Good morning to all members of the human resources committee. Thank you so much for all the work you do.
Thank you for inviting me to share my thoughts with the committee today. I'd like to begin by sharing some wisdom that was related to me by Senator Sharon Carstairs: there are as many ways to age as there are Canadians who are aging. Seniors are defined by how they live, not by their age.
Canadians have recently heard alarming statistics with regard to our aging demographics. This motion sets the stage for all levels of government to work towards servicing our seniors population across Canada. The time for action is today, and planning for the future is where motion number 106 comes in.
I want to thank the House of Commons for approving this motion on May 17. It sets the wheels in motion to formalize and develop a national seniors strategy.
[Translation]
As you perhaps know, my motion M-106 opens the door to dialogue with the National Seniors Council. A study will provide the recently reformed council with information on the best way to develop and implement a national seniors strategy that will bring about positive change in quality of life and well-being for seniors and those caring for them.
[English]
I would be remiss if I didn't thank the all-party seniors caucus—MPs , , and the NDP's —for their work relating to seniors. This is work that goes across party lines to discuss ways to improve the quality of life for seniors.
Here's why I decided to focus my private member's business on developing a national seniors strategy.
[Translation]
My motion was inspired by two factors: first, my family and then, the seniors living in poverty on nothing but a fixed income.
I have heard about this all over my constituency of Nickel Belt, and in other places in Canada. My father became an MP in the House of Commons in 1968. He is the oldest in a family of 16 children. My mother is the oldest in a family of 15 children. We are a large, French-Catholic family from northern Ontario, with 60 aunts and uncles and more than 100 cousins.
Sometimes, family members take care of one, two or three people who are related to them. I am concerned about them. Of course, we should be there for our families. However, I know that not all Canadians have large families like mine. That is why we are studying ways to take care of our seniors as families get older.
[English]
What's more, we are now seeing a rise in the number of seniors caring for seniors. This includes seniors who are caring for their senior spouses, friends, and even parents who are aging in this stage of life. Often, these seniors are on fixed incomes and/or have certain mental or physical challenges of their own, making it difficult to care for their loved ones and even themselves.
It's been an honour to discuss this across my riding and with many MPs, and to talk with staff and seniors at assisted living centres, such as the Au Château home for the aged in Sturgeon Falls, St. Gabriel's Villa in Chelmsford, the Saint Elizabeth centre in Valley East, and St. Joseph's Health Centre and Finlandia in the City of Greater Sudbury, and throughout the riding of Nickel Belt.
[Translation]
I have met with people from a number of community organizations, like the golden age clubs in River Valley, Field, St. Charles, Verner, Sturgeon Falls, Lavigne and Azilda.
[English]
There are also the golden age clubs, like Warren, Mulville, Capreol, Chemesford, and Onaping-Levack.
Furthermore, as the northern Ontario caucus chair and vice-chair of the rural caucus and a member of the Algonquins of Ontario first nations community, I continue to learn and understand the needs and challenges faced by seniors living in rural areas and of indigenous communities across Canada.
What I have heard are stories of the resourcefulness of seniors, who want to remain independent and live in their homes for as long as possible, but are unable to afford the cost of making their homes accessible and friendlier to their needs.
I've heard stories of caregivers who work tirelessly to support their loved ones, but at a cost to their income and sometimes their mental and physical well-being. I've also heard stories of seniors who want to be happy, healthier, and active in their community, but are having a hard time making ends meet.
Above all, I hear stories of people who love their families and who want to ensure that they live long, happy, and healthy lives. That motivates me to focus my private members' business on developing a national seniors strategy.
I completely agree that one of the most important topics this committee can study, with regard to improving the quality of life of seniors, is more affordable and accessible housing.
[Translation]
According to the Canadian Medical Association, caring for the elderly in their homes and in their communities is one of the most cost-efficient ways in which Canada’s healthcare system can meet the needs of the seniors who are not suffering from complete dementia or are not gravely ill.
[English]
I would like to acknowledge the presence today of the president of the Canadian Medical Association, Dr. Granger Avery, who has been actively campaigning for this cause among MPs in the House of Commons and Canadians for the past three to four years. I would encourage all committee members and Canadians to visit demandaplan.ca
[Translation]
ou, en français, exigeonsunplan.ca.
[English]
This plan has already signed up 50,000 Canadians.
Thank you, Dr. Avery, for all the work the association is doing and your work on behalf of seniors across Canada.
The need to encourage treatment of seniors in their homes and to enable seniors to live in their communities as long as possible is something that nine out of 10 seniors have said is critically important to them.
According to a CMA study, most home care in Canada is provided informally by unpaid family, friends, and neighbours. In fact, the Conference Board of Canada report in 2007 estimated that unpaid caregivers provide ten times more hours of home care than paid workers. Put another way, in 2007 roughly 3.1 million people delivered unpaid care to seniors in Canada, which is over 1.5 billion hours.
A Senate report called “Canada's Aging Population: Seizing the Opportunity” by retired Senators Carstairs and Keon in 2009 noted that family and friends provide about 80% of all home care to seniors living in the community and up to 30% of services to seniors living in institutions.
[Translation]
In my opinion, federal and provincial governments need to participate collectively in a study to assess the current system of financial support. That could help seniors to receive a basic income that would allow them a respectable and dignified retirement, as well as to reduce poverty among the elderly.
[English]
A significant element of the seniors strategy should also identify and provide support for improving seniors' social determinants of health. These include income, social status, social support networks, education, employment, continued working conditions, the social environment, and physical environment, and should provide for personal health practices, and coping skills, while also looking at gender and culture.
[Translation]
It should also consider the way in which the federal government can support the expansion and improvement of leisure, social and support programs for the elderly, particularly for Canadians living with Alzheimer’s disease or dementia. There are fewer programs of this kind for people with those conditions, and they generally cost much more than others.
[English]
In fact, as a permanent member of the status of women committee, I heard Tamara Daley, a professor CIHR research chair at York University, tell the committee last Tuesday that these programs cost up to $30 to $40 a day, a cost that many seniors can't afford, unfortunately.
A great example of a centre that offers such good programming in Ottawa, which is here today, is the Good Companions Seniors' Centre.
Thank you, Monique, and the board for being here today to support this motion.
This day program offers seniors minimal assistance for $18 a day. It's those types of programs that we have to look at for best practices all across Canada. I'm glad to see they are here today, as well as seniors from these centres.
I would also like to thank Carolyn Pullen from the Nurses Association for being present and also helping with this motion.
[Translation]
In closing, I would like to express my gratitude to the committee for undertaking this study in order to discover how the government can both support seniors today and prepare them for tomorrow.
[English]
I'm looking forward to your questions.
[Translation]
Thank you very much, meegwetch.
Marc Serré, thank you, and congratulations on motion bill that is before us here today.
The issue of an aging population is a very serious one for Canada to grapple with, and it's not just Canada. All the western nations have an aging population. It was recently announced that there are more seniors in Canada now than young people. Right now, one in six Canadians is a senior. In five and half years approximately, it will be one in five. In 12 years it will be one in four. This is a major shift in the population of Canada.
We need to get ready for that because 50% of provincial and territorial medical costs are already incurred for seniors. If that percentage changes, it means that we're very likely to have increased costs of medicine in Canada. On the other end of the equation, I believe that four and half Canadians are working to support seniors in Canada, and that will be changing to two and a half, so fewer people will be working to support seniors, but the needs will be greater.
We need to be smarter and prepare for this tidal wave, as some describe it, of grey. Canadians are living longer and are healthier, but Canadian seniors still have unique needs.
Marc, I want to thank you for raising this issue. It's one that's been raised at this committee for the last year and a half, and it's unfortunate that we didn't begin this study earlier. With hindsight we should have, but finally we're dealing with this.
I also want to thank Dr. Avery and the Canadian Medical Association for the incredible work they've done. I've been honoured to sit on a panel with Dr. Avery in my riding of Langley, at the Langley Senior Resources Society. The CMA did an incredible presentation there and met with Canadian seniors and answered questions. Also, Dr. Avery spoke to the parliamentary seniors caucus and provided great input and advice.
What I've heard, Marc, from professionals in senior health care is that it will not be possible in those 12 short years to prepare and build enough housing to house this growing population, and it's not what Canadian seniors want. They would like to age in place. Therefore, it is critically important to train health care professionals in home care, geriatrics, and palliative care if we are to be able to take care of our aging population. It's achievable and affordable. As you pointed out, it's much more affordable to have somebody age in place—but we need the staff to do that.
Taking care of a newborn baby is very heartwarming and satisfying, so it's very popular to train in pediatrics, but not so much in geriatrics. It's important even just to talk to seniors, and thus for us to ask how we can get people to volunteer to visit rest homes, to show our aging population dignity and kindness, for somebody to show them their value and visit them when they're lonely. People who have retired and have the time now to be able to do this and who will also be living in places like these pretty soon say they don't want to go near these places any sooner than they have to. They don't want to visit.
It's a dilemma. How do we engage Canadians to show love, dignity, kindness, and caring to our aging population? Also, as you pointed out, 85% of the support for seniors comes from friends and families, and in many cases at great personal cost physically and financially. How do we support them?
That said, I do acknowledge your great work. Thank you.
But first, I do hope the government will some time soon to appoint a minister for seniors, because I think its slowness in acting is because it doesn't have an advocate for seniors. There's a minister for youth, yet there are more seniors than youth. There's a minister for youth but not a minister for seniors. I hope you'll bring that message to the , that we need a minister for seniors, and we need to get a plan, a strategy, which we're going to deal with here.
Are you also advocating for appropriate funding in such a plan, because a plan without an engine, without an allocation of funds, training, and work with the provinces and universities.... Will you encourage the government to make sure there's appropriate funding in the next budget allocations to be able to make the plan work?
Marc, first, I want to clear the record. You noted something about the GIS and the first time there was an increase in it. I know there have been multiple budgets prior to this budget where there have been increases, as well. So, I just want to clear the record on that.
I want to go back to looking at old age security and where the future is going to be. I fully recognize that our seniors need support now. We need palliative care. We need home care. We need a variety of cares for them, but we also need to look into the future.
Last night when I was speaking in the House of Commons regarding Bill , I was talking about the debt servicing we have to do. Back in 2015-16, more than $62 billion was spent on servicing our debt. We know with the current government that there's going to be continuous debt loading on here, so we are going to see an increase, of course, in that $62.8 in 2015-16.
I recognize that there were many concerns about the increase of the age of eligibility for old age security from 65 to age 67. That is one thing that your government campaigned on and had people believe that this was the best thing. From my own experience, people of this generation thought their old age security was going to be taken away from them, although the changes to it wouldn't have started until 2023. They would still have had an impact on older sister, nonetheless, who is just 55 years of age now.
Let's look at the fact that we have to service all of this debt, spending out over $62.8 billion just in 2015-16. We know that in the future it is speculated that the ratio of seniors to workers is actually going to be two workers for every senior. How are we going to be able to continue to prioritize and have good services for all Canadians—education, health, etc.—without studying the impact of the old age security and looking at reviewing the age eligibility once again?
Is that something that you would consider in this study, knowing that a 2:1 ratio is expected in the next 12 to 15 years, and knowing the enormous debt we'll have in this country? I'm asking for the 46-year-olds of this country, like myself and Wayne.
I'm giving you a call-out there, Wayne. We know you're not 46.
I'm asking for future generations.
When we're looking at this, we have today's generation, but we also have future generations of seniors. What are you willing to do in this study? Are you willing to look increasing the old age security eligibility, knowing that these ratios are also going to be diminishing?
:
Mr. Chair, committee members, thank you for giving me the pleasure and privilege of being with you this morning as you begin your study of how the government can support vulnerable seniors today.
As you pointed out, I am accompanied by Kathryn McDade, the senior assistant deputy minister, who will be pleased to provide any clarifications that are needed.
The study was prompted by the motion put forward by my colleague, Marc Serré, member of Parliament for Nickel Belt. We must commend him for his commitment to seniors and his interest in Canada's aging population.
His motion included a request that the committee study the development of a national seniors strategy and report back to the House. The government is as committed to seniors as I am, which is why we supported the motion inviting the Standing Committee on Human Resources, Skills and Social Development and the Status of Persons with Disabilities to undertake this study.
[English]
The protection of seniors in Canada is one of the main reasons I entered politics. Before I ran for office, I spent 23 years as a researcher and professor at Université Laval where Canada's aging population was one of my primary research interests.
As the members of this committee are aware, a few years ago the previous government decided to increase the age of eligibility for old age pensions from 65 to 67. I became worried because it appeared that the government at the time had conducted zero scientific studies on the effects of this change, especially on the most vulnerable seniors. The previous government appeared not to bother to count, and appeared not to bother to care.
I did what any economist would do: I went looking for the facts, and I put together a small research team that studied the likely impacts of that change to the age of eligibility. We found that the change would plunge 100,000 seniors, age 65 and 66, into severe poverty every year. This would have tripled the poverty rate of those seniors from 6% to 17%.
Elderly women would have been the most affected, with their median income dropping by a third. Vulnerable seniors would also have been the most affected by the change. They are the least able to protect themselves by adjusting their work and savings behaviour.
I thus entered politics to be a voice of advocacy for the aging population in Canada, so I am especially pleased with the work done by our colleague from northern Ontario, and with the collaboration of your committee, Mr. Chair, in undertaking a study of the well-being of Canadian seniors.
This topic is of great importance to me as the minister responsible for seniors, to our government, and I am sure for all parliamentarians.
[Translation]
The timing of your study aligns well with new data from the 2016 census that was recently released by Statistics Canada. The census shows that, from 2011 to 2016, the number of seniors grew by 20%, the largest increase since Confederation. By comparison, Canada's overall population grew by 5% during the same period.
Based on demographic projections, seniors will represent approximately 23% of the total population in 2031, up from 17% in 2016. These changes present both challenges and opportunities, and I expect that your study will be very helpful in that respect.
[English]
The government has been working to implement the seniors agenda to advance four primary policy objectives, namely, (a) improving seniors' access to affordable housing, (b) improving the income security of seniors, (c) promoting healthy aging and improving access to health care, and (d) fostering the social inclusion and engagement of seniors.
We believe—and I think you all believe—that all Canadians deserve access to housing that is safe, accessible, and affordable. Housing is a key aspect of building any inclusive society. Our government has therefore been very active in improving seniors' access to affordable housing. Through budget 2016 we invested $200 million over two years in the construction, repair, and adaptation of affordable housing for seniors. Budget 2017 further proposes to invest more than $11.2 billion over 10 years in the implementation of the first ever national housing strategy. This will help build, renew, and repair Canada's stock of affordable housing, and help ensure that Canadians, including seniors, have affordable housing that meets their needs and improves their lives and those of their communities.
I am looking forward to your deliberations and recommendations as we develop together a national housing strategy to re-establish federal leadership in housing, especially as it relates to the very important issue of housing for seniors. But that is only part of the solution. We must also tackle broader issues such as social inclusion and healthy aging. On this, I am especially pleased to learn that your committee will study this issue prior to the summer recess.
[Translation]
In the area of improving seniors' income security, the government has acted decisively. One of the first measures we implemented when we took office was to lower the age of eligibility for old age security and the guaranteed income supplement from 67 back to 65. We also increased the maximum amount of the guaranteed income supplement top-up by up to $947 per year for single seniors. This has improved the financial situation of close to 900,000 people and allowed approximately 13,000 Canadian seniors to exit poverty, the vast majority of whom are women.
We have also introduced legislation to ensure that couples receiving the guaranteed income supplement who are involuntarily forced to live apart are able to receive benefits based on their individual income. All Canadians should have access to a dignified and secure retirement. Looking ahead for tomorrow's seniors, we enacted legislative changes to enhance the Canada pension plan. The Canada pension plan enhancement will increase retirement benefits by increasing the replacement rate from one quarter to one third of pensionable earnings.
It will also increase the limits on pensionable earnings by 14%. This enhancement will be phased in over a seven-year period, beginning in 2019. Among other things, these changes will reduce the number of families at risk of income insecurity in retirement from 24% to 18%.
My colleague, the Honourable Jane Philpott, Minister of Health, leads our government's efforts with respect to healthy aging and access to health care, which form an important part of our seniors agenda. Under her leadership, the Government of Canada has advanced a number of initiatives benefiting seniors, ranging from new funding for provinces and territories to invest in home care, to advancing the implementation of age-friendly communities in Canada, to working with partners to address dementia. Of course, I encourage you to take a close look at these programs.
Finally, in support of our fourth policy objective of fostering the social inclusion and engagement of seniors, we are making investments that enable seniors to be active and independent and to fully contribute to the development of their communities.
For example, through the New Horizons for Seniors program, we are collaborating with local governments, institutions and organizations to reduce the social isolation of seniors and improve quality of life for Canadians.
Through the leadership of the Honourable Carla Qualtrough, Minister of Sport and Persons with Disabilities, the government is developing accessibility legislation that will remove barriers in areas of federal jurisdiction. This will help improve access and foster inclusion for all Canadians, including the elderly.
Our government also recognizes the critical role that many Canadians play in supporting family and friends with serious health conditions, disabilities or aging-related needs, often while balancing work and other personal responsibilities.
For this reason, budget 2017 commits nearly $700 million over five years for the creation of a new employment insurance caregiving benefit that will cover a broader range of situations where individuals are providing care to an adult family member.
We are also working to advance the work of the National Seniors Council. The council reports to both me and Minister Philpott on the challenges and opportunities related to the well-being and quality of life of seniors. The strength of the council lies in the expertise and experience of its members.
That's why, as terms of current members end, Minister Philpott and I will be using a new, open, transparent and merit-based appointment process to fill them. In fact, a call for nominations for both the chair and members of Council was launched on May 18.
In closing, through all the measures I have described, the government is seeking to improve the social and economic inclusion of seniors. We have taken significant steps, but of course there is much more to be done. So I trust that your report will contribute to the effectiveness of the government's actions in favour of our seniors.
Thank you for the opportunity to speak with you. I would be happy to answer any questions you have.
:
Thank you, Minister. It's a treat to have you at the committee. There is such a thing as a good Liberal, and I would suggest that you are.
Some hon. members: Hear, hear!
Mr. Mark Warawa: You are well respected.
At the beginning of your comments, you said that the government is as committed to seniors as you are. I would suggest, or at least hope, that your commitment far exceeds what we have seen from the government at this point. I appreciate your commitment to help seniors.
As you know, we have a very quickly changing aging population in Canada. Right now it's one in six. In approximately six years it will be one in five, and in about 14 years it will be one in four. You highlighted that in your comments.
The vast majority of Canadian seniors would love to age in place, and the only practical and affordable way to take care of this aging population is to permit them to age in place. We cannot afford to build enough housing, and it would not be appropriate to warehouse our Canadian seniors. It's not what they want, and it's not what we can afford. We don't have enough time to build enough houses to house them. For all those reasons, we need to focus on aging in place.
In your comments, you shared that there is a national seniors housing strategy, which is going to include some housing for seniors—and we do need to provide some more housing for end-of-life care, palliative care, hospice care. We need those extra beds for that, but a major focus needs to be on providing home care.
You touched on that. You said that the included investment in home care in the negotiations and agreements with the provinces and territories, so that's a question on that. Then I have one for you on access and the .
Could you provide details about what the government is going to do to ensure that we have home care that meets the needs of an aging population? Is that going to include a number of new people with training in geriatrics and palliative care to provide that home care? Is that part of the agreement with the provinces?
Thank you, , for coming in and presenting to us today. Thank you so much for your leadership and your passion and the direction that you're giving the government with respect to those living in poverty. Obviously, today we're talking about seniors.
We have an issue across this country and we have a challenge, but with every challenge comes opportunity. I was reading up on it last night, and the statistics are no surprise, that for the first time in our history, I think, we have more people—5.9 million, in fact—of senior age versus those aged 14 and under at 5.8 million people. As a side number, there are 8,230 Canadians over the age of 100. Those numbers are startling.
With an increasing seniors' population.... In particular, I come from the riding of Saint John—Rothesay in Atlantic Canada, where we have the highest percentage of seniors in Canada, at 20%. If you look at that versus, say, the west coast, and Alberta at 12%, we have our challenges in Atlantic Canada.
It was a learning curve and a learning process for me in 2015, and certainly one of the things I learned going door to door and talking with seniors was how they did feel forgotten, how they were concerned about the change in the eligibility age from 65 to 67. I used to talk to a lot of seniors about what they felt had happened or what is out there from a government perspective to benefit them. A lot of people talked about, or certainly the previous government talked about, the tax-free savings account. I talked to many seniors certainly in Saint John and those living in poverty, and they didn't invest in the tax-free savings account; they didn't have any money to invest in such an account.
First and foremost, minister, from a government perspective on budget 2016-17, can you elaborate on the steps that our government has taken to change the lives of seniors and to pull seniors out of poverty and provide a better life?