Thank you, Mr. Chair, and thank you, members of the committee, for having us here today. My name is Andrew Link. I chair the Canadian Paediatric Society advocacy committee and I'm a general pediatrician from Cape Breton. It's snowed in today, but I got out anyway.
We represent 2,000 pediatricians across the country. Every two years, we produce an annual report card on indicators of child health and well-being, comparing provinces and territories and the federal government on how they are doing. For this year, for 2009, we will be including how the different provinces and territories and the federal government are doing when it comes to child poverty.
I want to open with a statement from a UNICEF report on child poverty in rich countries back in 2006. It's something I think all pediatricians take to heart. It says: “The true measure of a nation’s standing is how well it attends to its children--their health and safety, their material security, their education and socialisation, and their sense of being loved, valued, and included” as valued citizens, regardless of the economic standing into which they were born.
I've worked as a physician in downtown Vancouver, looking after residents from the east side of Vancouver, where we have seen through the news and papers recently the terrible convergence of poverty, addiction, and mental illness. I worked in the refugee camps in Ethiopia back in the mid-1980s, during the famine, and saw the extreme effects of diseases, of poverty, and of hunger. I've worked in the small reserves of northern Ontario and have seen tuberculosis spread through overcrowded housing, with children and babies being affected. I've worked with immigrant families new to Canada in downtown Toronto. I've been in Cape Breton for 20 years.
I must say that if I had to take a choice between being a poor Ethiopian farmer and a homeless resident in downtown east Vancouver, I think I'd take my chances as the farmer. Just on Friday, before coming here, I saw a family in the office. The father is an out-of-work painter with two teenage sons who are learning disabled. They had a loaf of bread and a jar of jam to last them until payday on Wednesday. The parents were going to go without. The father had terrible dental disease and was putting pieces of onion into the cavities to take down some of the pain.
That's something pediatricians see every day across our wards, our emergency rooms, and our offices. We see the damage, both short-term and long-term. We see the lost opportunities for these children and their families. There are more than a million of them and their families out there. I know each of the MPs here around the table hear those same stories and see those same families, because they come to you as well.
I would like to say that poverty, and child poverty in particular, is more than just a social justice issue or a political embarrassment. We would frame it also as a public health issue.
Child poverty entails increased negative health outcomes for children: increased prematurity; low birth weight, which increases long-term developmental disability; increased obesity, because kids who are living in poverty often eat high-calorie, low-nutrient foods that are cheap; and all of the attendant problems that long-term obesity will bring upon themselves and the health care system. We see increased rates of injury and death from injury; teen pregnancies; delinquent behaviours; visual and hearing problems; and decreased academic outcomes, school readiness, post-secondary training and education, and participation in cultural and recreational opportunities. In other words, child poverty poisons the developing brain and the spirit.
We at the CPS are concerned that in the last 15 years before the recession hit, which was a long period of economic prosperity, the poverty rates in Canada actually increased and the gaps between rich and poor increased. We're very concerned, and I share the concern of the two speakers who have gone before me about what's going to happen to these kids and their families with the current recession.
One in six kids in Canada lives below the poverty line. One in two new Canadian kids lives below the poverty line. One in two kids with a single mom lives below the poverty line. One in four children with disabilities lives below the poverty line. One in four aboriginal children on reservations, and one in three off reservations, lives below the poverty line. That's a lot of children out there, a lot of potential harm, and a lot of long-term benefits and outcomes lost to our society and to the individuals themselves.
We at the CPS believe that child poverty rates and poverty rates in general should have the same political importance as rates of interest, employment, inflation, and wait times for adult health care. We're not experts on low-income cut-offs, pre-tax or post-tax. We're not experts on market basket measures. We're not experts on working income tax benefits, welfare walls, or federal-provincial transfers. However, we are experts on child health and well-being, and we're experts on designing interventions that work. That's what we do for a living.
We know that the resolution passed by the parliamentarians back in 1989, vowing to end child poverty by 2000, was unrealistic and it was empty political rhetoric at its worst. We shouldn't see that repeated here.There were a million kids without a voice hoping that something was going to happen, and as I said before, things did get worse. As was alluded to earlier, the 1999 UN Convention on the Rights of the Child, which we signed on to, asked for adequate standards of living for all children.
Whatever measures the federal government and the provincial and the territorial governments decide to include, they have to include income supports, affordable housing, education and training for parents, accessible mental health care, quality accessible child care and early learning, and recreational and cultural opportunities.
I just want to use a different model, if I can, a paradigm in pediatrics. I have an interest in childhood cancer. Back in the early 1960s, if you had childhood leukemia the death rate was 100%. You would last a few months and you would die. A group of dedicated pediatricians got together, and they had resources, they had targets, they had timelines, they took some low-technology drugs and tried them. It worked, and they got the rate up to a 10% survival rate. Then they took a different group and they tried to tweak things a bit, and they got it up to 15%, then 20%. Now in 2009 the survival rate is over 92%.
That was because people set targets, they set timelines, they studied it, they thought about it, and they cared about it. We can do the same for child poverty.
Canada ranked 12th out of 21 in rich countries, under UNICEF's 2000 child poverty report, when it came to child poverty and well-being measures. We're well behind the Scandinavian countries, as usual, that have comparable measures of wealth. It really is a call for us to do better.
Ireland and the U.K. have poverty reduction strategies, and they have worked. There have been some bumps in the road. Quebec, I understand, in 2004, Newfoundland and Labrador in 2006, and this year Ontario have committed to do the same with targets and timelines and plans and resources--no more empty rhetoric.
We would argue that child poverty is a cancer in the Canadian body politic. You can't improve cure rates of child cancer without a plan, as we've said.
We would ask the federal government for four things--maybe more, but four today. We will provide you with a written report in both French and English. We were actually just writing it up when we got called to come before the committee, and it will be out in a few months. We will provide the committee with that.
There are four things we would ask. We would have the federal government insist, maybe by tying it to federal-provincial transfers--I don't know if you can do that or not, you're the experts--that all provinces and territories have poverty reduction strategies with targets and timelines and resources, aiming for the UNICEF goal of less than 10% in the next 10 years. That would also include regular progress reports to Canadians.
Second, we would ask that the federal government facilitate the sharing of evidence-based and best-practice social policy research when it comes to strategies and interventions.
Third, the federal government and the Assembly of First Nations should be jointly held accountable for the shameful level of child poverty among first nations children. We need to have resourced reduction programs for children living on reserves, again with targets and timelines.
Last, we would agree with our first speaker that high-quality child care improves the cognitive and behavioural outcomes of disadvantaged kids. We know that child care can be expensive and it's a barrier to employment for single mothers and low-income mothers and families. We know that Canada's own chief of public health, in his 2008 report, said that for every dollar you invest in the early years saves between $3 to $9 in future spending in the health and criminal justice systems, as well as in social assistance. The federal government must include the provision of affordable, accessible, and high-quality child care, and early learning is an integral part of any effective poverty reduction strategies.
On behalf of the nation's 2,000 pediatricians and the children and families and youth whom we serve, we really appreciate the opportunity to present before you today. Thank you very much.