Filling the gaps: Why Canada still needs a public dental health plan despite decades of medicare

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Filling the gaps: Why Canada still needs a public dental health plan despite decades of medicare
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Nearly one\u002Dthird of Canadians do not have dental insurance, and that number climbs to 50 per cent for lower\u002Dincome Canadians.

This article was originally published on The Conversation, an independent and nonprofit source of news, analysis and commentary from academic experts. Disclosure information is available on the original site.Canadians pride ourselves on our health-care system, especially in comparison with our neighbours to the south. But there are significant gaps in coverage. Nearly one-third of Canadians do not have dental insurance, and that number climbs to 50 per cent for lower-income Canadians.

The idea was to start with younger children and then expand eligibility to older children. Eventually, adults might be included. Dentists thought that more emphasis should be placed on prevention, especially education and water fluoridation. Many had been fighting for water fluoridation in their communities for over a decade. Water fluoridation had been shown to significantly reduce cavities and yet Canadians repeatedly rejected water fluoridation in municipal referendums, leading dentists to conclude that Canadians did not value their oral health.

According to a study by dental public health researcher James Leake, dentists also had problems with the program. They disliked it because it only included basic services and they found it professionally challenging to not provide the best possible service. Dentists also complained that people on social assistance were much more likely to miss appointments than other patients.

Even though dental insurance did not cover all services, access to insurance diminished the demand for universal dental insurance.This has left some Canadians without dental care. In 2007, journalist Moira Welsh wrote about Jason Jones for the Toronto Star. Jones was a young man, but his teeth had rotted away. In severe pain, he spent his wife’s life savings to remove them.

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