dental care is well being care

Delly Bezoss

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1. Price range

Two men in suits walking down the a street in downtown Halifax.

Finance minister Allan MacMaster, left, and Premier Tim Houston. Photograph: Communications Nova Scotia

Premier Tim Houston’s Progressive Conservative authorities campaigned on a promise to “repair well being care” and steadiness the province’s books in 4 years. Properly, spending on well being take care of 2022-23 goes up $413.4 million and there’s a predicted deficit of $506.2 million for the brand new fiscal yr.

Jennifer Henderson dives into the price range in her report from Tuesday, figuring out the place essentially the most cash goes, what new taxes are coming, what election guarantees are being stored (and shirked), and the way it all compares to final yr’s price range.

A couple of fast highlights:

  • More cash being spent on inexpensive housing, emergency shelters and homelessness, long-term care, and assist for individuals with disabilities. And well being care, however I already talked about that.
  • Much less cash going to the Division of Setting and Local weather Change
  • New taxes on non-residents designed to assist cool the housing market.
  • A brand new $4.7 million Kids’s Sports activities and Arts Refundable Tax Credit score that permits households to say bills as much as $500 per little one
  • Expert tradespeople below the age of 30 gained’t pay any tax on the primary $50,000 they earn below the “Extra Alternatives For Expert Trades” program. That is estimated to value the federal government about $80 million subsequent yr.
  • Oh, and the province’s net-debt is now $18 billion.

However should you assume I’m breaking down the whole provincial price range on this little blurb, you’re kidding your self. Head to Henderson’s full report back to see how the federal government needs to spend your cash this yr.

We do have extra on the price range beneath, although.

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2. Price range response: critics say not sufficient motion taken on rising value of dwelling

Patrick Sullivan, left, Lisa LaChance, and Alec Stratford spoke with the Examiner about their opinions on Tuesday’s price range announcement.

So, what’s lacking from Tuesday’s price range announcement?

Jennifer Henderson continues her protection with a wide range of responses to the Tim Houston authorities’s 2022-23 price range.

We hear from the leaders of the opposition events — it’s possible you’ll be stunned to learn they discovered some holes. Henderson consists of responses from the NDP’s Psychological Well being and Addictions spokesperson, the chief director of the Nova Scotia Faculty of Social Employees, Docs Nova Scotia, the province’s academics union, and the CEO of the Halifax Chamber of Commerce, to get an image of how the brand new price range will have an effect on Nova Scotians in several sectors.

Although there was reward for well being care spending, there’s additionally criticism of a scarcity of spending on psychological well being. A number of critics introduced up the dire want for extra housing as the price of dwelling continues to rise.

Learn what quite a few Nova Scotians are saying in regards to the new price range right here.

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3. Loss of life of Andrew Gnazdowsky: Nova Scotia Energy one in every of three corporations dealing with fees

young white man and woman in front of a 3 tier Roman aqueduct over a small river

Andrew and Nicole Gnazdowsky

In Could 2021, Nicole Gnazdowsky advised the Examiner the provincial authorities had botched the investigation of her brother Andrew’s demise. Andrew was 26-years-old in October 2020, working at Nova Scotia Energy’s Marshall Falls reservoir in Sheet Harbour. He’d been working for a New Brunswick firm that was subcontracted to survey an underwater space close to a dam within the reservoir, when a chunk of kit malfunctioned, so Gnazdowsky swam down to repair it. He would by no means swim again up.

Andrew’s physique was discovered the subsequent day, and the main points surrounding his demise have remained a thriller to his sister ever since. Since figuring out a possible battle of curiosity and a flawed health worker’s report within the Division of Labour’s subsequent investigation, Nicole Gnazdowsky says she’s needed to dig into the tragic occasion on her personal.

“I really feel like I’ve a way, a superb sense of what occurred,” she stated final Could. “However I feel there’s nonetheless most likely some holes within the story, and whether or not these will ever get crammed I don’t know.”

Now, Nova Scotia Energy and two different corporations are dealing with fees associated to Gnazdowsky’s demise. From Yvette’ d’Entremont’s report:

The court docket doc filed on Monday by a Division of Labour investigator names Nova Scotia Energy, Brunswick Engineering and Consulting Inc. of Saint John, NB, and GEMTEC Consulting, Engineers and Scientists Ltd. of Fredericton, NB.

It accuses the three corporations of a number of security violations linked to Gnazdowsky’s demise.

Brunswick Engineering and Consulting Inc. — the corporate that employed Gnazdowsky and a subcontractor on the Nova Scotia Energy website — faces 5 fees.

Along with three security violations, the costs embody failing to make sure a life jacket, private flotation gadget or different technique of safety was used to forestall drowning, and failing to supply required rescue gear the place an individual is uncovered to the chance of drowning at a office.

GEMTEC Consulting faces six fees, together with an allegation that the security plan for the Marshall Falls website was insufficient.

Nova Scotia Energy faces 5 fees in reference to the incident, together with failing to make sure Brunswick Consulting staff have been carrying life jackets and failing to make sure they’d entry to required rescue gear.

Click on right here for the total article.

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4. No. 2 Development Battalion

An old sepia photograph of a batallion of Black men in November 1916

Picture of the Quantity 2 Development Battalion from The Canadian Encyclopedia.

One yr in the past this week, former minister of nationwide defence, Harjit Sajjan, stated Canada’s authorities would apologize to the previous members of the No. 2 Development Battalion.

If you happen to’ve by no means heard of them, right here’s just a little background:

Within the First World Warfare, the Canadian authorities’s official coverage banned Black residents from serving within the armed forces. The feds feared Black troopers, if armed, may search vengeance on white troopers, and so an entire technology of Black Canadians was prevented from preventing.

That didn’t preserve Black Canadians out of the struggle, although. Regardless of the racist federal coverage, Black residents lobbied the federal government and finally fashioned the No. 2 Development Battalion, the place Black troopers might enlist to serve the struggle effort in non-combative roles. The battalion fashioned in 1916, making its headquarters in Truro. The next yr, greater than 700 troopers went abroad to help allied forces with highway building, upkeep, and different efforts.

The Battalion disbanded in 1920, however a passionate few have labored to make sure their legacy endures.

On Monday, Nationwide Defence Minister Anita Anand reaffirmed the federal authorities’s intent to apologize to the previous members of the No. 2 Development Battalion. That apology is predicted to return in July.

“I, as minister and our authorities,” stated Anand at Monday’s digital occasion, “are wholly dedicated to delivering a significant apology to handle the discrimination that these males confronted earlier than, throughout, and lengthy after their service.”

In his newest article, Matthew Byard goes deeper into the Battalion’s historical past, and why an apology will solely be the start if Canada’s authorities is to actually make amends.

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No extra grinning and bearing it: dental care is well being care

A closeup of a dentist working on someone's braced teeth with an instrument

Photograph: Atika Akhtar/unsplash.com

For many of my time as a dental affected person, I lived a charmed life.

Regardless of a poor brushing method — who has two minutes within the morning? — and a disdain for flossing, I didn’t have a cavity till college. I survived center faculty with out braces or an costly, easily-lost retainer, and limitless hours of minor hockey and shinny by no means led to an emergency root canal. In highschool, my knowledge tooth stayed in place. Apparently, I’ve the cavernous, un-evolved mouth of a Neanderthal; there’s sufficient room in there to deal with the total set of 32. No painful process or multi-day doped-up restoration required.

For me, the dentist was only a yearly annoyance.

I didn’t perceive the favored worldview that dentists have been sadists. Every go to consisted of nothing greater than an uncomfortable half-hour of fluoride-flavoured prodding adopted by an intensive dressing down from my ever-disappointed dentist. (Floss, dammit!) Then I’d get a sticker and be on my approach.

What’s extra: no payments. Ah, youth.

That every one modified once I left college. That’s once I misplaced dental insurance coverage and my mouth began falling aside. Life really by no means misses an opportunity to kick you within the tooth, does it?

I awoke one morning, about half a yr after graduating, with a debilitating toothache. Debilitating actually was the one phrase for it. Stable meals have been inaccessible. I couldn’t breathe or chew too sharply lest my nerves explode and shortly the ache grew to become a relentless, even when the tooth went untouched. It bought to the purpose the place I had a relentless headache and couldn’t focus lengthy sufficient to learn or maintain a dialog. An emergency root canal, and some hundred {dollars}, would convey some welcome aid, nevertheless it was just the start.

Afterward, the dentist advised me I used to be grinding my tooth and I’d should have some extra work accomplished if I needed to forestall extra issues sooner or later. However with out insurance coverage, I deferred.

I ultimately began working a job that provided a restricted dental plan as soon as I labored a sure variety of hours. The ache returned earlier than I hit that quota, however I held powerful. I ignored toothaches on each side of my mouth till I’d accrued the hours to pay for $1,000 of dental work. By that point, I wanted a number of fillings, extractions, and root canals, plus a crown. Even with insurance coverage, it value me a couple of grand. A sizeable blow, contemplating I’d solely simply entered the workforce.

I might’ve saved just a little cash if I’d had all the issue tooth pulled outright, as an alternative of fastened. However I didn’t wish to stroll round with holes in my smile, so I sprung for additional.

Fortunate me, to have the selection. At 23, I had no dependents or mortgage. I didn’t know what paycheque-to-paycheque meant (I’ve nonetheless by no means felt that, to be sincere). That’s not the case for everybody, and that’s the issue. For a rustic that prides itself on free well being care, we have now a humorous approach of placing dental well being in its personal class. We’re not alone, after all, although issues might change quickly.

Final week, by way of an settlement between Canada’s Liberals and New Democrats, the nation got here one step nearer to having a publicly funded dental plan. In trade for votes of confidence, the governing Liberals will implement the NDP’s long-sought dental protection for decrease earnings Canadians. No want to enter element right here, however the breakdown is that this:

  • Households making lower than $90,000 a yr, who don’t have dental insurance coverage, might be eligible.
  • The federal government will cowl dental charges for anybody making lower than $70,000.
  • The plan might be rolled out over the subsequent three years earlier than the Liberal-NDP settlement expires in 2025, although youngsters below 12 might be eligible later this yr.
  • An estimated 6.5 million Canadians might be eligible for the brand new program.
  • It can value just a little over a billion {dollars} a yr to run, plus about $4.3 billion upfront.

In a CBC article final week, economist Armine Yalnizyan advised reporter Nick Boisvert the excessive price ticket is probably going price it:

“Whereas it’ll value just a little extra on the entrance finish, it’ll get monetary savings on the again finish and make life extra inexpensive … I do know that persons are going to say, ‘Why are we spending cash?’ However that’s being penny-wise and pound-foolish.”

The federal Conservatives instantly requested that query, by the way in which. So why spend the cash?

First, I feel some stage of public dental protection is, if not in style, at the very least palatable to most Canadians. Dental well being is simply well being. And journeys to the dentist are as important as a yearly bodily.

The decision for common dental care is nothing new. Search it up and also you’ll discover articles from virtually yearly of the brand new millennium, contemplating the advantages of such a system. Right here’s the Globe’s Andre Picard way back in 2004, when one third of Canadians lacked dental protection (about the identical as at this time), explaining the significance of getting everybody entry to dental care:

Oral illnesses, starting from low-grade gum illness comparable to gingivitis to oral cancers, can have a big influence on day by day functioning and high quality of life. As soon as regarded as merely nuisances, dental issues are actually being taken critically by well being researchers.

Proof is mounting that the well being of our tooth and gums is a bellwether for the remainder of the physique.

A wooden sign which reads "Dentistry, painless" with a large molar hanging from it

Photograph: Pexels / Pixabay

Truthfully, it’s stunning to learn “proof [was] mounting” 16 years in the past. Enamel have been an indicator of well being since humanity began betting on horses, proper?

Dentistry dates again at the very least 7,000 years, when rudimentary instruments have been utilized in Sumeria to dig out “tooth-worms,” little demons as soon as thought to trigger toothaches. It’s arguably the primary specialised department of medication. Why such an early specialization? As a result of toothaches aren’t any joke and dental issues could be pressing, even deadly. The explanation dentistry and medication have adopted their very own tracks could should do with their therapies. Whereas docs, earlier than fashionable medication, largely used bedside manor coupled with a guessing sport of pure cures and incantations, dentistry has been bona fide efficient from the beginning. Downside tooth? Take away the tooth, take away the issue. It’s develop into extra advanced and scientific, in addition to safer, nevertheless it’s had an extended monitor file of outcomes than medication.

Is that why it’s thought of so individually from common well being care? I don’t know.

The 1964 Royal Fee on Well being Providers thought of the inclusion of dental care in what would develop into Canada’s new public well being care system, however determined to attend, citing a scarcity of dentists to assist such a program. Because the career grew to a stage that would assist a public dental system, oral well being might develop into a part of Medicare. Now right here we’re.

One of many final articles the Nova Scotia Advocate printed earlier than the premature passing of Robert Devet was an editorial from dentist Brandon Doucet, arguing for common dental care. He breaks down the issues with monetary inaccessibility:

In 2018, roughly 1 in 3 Canadians lacked any dental insurance coverage and over 1 in 5 prevented the dentist on account of monetary constraints. For individuals who lack entry to dental care, preventive and routine care is uncared for as a way to focus sources on coping with ache and an infection, which ends up in a inhabitants with poorer oral well being. This has many penalties on people and society as an entire.

For people, poor oral well being has been proven to trigger or worsen many basic well being situations together with: heart problems, diabetes, having a low delivery weight toddler, aspiration pneumonia, erectile dysfunction, osteoporosis, metabolic syndrome and stroke. Additional, having seen decay or lacking entrance tooth can have an effect on employability and one’s self-worth.

For society, there may be elevated well being care spending for a society with poorer oral well being. One purpose for the elevated spending on well being care is because of the results of poor oral well being on total well being. Additional, a whole lot of 1000’s of Canadians find yourself in an emergency division annually in search of remedy for dental ache, an issue that’s estimated to value over $150 million per yr.

In that article, written through the 2021 federal election, Doucet argued for the kind of dental protection the NDP was campaigning on. The identical kind of protection the NDP and Liberals are actually working to implement:

It’s clear that the established order for dental care is insufficient. Sustaining a minority parliament this election is a chance to start out increasing Medicare to incorporate providers like dental care. When Medicare was initially applied, it was with the intention of together with dental care at a later date. Now, over half a century later, it’s time to observe by way of with this imaginative and prescient.

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Observed

A photo of tiny red wooden houses lined up in a row on a wooden table

Photograph: Tierra Mallorca/Unsplash

On Monday, the province introduced a brand new improvement in Dartmouth that may present 373 much-needed inexpensive housing items.

The inexpensive items might be developed and rented out by Clayton Developments. As a part of an settlement with the province, the corporate should hire them out at 60%-80% the common market rental worth for the world — for 20 years, then they’ll scrap the “inexpensive” hire in the event that they like.

On Tuesday, Philip Moscovitch capped his abstract of the story along with his personal editorial word: “Tying affordability to market charges ensures they aren’t actually inexpensive.”

I’ve written about this earlier than, nevertheless it’s not as apparent within the case above.

Given the present common rental worth in south Dartmouth, which means a one-bedroom at 60% worth would hire for simply over $600. That’s really inexpensive. If you happen to work 40 hours per week at a minimum-wage job, hire on an condo like that may value barely lower than 30% of your earnings — the frequent definition for inexpensive housing.

So, great things there.

However the first developments in that venture gained’t be prepared for at the very least a yr after constructing begins in fall. So much might change.

Let’s do a fast case examine, wanting on the second hottest housing market within the nation: Toronto. (I’d look at Vancouver, however I don’t wish to have a coronary heart assault; I simply wish to do an experiment).

Rents in Toronto continue their ascent to the stratospheric days of yore, earlier than the pandemic, when the common rental value for residences of any measurement was $2,335 month, earlier than Zoom and the once-low rental markets of Atlantic Canada despatched city-folk operating for rural pastures and cooled Toronto’s housing scene ever-so-slightly. (Keep in mind when Torontoians scoffed at something east of Yonge Avenue? Easier occasions).

Let’s have a look at the average rental price (for units of any size) in Toronto at three totally different factors of the pandemic:

  • January 2020 – $2,335/month
  • January 2021 – $1,988/month
  • January 2022 – $2,205/month

At 60% market worth, these averages develop into:

  • January 2020 – $1,401/month
  • January 2021 – $1,193/month
  • January 2022 – $1,323/month

Based mostly on these three rental costs — all from the identical metropolis inside a variety of two years — and the 30%-of-income definition, right here’s the annual earnings required to afford these items.

  • January 2020 – $56,040
  • January 2021 – 47,720
  • January 2022 – $52,920

You would want to make virtually $10,000 extra yearly to afford a unit being rented out at 60% the common market worth in 2020 than in 2021. All this technique does is preserve hire at “inexpensive items” cheaper than the common. Whether or not individuals can really afford it’s one other query.

Let’s proceed tying inexpensive housing to the market. We’ve been doing that with the atmosphere for years and that’s labored itself out, proper?

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Authorities

Metropolis

No conferences

Province

Public Accounts (Wednesday, 9am, Province Home) — live broadcast; Gravel Highway Program and Freeway Enchancment Plans, with Peter Hackett, Division of Public Works


On campus

Dalhousie

Wednesday

The Crucible (Wednesday, 7:30pm, Dunn theatre, Dalhousie Arts Centre) — directed by Nigel Shawn Williams; masks required, $10/$15, info here

PhD Thesis Defence, Course of Engineering and Utilized Science (Wednesday, 1pm) — virtual event; Allan Thomson will defend “Manufacturing and Utilization of SRC Willow Biomass in Nova Scotia”

Thursday

The Crucible (Thursday, 7:30pm, Dunn theatre, Dalhousie Arts Centre) — directed by Nigel Shawn Williams; masks required, $10/$15, info here

Charlotte Mendel (Thursday, 5pm, Room 219, MacRae Library, Agricultural Campus, Truro) — the author reads from her YA novel Reversing Time

Inclusive Social Work Thrives Inside and Past COVID-19 (Thursday, 5:30pm) — virtual panel discussion with CART transcription; that includes social work college students Jenn Horne and Sammy Koladich, Dalhousie College; Adam Farhat, Carleton College; moderated by Nadia Haleeb, Dalhousie College

Engineering for Well being in a Pandemic (Thursday, 7pm) — virtual event; the Dalhousie Girls in Engineering (WIE) Society is internet hosting their third “Girls of At present” Panel Occasion collection, which can deal with how the pandemic has modified the career of engineering and the way it will influence the lives of engineering college students and professionals. Visitor audio system: Amina Stoddart, Dalhousie’s Division of Civil and Useful resource Engineering; Jade Farr, Dalhousie Electrical Engineering scholar; Tyra Obadan, highschool scholar

City Forestry and Wooden Waste in HRM (Thursday, 7pm, Potter Auditorium, Rowe Constructing) — also via Zoom; A group of six interdisciplinary ESS college students (Justin Andrews, Breanne Johnson, Jessica Pawlovich, Erica Porato, Jack Quirion, and Samantha Sandu) labored with Kim Thompson and Charles Williams of The Deanery Mission to conduct an evaluation of city forestry and wooden waste in HRM. This lecture summarizes their findings, and can embody a panel dialogue with Christopher Googoo, Linda Pannozzo, James Steenburg, and Charles Williams. More info here.

Saint Mary’s

Wednesday

No occasions

Thursday

The Neurobiology of Trauma & Supporting Survivors (Thursday, 1pm) — Zoom workshop hosted by Dee Dooley

Startups – Learn how to, and too-honest solutions with Jonny White (Thursday, 6pm) — online event

The Triune Summit: Talking their Truths (Thursday, 6pm, McNally Auditorium) — also online; three African-Nova Scotian trailblazers will learn from their memoirs, share their experiences, and communicate to their journeys, adopted by a Q&A; with George Elliot Clarke, Mayanne Francis, and Donald H. Oliver


Within the harbour

Ship listings might be added later at this time.


Footnotes


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No more grinning and bearing it: dental care is health care

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