Canada is about to unveil the "biggest expansion of the public health system in 60 years" , or at least that's what the headlines and political party apparatchiks will tell you.

While this is technically true, it's important to understand how this new programme began, and how it was slowly and inexorably whittled down to a hollow shell of its former self.

  1. In 2021 Liberal party leader and Prime Minister Justin Trudeau held a pointless and completely opportunistic federal election. The Libs were riding high in the polls and he expected it to be a cake walk to regain his majority government. No such luck, the electoral map remained essentially unchanged from the previous election held two years prior.

  2. Since the Liberals still retained minority status they need support from other parties to keep their government afloat. Enter the NDP, Canada's social democratic party. They said, "We'll prop up your government, but in return we expect you to deliver on some of our priorities, including dental care." The Libs said "Ok sure" - they had no choice.

  3. So, a year passes, and of course the Libs haven't done fucking anything except start to introduce terms and conditions to what would otherwise be a very simple inclusion of dental care into the already-existing socialised medicine programme in Canada. Enter means testing. God forbid we treat teeth like any other fucking bones in our bodies. Now, all of a sudden, instead of universal dental care, this programme will apply only to middle/low income familes (under $65,000 of income IIRC). Singh is ok with this as he very notably defended means testing during the 2017 NDP leadership race (and was the only candidate to do so).

  4. Still no dental care. Jagmeet Singh calls the Liberals' bluff and holds a press conference, threatening to kill the NDP's support for the Liberal government if they don't pass some form of dental care by the end of 2022. The Liberals start to shit themselves, especially since the Conservatives are soon to elect the surprisingly popular Bitcoin Milhouse to lead their party. Deputy PM) Chrystia Freeland (noted Ukrainian nazi nationalist sympathiser and enthusiastic support of the Victims of Communism memorial foundation) holds a meedley mouthed press conference assuring Canadians (and, more specifically, Singh) that the Liberals love dental care and they're totally going to get right on that, which they totally intended to do all along!

  5. The Liberals, forced to deliver on their promise, insist on coming up with the worst possible interpretation of this very simple principle: Even more means testing! Now instead of just low/middle income families, it's just going to be children 12 and under of low/middle income families. But, wait, there's more! It's no longer going to be an actual social programme, but instead a technocratic series of tax-deducible expenses that these families can file after they've already paid out of pocket . OH SHIT EVEN MORE MEANS TESTING! It gets capped at $650 per year.

  6. So, what started as a very simple, straightforward and reasonable demand to just give Canadians dental care turned into a $650 tax credit for poor kids. Naturally, they claim to plan to expand the coverage to more groups year over year, but I will guarantee you they will find any and all reasons to avoid doing that, or to introduce even more bullshit.

This is all not to mention the increase in administrative costs associated with means testing to begin with.

Am I happy that low income families will get an extra $650 per year? Sure, but it's a fucking fart in the wind with current inflation and housing prices.

EDIT: Some of the details have changed as the plan has been developed. Seems that the cap was increased to $1,300 and for families making less that $70,000

EDIT2: And, obviously, the Conservatives who have nothing but contempt for human life will, of course, vote against it.

EDIT3: $1,300 over two years, so yeah still $650 per kid per year, for a total of two years. Christ.

  • came_apart_at_Kmart [he/him, comrade/them]
    hexbear
    4
    2 years ago

    wow, even as an american, the proposed canadian dental plan is buttcheeks.

    here, in my experience, employment with benefits comes with an optional "dental plan", where the worker contributes like $20-30 a month from pre-tax pay to be enrolled in a plan. depending on the plan you use, basic maintenance (routine cleanings) are either fully covered or mostly covered and more intensive stuff like crowns and whatever are either barely covered or mostly covered, with caps on how much the plan will pay out per year. so like, you can get check ups, xrays and cleanings and not pay (beyond your subscription premiums) and maybe get like one big thing done before you're really diving deep into your pocket.

    in my experience, dental plans in the US are more like being a member of a subscription based buying club that offers discounts. i went for a long period without a dental plan and it was feasible to find affordable dental care, but only if you really called around to find the places that will work with you, give you honest appraisals, and not try to upsell you. like finding an honest auto mechanic.

    • barrbaric [he/him]
      hexbear
      2
      2 years ago

      From my friends in Canada, it sounds like it's more or less the same as in the US for dentistry and vision care. Everyone I know up there thinks it's obviously a monstrous system but there's obviously no path to a better one through electoralism (also for some reason a few think they should privatize their entire healthcare system).

      • sexywheat [none/use name]
        hexagon
        hexbear
        2
        2 years ago

        a few think they should privatize their entire healthcare system

        It's already being privatised, it's just being done without any fanfare.

        Many of the doctor's clinics are all private already, but the government pays for it. With the chronic shortage of doctors some physicians are introducing a fee-based model, which (to the shock of most) is actually completely legal as long as they opt-out of any government funding.

        Moreover, services like food prep and laundry in hospitals were bid out years ago to private contractors, justified on the grounds that "wElL iT's NoT hEaLtHcArE pEr Se!!!!"

        As the West inexorably declines, and our institutions become weaker alongside the falling rate of profit and lack of funding for social services that comes with it, it's only a matter of time before it all just erodes completely.