the provision of the bill concerning sharing taxpayer information is necessary to administer the CDCP; however, we are concerned that not all persons who live with disabilities have filed their taxes or applied for the Canada disability tax credit. We recommend that your committee encourage the CRA and relevant federal ministries to work with the provincial and territorial ministries of social services to ensure that every person with a disability is assisted to file a tax return and to complete all administration necessary to qualify for the CDCP.
Our CSDH recommendations concerning the CDCP flow from Canada's legal obligations. The Canada Health Act enshrines the equal right of every Canadian to access medically necessary health care. Canada's private delivery system for oral health care fails to ensure equitable access to medically necessary oral health care to persons with disabilities, causing them pain, suffering and a loss of their oral and overall health.
Canada ratified the Convention on the Rights of Persons with Disabilities in 2010. Article 25 requires health professionals to provide care of the same quality to persons with disabilities as to others, including through training and the promulgation of ethical standards for public and private health care. Canada fails to meet either of these requirements of the convention.
Canada also breaches sections 7 and 15 of the Canadian Charter of Rights and Freedoms, which guarantee persons with disabilities security of the person and protection against disability-based discrimination. As lawmakers, I'm sure you agree that Canada must rectify this glaring failure to meet its legal obligations to persons with disabilities.
The CSDH makes the following six recommendations for changes to Canada's oral health care systems to meet Canada's legal obligations to Canadians who live with disabilities.
One, Health Canada should define oral health care for persons with disabilities as health care under the Canada Health Act, consistent with the World Health Organization's 2021 recommendation.
Two, the CDCP should recognize the additional treatment time necessary to treat a patient with a complex medical or intellectual disability.
Three, Canada must ensure access to essential medical infrastructure for patients with complex disabilities, including hospital or general anaesthesia facilities.
Four, Canada must train oral health providers to treat persons with disabilities to address the serious lack of appropriately trained professionals.
Five, Canada must collect data about the oral health status of persons with disabilities and research best practices to address their oral health needs.
Six, Canada must provide federal oversight to ensure the outcomes and the effectiveness of the CDCP.
Thank you again for offering the CSDH an opportunity to address you today. I will be pleased to answer your questions.