Fighting seniors poverty

Andrew Jackson

http://www.broadbentinstitute.ca/andrew_ajackson/fighting_seniors_poverty

January 10, 2016

seniors_thumb.jpg

The new Liberal government is on track to seriously address the growing problem of poverty in old age. But their election promises need some critical reconsideration.

Recently released income data from Statistics Canada report that the incidence of low income among the elderly (age 65 and over) has risen from 7.6% in 2000 to 11.1% in 2013. Low income is defined as having an income of less than one half the median or mid point income of a  household of the same size.

Digging a bit deeper, seniors living in couples had a low income rate of 5.2% in 2013, and senior singles (who are disproportionately women) had a very disturbing low income rate of 27.1%.

The rising incidence of poverty among the elderly basically tells us that Old Age Security (OAS) and Guaranteed Income Supplement (GIS) benefits, which together provide a guaranteed minimum income for low income seniors, have not risen as fast as the incomes of all Canadian households. This is not surprising since the OAS and GIS generally rise only in line with inflation, while the working age population has benefited from modest real wage growth.

The Liberals have promised to increase the GIS for single seniors by 10%, at a cost of  $720 million from 2016-17. Currently, the maximum monthly GIS payment is $773.60 and the maximum annual  income from OAS and GIS combined is $1,344.12 or $16,129 per year. GIS payments are reduced for any other income from pensions, investment and employment, and currently go to one third (31%) of all seniors.

For couples, the maximum monthly income from OAS and GIS combined is is $2,167.

The Liberal proposal to increase the GIS will undoubtedly close a large part of the significant gap between the maximum benefit for singles and the poverty line, and put a big dent in the very high poverty rate for single seniors. This is to be commended.

However, the proposal does leave out in the cold the more than one in three (34.2%) of low income seniors who live as couples. As is the case for singles, the maximum OAS/GIS benefit for senior couples which is $2167 per month falls short of the poverty line, to the tune of about $3,800 per year.

The Liberals have also promised to index OAS and GIS payments to a new seniors price index instead of to the all items Consumer Price Index. The reasoning  is that the broadest inflation rate insufficiently registers increases in the cost of living for seniors.

This argument is dubious. A 2008 Statistics Canada study covering the years 1992 to 2004 found that the cost of living for seniors increased only marginally faster than the overall CPI for the twelve year period as a whole, by an average of 1.95% compared to 1.84%. The difference was attributable to one four year period.

Research shows that seniors spend relatively more of their income than the general population on some items (food from stores, rent, utilities, health and personal care) but relatively less on other items, (clothing, automobiles and private transportation, alcohol and restaurant meals.) These differences in spending patterns generally offset each other.

A new seniors price index could well give rise to other pleas for special treatment, especially given that inflation rates can often differ by province and city as well as by income group.  In many respects, the spending patterns of the working poor, also tilted to rent and food, are not that different from those of lower income seniors.

A better idea would be to index OAS and GIS payments to the average wage. This would allow seniors to benefit from future economic growth rather than just maintain their standard of living.

On a more positive note, the Liberals have promised not to proceed with the planned increase in the age of eligibility of the OAS and GIS from age 65 to age 67. This would have increased the poverty rate down the road by depriving seniors of two years of potential benefits. The status quo recognizes that not all seniors are able to work to age 67 due to ill health and/or caring responsibilities.

Taking into account the recent revival of discussions with the provinces to expand the Canada Pension Plan, the new federal government appears committed to a progressive reform of our inadequate income security programs for the elderly. However, they do need to sharpen up some important details.

Andrew Jackson is Adjunct Research Professor in the Institute of Political Economy at Carleton University, and senior policy adviser to the Broadbent Institute. This column originally appeared in the Globe and Mail.

Photo: Martyn . Used under a creative commons BY-NC-ND-2.0 license.

Rally on Parliament Hill for Seniors Vote October 1: Seniors Housing

Herb John, President of National Pensioners Federation speaking at the October 1 Rally.

Herb John, President of National Pensioners Federation speaking at the October 1 Rally.

Speakers dealt with health care, income and inequality. John Anderson, of  CAUS was invited to speak on seniors’ housing at the Seniors Vote rally organized by the National Pensioners Federation  for the UN International Day of Older Persons on October 1, 2015 on Parliament Hill. Here is is his speech:

John Anderson, CAUS speaking on seniors housing at Oct. 1 rally

John Anderson, CAUS speaking on seniors housing at Oct. 1 rally

 Seniors’ Housing: the Need for a National Strategy  News story after news story (like those a few days ago) tells us about the huge increase in the number of seniors that is coming over the next years in Canada. But are governments talking about what this means for housing for seniors?

No is the answer!

We are the only G7 country without a national housing strategy. Should we be surprised from this government that when there is no national housing strategy and no national seniors’ strategy that there is no national seniors’ housing strategy?

Massive increase in seniors’ population

Estimates from Statcan show that by July 1 2015, for the first time, there were more persons aged 65 years and older in Canada than children aged 0 to 14 years. Nearly one in six Canadians (16.1%)—a record 5,780,900 Canadians—was at least 65 years old, compared with 5,749,400 children aged 0 to 14 years (16.0%).[1]

According to the most recent population projections, the share of persons aged 65 years and older will continue to increase.  It should account for 20.1% of the population on July 1, 2024.The absolute numbers of seniors will double from 5.8 million in 2015 to some 10.1 million in 2035.[2] By 2051 roughly one in four Canadians is expected to be 65 or over.[3]

And right now housing is not good for many seniors!

Canada Mortgage and Housing Corporation notes that: “In 2006, senior households were more likely to live in unacceptable housing than non-senior households, especially if they were single-person households.”[4]

Also it is important to underline that there is generally a much higher percentage of seniors in small town Canada than in the large cities, and, yet, it is in these small towns that seniors’ housing and seniors’ services are less available than in big cities.

Most seniors do and will remain in their own homes but where are the programs and supports to help them do this?

For example, a study of BC seniors housing estimated 50% of seniors who rent have affordability issues.[5] As well many seniors need to have their homes adapted to assure they can continue to live in them and age in place.

  • Ok so what if you are part of the seniors particularly those over 75 who need purpose built seniors housing?

Well you will find that there is very little seniors’ housing, and, in general, it is very, very expensive.

As of 2015 in terms of purpose built seniors housing, CMHC says that in Canada there were, 224,962 seniors living in 2794 seniors’ housing centres.[6]

The vacancy rate in seniors’ housing residences in Canada decreased slightly over the past year, reaching 8.1 per cent in 2015.

But of these 225,000 places they are very unevenly distributed Quebec has 111,973 or 49.8% of the total spaces in Canada. Ontario has only 53,680!

But with over 5 million seniors right now, and the number growing rapidly and doubling to 10 million over the next 20 years, not only is this number of units very small and the spaces represent housing for only roughly 4% of seniors,

But just to provide the same access in the future, some 200,000 spaces would have to be built over the next 20 years.

Also the cost of seniors’ housing is today very high. Among the provinces, the lowest average rents for bachelor units and private rooms were posted in Quebec ($1,521), while the highest average rents were recorded in Ontario ($2,815).

Ottawa has a ridiculously high average rent of $3,134!

Because, in part at least, due to these high rates, the rate of seniors’ population aged 75 years and over in seniors’ homes across Canada was quite low, at 8.9%. The highest rate was in Quebec (18.5 %), while the lowest rate of occupancy was in Nova Scotia (1.9%).[7]

Canada has no national housing strategy and no seniors’ housing strategy

We need a national seniors’ housing strategy, developed with the federal, provincial and territorial governments as well as with aboriginal governments and municipalities.  A housing strategy for seniors needs to be co-ordinated with the healthcare services such as homecare. A national seniors’ housing strategy would include:

  1. Development of comprehensive programs to help seniors stay in their own home. Most seniors today remain in their own homes but many need programs that will help them with aging in place.
  2. Assuring that low income Canadians can remain in their own home with subsidies to units, home tax deferrals and other programs to assure they can
  3. Making improvements to help them make their homes seniors friendly. While some provinces have home improvement tax credits or grants, these kinds of programs are generally very limited.
  4. Providing the home care and other health services that will allow seniors to stay in their own homes and not be forced into long term care facilities which for many seniors are not the right place for them and are extremely costly as well as blocking services that could be used by others who really need this kind of care.
  5. While many seniors live with others in their own home, many do not and live alone. Of these seniors, many are increasingly isolated and alone. Networks need to be created that will keep all seniors in contact with sources of help, friendship and act
  6. Creating programs to allow seniors who want to share housing with other seniors. This can help some seniors stay in their own home by providing a new source of income and allow other seniors to remain in a home environment with other seniors.
  7. Creation of more purpose built seniors’ housing, including more affordable seniors’ housing, and the upgrading of existing seniors’ housing.

The reasons why seniors want or have to move into seniors’ housing are very varied, and, thus, we need different kinds of seniors’ housing and care. As much as possible, we need to provide a wide range of seniors’ options:

  1. a) independent living rental and purchase housing options in seniors and mixed age buildings or in plus 55 developments (including Life Lease and Equity co-operatives)
  2. b) subsidized rental accommodation for low income seniors in municipal, not for profit, and co-operative housing
  3. c) all forms of supportive and assisted living to meet the health needs of seniors from physical to mental health issues to hospices and palliative care

 

Right now we need a new federal government which will move on this issue working with provinces and territories, municipalities and First Nations and take a real leadership role before it is too late!

[1] http://www.statcan.gc.ca/daily-quotidien/150929/dq150929b-eng.htm

[2] http://www.statcan.gc.ca/daily-quotidien/140926/dq140926b-eng.htm

[3] http://www4.hrsdc.gc.ca/.3ndic.1t.4r@-eng.jsp?iid=33

[4] CMHC 2011 Housing Observer https://www.cmhc-schl.gc.ca/en/corp/about/cahoob/upload/Chapter_8_EN_W.pdf

[5] BC Non-profit  Housing  Association, The Need for Non-Profit Seniors’ Housing

in British Columbia, 2010 http://www.bcnpha.ca/media/Research/SENIORS%20REPORT%20-%20FINAL.pdf

[6] http://www.cmhc-schl.gc.ca/odpub/esub/65991/65991_2015_A01.pdf?fr=1444069326162

[7] Ibid

 

Join Seniors Vote rallies and events across Canada on Thursday October 1

Thursday October I, 2015 is the United Nations  International Day of Older Persons. Seniors Vote which regroups more than 50 seniors’ organizations across Canada will be organizing events and rallies across the country.

On Parliament Hill In Ottawa at 10:45 AM on October 1 there will be a Seniors Vote rally to  put forward the Seniors Vote demands.

Also in Fredericton at noon at City Hall on October 1

https://www.facebook.com/events/129044730772840/

  • Work with provinces to increase the CPP
  • Strengthen income support by
    • Restoring the OAS eligibility age to 65 from 67
    • Increase the exempt earnings band for GIS
    • Increasing the amount of OAS and GIS for low-income seniors
  • Increase income supports for low-income single older Canadians not yet eligible for OAS by creating an equivalent to the OAS spousal allowance
  • Prohibit retroactive erosion of earned pension benefits
  • Work with the provinces to create a national pharmacare plan, with an ultimate goal of first-dollar coverage for all Canadians
    Work with the provinces to fund and set national home care standards to improve access, affordability, and quality of post-acute and chronic care, in the home and in the community, with particular focus on dementia care
  • Increase financial support and provide workplace protection for caregivers
  • Work with the provinces to ensure every Canadian has access to housing appropriate to need, including affordable and supportive housing, and assisted living services
  • Address growing income inequality that affects Canadians of all ages

The National Pensioners Federation is taking a leadership role in organizing this rally.

http://www.nationalpensionersfederation.ca/?page_id=1905

Flag raising ceremonies will be also organized in locations across Canada by CARP on October 1. .

http://www.carp.ca/2015/09/25/raise-the-flag-on-national-seniors-day/

 

The 2015 Federal Budget: Not a real seniors’ budget

This piece was published on April 29, 2015 in the Montreal Gazette. Below this version is the full unedited version.

Opinion: The federal budget doesn’t help most seniors

Prime Minister Stephen Harper and Finance Minister Joe Oliver walk together as he arrives to table the budget on Parliament Hill in Ottawa on Tuesday, April 21, 2015.
Prime Minister Stephen Harper and Finance Minister Joe Oliver walk together as he arrives to table the budget on Parliament Hill in Ottawa on Tuesday, April 21, 2015.

Justin Tang / THE CANADIAN PRESS

The April 21 federal budget has been touted as “the seniors’ budget” and many have praised the “wins” in the budget for seniors. However, is this really the case?

I would submit that most seniors benefitted very little from this budget.

First of all, let’s look at what was not in the budget for seniors. Seniors Vote, an initiative of dozens of seniors’ groups, called for major movement in the budget on four important issues:

Income security including restoring OAS and GIS to age 65 from 67 and increasing the Canada Pension Plan.

Health-care reform including increased funding for issues such as home care and a national pharmacare plan. The Canadian Medical Association has called for a national seniors’ strategy on care and health care.

A national housing strategy for seniors to let them stay in their own homes or move into purpose-built affordable housing.

Fighting inequality to assure all citizens, including seniors, can get out of poverty and their children can have decent jobs, not precarious work. Seniors’ poverty has been increasing in recent years and the latest Statistics Canada figures show 12.1 per cent of seniors now live in poverty (after-tax Low Income Measure). And for single seniors, the rate is now 28.5 per cent!

And yet there are no major moves on any of these four issues. Instead the budget contains four measures that do not signify any major progress on any of the above key policy areas.

So what does the budget have for seniors?

First, the budget increased the maximum annual Tax Free Savings Account contribution from $5,500 to $10,000. While some 11 million Canadians have a TFSA account, only about 1.9 million have maxed out their contributions. So do we really need an increase to the TFSA annual amount? While 92 per cent of those who have maxed out their TFSAs are over 55, among this group the over-65s still represent a minority of Canada’s seniors. Many of these seniors use the TFSA only because they have to find some place for their RRSP/RRIF holdings that they are forced to cash out and pay taxes on after age 71.

While some seniors may benefit right now from this policy, future seniors, as well as today’s Canadians, in general, will not. A recent Parliamentary Budget Office report projects that the fiscal impact of the TFSA program this year will be $1.3 billion, or 0.06 per cent of GDP in lost taxes, a $860 million loss to the federal government and a $430 million loss to the provinces. By 2060, Ottawa would lose $14.7 billion a year in total revenues as a result of TFSAs while the provinces would lose $7.6 billion per year. The Broadbent Institute’s report on TFSAs estimated a loss of an annual $15.5 billion in federal revenue within 40-50 years. This is why the finance minister himself recognized that this was a problem and that it would be left to Harper’s granddaughter to solve!

The second major plank for seniors in the budget was the change in the mandatory rates of withdrawal from Registered Retirement Income Funds (RRIFs). These changes would mean that a senior who turns 71 would be able to withdraw less than he or she has to withdraw by law now. Existing RRIF rules mean that someone who turns 71 in 2014 must withdraw 7.38 per cent of the 2015 market value of their assets in 2015. The new budget reduces this to a withdrawal of 5.28 per cent.

But while this move is positive for seniors who have a RRIF, and who, on average, are living much longer than before, it has to be balanced against the fact that, here again, the government will receive less taxes than before. Even more notable is that the vast majority of Canadians do not contribute to an RRSP (which at age 71 has to be transformed into a RRIF). Therefore this move does not affect most seniors or affects many very marginally, as they have no RRSP or very small amounts in one.

So while a few seniors are helped by these moves, it has to be remembered that this is the government which has raised the age of receiving Old Age Security and Guaranteed Income Supplement by two years. This move alone will cost all seniors over $13,000 each and for those among the most vulnerable, who also get the GIS, the amount of loss will be more than double that amount over two years.

The third major move touching seniors in the budget is the extension of the Compassionate Care EI leave from six weeks to six months. This is a leave program to help care for a family member who is terminally ill and expected to die within six months and allows a caregiver to go on Employment Insurance to care for the relative. Extending this program is a good idea, but there still are some major problems with this initiative. The first problem is the fact that the measure can be used only for caring for a terminally ill person dying within six months. This is not good enough as many persons, who are very ill, are not diagnosed as terminally ill in this short time frame, but could still use important care. As well, many persons who are the potential caregivers are not working or are self-employed, and thus will not have access to any funds through this program. So while a good improvement, this program needs more work, because as the population ages, we will need many more carers. And this program, even if it were to be increased in cost, is a much cheaper and more effective way of providing care than costly long-term or palliative care.

Finally, the budget outlined a non-refundable tax credit for seniors and people with disabilities who undertake home renovation projects. These projects must “allow a senior or a person who is eligible for the Disability Tax Credit to be more mobile, safe and functional within their home.” This would refund a maximum of $1,500 in tax relief on expenses of $10,000. This is positive, but many seniors will not be able to spend the money required to get the maximum credit and, if they have low or no taxes, they will get little or nothing back. A refundable tax credit would mean that many more would benefit. At the same time, necessary renovations, which are paid for by the state or perhaps through a decrease in property taxes, could allow even more to benefit, and, in the end, save money, as seniors can stay in their homes and not rely on more costly long-term care.

So in the end, most seniors’ lives will not be improved in any significant manner. This is not the “seniors’ budget we need!”

John Anderson is a director of the Canadian Alliance of United Seniors, a seniors’ advocacy group affiliated with Seniors Vote. He is a public relations consultant who lives in Ottawa, and is a former director of policy and research with the federal NDP.

The 2015 Federal Budget: Not a real seniors’ budget

John Anderson

The recent April 21 federal budget has been touted by many as “the seniors’ Budget” and many have praised the “wins” in the budget for seniors. However, is this really the case? I would submit that most seniors benefitted very little from this budget. First of all, let’s look at what was not in the budget for seniors. Seniors Vote, an initiative of dozens of seniors’ groups, called for major movement in the budget on four important issues:

  • Income security including restoring OAS and GIS to age 65 from 67 and increasing the Canada Pension Plan.
  • Healthcare reform including increased funding for issues such as homecare and a national pharmacare plan. The Canadian Medical Association has called for a national seniors’ strategy on care and healthcare.
  • A national housing strategy for seniors to let them stay in their own homes or move into purpose built affordable housing
  • Fighting inequality to assure all citizens, including seniors, can get out of poverty and their children can have decent jobs not precarious work. Seniors’ poverty has been increasing in recent years and the latest Statcan figures show 12.1% of seniors now live in poverty (after tax Low Income Measure)[i] And for single seniors the rate is now 28.5%!

And yet there are no major moves on any of these 4 issues. Instead the Budget contains 4 measures which do not signify any major progress on any of the above key policy areas. So what does the Budget have for seniors?

First, the budget increased the maximum annual Tax Free Savings Account contribution from $5500 to $10,000.  While some 11 million Canadians have a TFSA account, only some 1.9 million have maxed out their contributions.  So do we really need an increase to the TFSA annual amount? While 92% of those who have maxed out their TFSAs are over 55, among this group the over 65s still represent a minority of Canada’s seniors. Many of these seniors use the TFSA only because they have to find some place for their RRSP/RRIF holdings which they are forced to cash out and pay taxes on after age 71.

While some seniors may benefit right now from this policy, future seniors, as well as today’s Canadians, in general, will not. A recent Parliamentary Budget Office report projects that the fiscal impact of the TFSA program this year will be $1.3 billion, or 0.06 per cent of GDP in lost taxes, a $860 million loss to the federal government and a $430 million loss to the provinces. By 2060, Ottawa would lose $14.7 billion a year in total revenues as a result of TFSAs while the provinces would lose $7.6 billion per year. The Broadbent Institute’s report on TFSAs estimated a loss of an annual $15.5 billion in federal revenue within 40-50 years. This is why the Finance Minister himself recognized that this was a problem and that it would be left to Harper’s granddaughter to solve!

The future consequences of this plan are stark. If governments will lose some $22 billion per year in tax revenues in the future, many of the social and health programs which seniors now rely on could be threatened.

Even more troubling is the government’s overall view that it is up to seniors to save for their future, and if they do not or cannot, then it is just too bad because governments will not have the resources to help them.

The second major plank for seniors in the budget was the change in the mandatory rates of withdrawal from Registered Retirement Income Funds (RRIFs).  These changes would mean that a senior who turns 71 would be able to withdraw less than he or she has to withdraw by law now.  Existing RRIF rules mean that someone who turns 71 in 2014 must withdraw 7.38% of the 2015 market value of their assets in 2015. The new budget reduces this to a withdrawal of 5.28%. This means as this chart below shows they would be able to keep more in the RRIF as they grow older.

But while this move is positive for seniors who have a RRIF, and who, on the average, are living much longer than before, it has to be balanced against the fact that, here again, the government will receive less taxes than before. Even more notable is that the vast majority of Canadians do not contribute to an RRSP (which at age 71 has to be transformed into a RRIF). Therefore this move does not affect most seniors or affects many very marginally, as they have no RRSP or very small amounts in one. Statcan noted that just under 6 million taxfilers contributed to an RRSP in 2012, virtually unchanged from 2011, and this was only 23.7% of the total number of taxpayers, down from 24.0% in 2011.

So while a few seniors are helped by these moves, it has to be remembered that this is the government which has raised the age of receiving Old Age Security and Guaranteed Income Supplement by two years. This move alone will cost all seniors over $13,000 each and for those among the most vulnerable, who also get the GIS, the amount of loss will be more than double that amount over 2 years.

The third major move touching seniors in the budget is the extension of the Compassionate Care EI leave from 6 weeks to 6 months. This is a leave program to help care for a family member who is terminally ill and expected to die within 6 months and allows a caregiver to go on Employment Insurance to care for the relative. Extending this program is a good idea, but there still are some major problems with this initiative. The first problem is the fact that the measure can be used only for caring for a terminally ill person dying within 6 months. This is not good enough as many persons, who are very ill, are not diagnosed as terminally ill in this short time frame, but could still use important care.  As well, many persons who are the potential caregivers are not working or are self employed, and thus will not have access to any funds through this program. So while a good improvement, this program needs more work, because as the population ages, we will need many more carers.  And this program, even if it were to be increased in cost, is a much cheaper and more effective way of providing care than costly long term or palliative care.

Finally, the budget outlined a non-refundable tax credit for seniors and people with disabilities who undertake home renovation projects. These projects must “allow a senior or a person who is eligible for the Disability Tax Credit to be more mobile, safe and functional within their home”. This would refund a maximum of $1500 in tax relief on expenses of $10,000 or a 15% credit. This is positive but many seniors will not be able to spend the $15,000 to get the maximum credit and, if they have low or no taxes, they will get little or nothing back. A refundable tax credit would mean that many more would benefit.  At the same time, necessary renovations, which are paid for by the state or perhaps through a decrease in property taxes, could allow even more to benefit, and, in the end, save money, as seniors can stay in their homes and not rely on more costly Long Term Care.

So in the end, while parts of these four measures may help some seniors, particularly those with higher incomes, most senior’s lives will not be improved in any significant manner. We still need real action on the four major concerns we outlined at the start of this piece. This is not the “seniors’ budget we need”!

[i] http://www.statcan.gc.ca/daily-quotidien/141210/t141210a003-eng.htm

Seniors Vote initiative launches on April 20

The Seniors Vote initiative was formally launched at a meeting in Ottawa held at the Canadian Nurses Association.

Susan Eng, CARP, Pat Kerwin, CURC, Herb John, National Pensioners Federation, Anne Sutherland Boal from the CNA as well as John Anderson, CAUS were the Seniors Vote panel which presented on the for four issues of income, healthcare, housing(me) and inequality.
Each of presenter was paired with an MP who responded to our asks. John Anderson presented on housing and was paired with Elizabeth May on the housing issues. The other MPs present were Irene Mathyssen and John Rafferty, NDP and John McCallum and Hedy Fry, Liberals. The government sent a representative from Alice Wong’s office and other civil servants and there were a number of press and NGO representatives present.
CBC as well as Ipolitics published some articles and Susan Eng and Herb John were on CBC Power and Politics that day.
 IMG_20150420_120617 (1)

Seniors Vote: New National Pre-Budget Voice for Seniors Organizations

Seniors Vote – FULL SET

 

 

Logo

To all Ministers of Finance and Opposition Finance Critics

Seniors Vote is a collaboration of seniors, retirees, professional and advocacy groups raising common concerns which particularly resonate with older Canadians – financial security in retirement and healthcare reform. The attached details the recommendations for the upcoming federal budget and our priority issues for the 2015 federal election.

It is now common knowledge that older Canadians are the most committed voters; 65% or more of older voters turnout to vote regularly. Older Canadians are also among the most politically engaged voters whose past party loyalty cannot be taken for granted. This has led all political parties to ask:

“What do seniors want?”

And the answer has been the call for the kind of transformative change in our public systems that will make life better for all Canadians as they age. Many such reforms will only benefit future generations.

Seniors Vote calls for pension reform to ensure that people will not outlive their money by expanding access to pension savings and increasing income support.

The call for healthcare reform demands that Canadians not be treated as health consumers or merely patients, but rather as “healthcare citizens” who pay for the system and expect it to serve the broad values set out in the Canada Health Act – universality, accessibility and comprehensiveness. To do this, the healthcare system must undergo transformative change and centre itself around the needs and expectations of the healthcare citizen, to not only provide medical intervention but also support prevention and social determinants of health, the family caregiver and end of life care.

Seniors want to stay in their own homes but too often programs like homecare are not there for them to do so. There is a need for a national housing strategy that includes seniors housing. Access to affordable and suitable housing is a major determinant of health, an instrument to reduce poverty and a critical component of age-friendly communities.

Income inequality is growing in Canada. More seniors are falling below the poverty line. Seniors are also concerned that too many of their children and grandchildren are facing precarious work and a bleak future.

It is clear that Seniors indeed vote. This sets out what Seniors will vote for. Today’s ballot questions are the blueprint for our children’s tomorrow.

1.Income and Retirement Security

Achieving income security in working life and retirement is increasingly difficult for Canadians of all ages.

  • Nearly 5 million Canadians live in poverty
  • 12 percent of seniors still live in poverty, amounting to more 600,000 people
  • 1 in 6 single seniors live in poverty, most of whom are women
  • Twelve million working Canadians do not have workplace pension plans and significant number of Canadians will face a substantial drop in their standard of living on retirement
  • Younger working Canadians will have especially limited access to workplace pensions

Seniors Vote calls on the federal government to:

Work with provinces to increase the CPP

  • Strengthen income support by
  • Restoring the OAS eligibility age to 65 from 67
  •  Increase the exempt earnings band for GIS
  • Increasing the amount of OAS and GIS for low income seniors
  • Increase income supports for low-income single older Canadians not yet eligible for OAS by creating an equivalent to the OAS spousal allowance
  • Prohibit retroactive erosion of earned pension benefits

Federal Leadership on Healthcare Transformation

Healthcare remains the highest priority for Canadians who are calling for transformative change.• Older Canadians and their families find the system inadequate to the task of meeting their postacute and chronic care needs, very difficult to navigate, and incomplete

•Over 8 million caregivers provide invaluable support to family members and the formal health system, without adequate support from employers and government

•Poverty, social isolation, a poor physical environment, and inadequate housing leads to poor health outcomes. Investments in prevention and in the social determinants of health could save the system money and produce better health outcomes for Canadians

• Transforming the healthcare system to better work for all Canadians requires federal leadership

Seniors Vote calls on the federal government to:

  •  Work with the provinces to create a national pharmacare plan, with an ultimate goal of first dollar coverage for all Canadians
  • Work with the provinces to fund and set standards to improve access, affordability, and quality of post-acute and chronic care, in the home and in the community, with particular focus on dementia care
  • Increase financial support and provide workplace protection for caregivers
  •  Work with the provinces to ensure every Canadian has access to housing appropriate to need, including affordable and supportive housing, and assisted living services

Seniors Vote is endorsed by:

National Pensioners Federation (NPF)     National advocacy organization of seniors groups and individuals

CARP  National advocacy organization for older Canadians

Réseau FADOQ Quebec Seniors advocacy organization

Congress of Union Retirees of Canada (CURC) Union retirees across Canada

International Federation on Aging (IFA) International advocacy NGO

College of Family Physicians of Canada  Family physicians across Canada

CURAC National college and university retiree organizations

National Association of Federal Retirees Retired public servants, veterans and RCMP

Canadian Association of Retired Teachers (ACER-CART) Retired teachers from 10 provinces and Yukon territory

Canadian Alliance of United Seniors (CAUS) Seniors organization

Council of Senior Citizens’ Organizations of British Columbia (COSCO)  Advocacy group for 75+ BC seniors’ organizations

Professional Institute of the Public Sector  of Canada  Government scientists and professionals

Service Employees International Union Retirees (SEIU) Retired Healthcare workers

Communications Workers of Canada Retirees Council Communications industry retirees

Unifor Retirees Retired workers from a cross section of industries across Canada

Steelworkers Organization of Active Retirees (SOAR) Retired Steelworkers and spouses

Police Pensioners Association of Ontario (PPAO) Retired police and civilians

Ontario Federation of Union Retirees (OFUR) Ontario retirees

Retired Members Division of Ontario Public Service Employees Union (OPSEU) Retired Ontario public employees

PEI Federation of Union Retirees PEI retirees

Saskatchewan Seniors Association Incorporated (SSAI) Saskatchewan Seniors

Saskatchewan Union Retirees Federation  Saskatchewan retirees

BC Federation of Retired Union Members  BC retirees

Alberta Federation of Union Retirees Alberta retirees

Nova Scotia Government Retired Employees Association (NSGREA) Retired Nova Scotia public servants

Nova Scotia Federation of Union Retirees Nova Scotia retirees

Federation of Senior Citizens and Pensioners of Nova Scotia (FSCPNS) Nova Scotia seniors

New Brunswick Federation of Union Retirees New Brunswick retirees

Manitoba Federation of Union Retirees Manitoba retirees

British Columbia Teachers Union Retirees Retired BC school teachers

The Retired Teachers of Ontario (RTO/ERO) College, university, school faculty and support staff

Social Services Network (SSN) Social services agency serving South Asian community in York region

CUPE Ontario-Retirees-Network Retired Ontario public employees

Metro Toronto Chinese & Southeast Asian Legal Clinic Legal Aid Clinic

Toronto and York Region Labour Council    Toronto and York Region unionized workers and Families

Colour of Poverty/Colour of Change Network (COPC) Ontario anti-poverty, anti-racism network

Toronto Retirees Network Toronto based retirees Congress of Union Retirees of Canada (CURC)

Toronto and York Region Council (T&YR Council) Toronto and York Region retirees

Ontario Secondary School Teachers’ Federation (OSSTF/FEESO) ARM Chp 9, 11,12

Retired High school teachers and support staff in Toronto, Windsor and London

National Union Action on Retiree Concerns\ National Union of Provincial Government Employees (NUPGE) National association of provincial employees

Plus a growing number of regional and local groups

 

National pharmacare program could save $7.3 billion

National pharmacare program could save $7.3 billion: study

http://www.thestar.com/news/canada/2015/03/16/national-pharmacare-program-could-save-73-billion-study.html

A CMAJ study touted as a ‘game changer’ shows universal drug coverage could reduce total spending on drugs in Canada by $7.3 billion.

Dr. Danielle Martin, vice-president of Women's College Hospital, co-authored a study on financing pharmacare. "This analysis is a game changer. It says to governments that you can do this without having to increase taxes by a single penny."

Dr. Danielle Martin, vice-president of Women’s College Hospital, co-authored a study on financing pharmacare. “This analysis is a game changer. It says to governments that you can do this without having to increase taxes by a single penny.”

The call for a national pharmacare program has just grown louder with a new study showing it could reduce public and private spending on prescription drugs by $7.3 billion annually.

A paper published Monday in the Canadian Medical Association Journal pokes holes in the argument that a national program would result in substantial tax increases.

A long-time barrier to the implementation of universal prescription drug coverage in Canada has been the assumption that it would require tax increases, said Dr. Danielle Martin, one of the authors.

“This analysis is a game changer. It says to governments that you can do this without having to increase taxes by a single penny, and that changes the whole conversation,” said Martin, who is also a vice president at Women’s College Hospital and an assistant professor in the departments of family and community medicine and health policy, management and evaluation at the University of Toronto.

Savings would be achieved through lower costs for generic- and brand-name drugs because of economies of scale in price negotiations and better product selection, according to the paper.

The study shows that, in a best-case scenario, universal public drug coverage would actually save taxpayers $2.9 billion annually; under the worst-case scenario, it would cost them $5.4 billion. The most realistic outcome — the base-case scenario — would see an annual cost to taxpayers of $1 billion.

The study did not take into account additional savings to the health system that would be achieved when those who cannot afford to fill prescriptions start taking medications. Nor did it take into account savings that would be derived through the more appropriate prescribing that a national system would be expected to promote.

A pharmacare program would be a boon to private-sector drug plans, according to the study. In a best-case scenario, the private sector would save $9.6 billion annually; in a worst-case scenario, it would save $6.6 billion. The base-case scenario, or most likely outcome, would see annual savings of $8.2 billion.

The question of whether Canada should have a pharmacare program is shaping up to be an issue in the upcoming federal election. Ontario Health Minister Eric Hoskins recently called on Ottawa to join the provinces and territories in providing a national pharmacare program.

The push for a national program dates back to 1964, when it was recommended by the Royal Commission on Health Services.

Lead author Steven Morgan points out that, except for Canada, every developed country with a universal health care system also has universal coverage of prescription drugs. Those countries include the United Kingdom, France, Germany, Australia, New Zealand, Norway and Sweden.

“It is absolutely unbelievable, given the amount of national pride Canadians have in our medicare system, that we would be such conspicuous outliers on pharmacare,” said Morgan, professor of health policy at the University of British Columbia School of Population and Public Health.

About one in 10 Canadians report they cannot afford to take their medications as prescribed.

Prescription drugs are currently funded by a patchwork of public and private programs. Provincial drug plans, which cover certain populations such as the elderly and people on social assistance, along with private insurance plans, each account for 36 per cent of prescription costs in Canada. Out-of-pocket payments by patients account for 22 per cent; compulsory social insurance polices, such as workers’ compensation, cover 4 per cent; and federal drug plans that cover First Nations and other targeted populations account for 2 per cent.

Canadians spent just over $22 billion on drugs in 2012-13. Under a national pharmacare plan, spending would drop by 32 per cent, to $15.1 billion — for a savings of about $7.3 billion under a base-scenario estimate, according to the paper.

6,000 seniors removed from province’s drug plan

http://www.cbc.ca/news/canada/saskatchewan/6-000-seniors-removed-from-province-s-drug-plan-1.3000144

Income threshold lowered in the budget, saving province $3M

CBC News Posted: Mar 18, 2015 12:35 PM CT Last Updated: Mar 18, 2015 5:46 PM CT

Six thousand seniors will become ineligible for discounted prescriptions because the income threshold for the senior's drug plan is being lowered.

Six thousand seniors will become ineligible for discounted prescriptions because the income threshold for the senior’s drug plan is being lowered. (Getty Images/Darren McCollester)

A belt-tightening measure in the 2015-16 Saskatchewan budget will lower the income threshold for the senior’ drug plan.

It will mean 6,000 Saskatchewan seniors will no longer qualify for discounted prescriptions.

People eligible for the drug plan pay a maximum of $20 per prescription for drugs listed on the province’s formulary.

Previously, the province used the federal threshold of $80,255 as the cutoff for the drug plan. Anyone with a taxable income in excess of that amount was not eligible for the program.

Now, the threshold will be lowered to $65,515.

The change is being met with criticism, even from seniors who say they will not be affected.

“It actually should be going the other way,” Gloria Stanton said of the threshold. “We’re losing money every time we go to the store, every time we got to the restaurant, every time we go shopping. Everything is costing that much more.”

Stanton suggests a cutoff of around $90,000.

Another senior, Norma Friske, said she was looking for measures to assist the elderly in the budget.

“We’re in the lower level and we need help,” Friske said. “If they’re going to lower anything how about raising a little
for the seniors? Because we’re the ones who put this country on the map, that is a wonderful country. But the seniors need help.”

Finance Minister Ken Krawetz released the budget for the fiscal year that begins April 1 on Wednesday.

Seniors strategy should include more public washrooms

http://ottawacitizen.com/news/local-news/seniors-strategy-should-include-more-public-washrooms-meeting-hears

Seniors strategy should include more public washrooms, meeting hears

Kanata North Coun. Marianne Wilkinson.
Kanata North Coun. Marianne Wilkinson.

Ottawa Citizen

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Access to more public washrooms in parks and transit stations should be included in the city’s updated seniors strategy, officials said Wednesday during a day-long planning session at Ottawa City Hall.

For months, the citizen-led GottaGo! campaign has been calling for the creation of a network of clean, safe and accessible public toilets. The group wants existing toilets fixed up with better signage and longer hours, and also wants to see toilets and water fountains installed in new light-rail transit stations along the Confederation Line.

But the GottaGo! campaigners don’t appear to be the only ones.

Seniors themselves say barriers such as inaccessible washrooms in city buildings and a lack of “age-friendly features” in parks can discourage some from leaving their homes.

Bay ward Coun. Mark Taylor says the issue is on the city’s radar.

“It’s clearly a need that emerged. Probably something we all knew existed for a long time,” he said, adding the challenge now is to figure out the path forward.

Adding washrooms to city-owned spaces are “easy wins,” Taylor said, but transit stations are more complicated because they would need to be built into the financial model. Cleanliness and security are also concerns.

“I think there are plenty of opportunities. We’re just going to have to plan out how and where we execute them,” he said.

Reopening the LRT contract with the Rideau Transit Group to add washrooms at Bayview and Hurdman — which are the farthest from any public-access toilets — could cost as much as $3 million, the city said, noting the figure was a rough estimate only.

There are washrooms planned for Tunney’s and Blair stations — located at either end of the line.

Kanata North Coun. Marianne Wilkinson said washrooms and benches are vital if seniors are to use parks regularly, as many would like to.

“We’ve put a johnny-on-the-spot on some of our playing fields so that the children who are playing soccer can go to the washroom. We should be looking at that for the seniors as well,” she said.

Wilkinson said she’d like the city to launch a pilot study in a few parks to see how it goes.

Wednesday’s meeting — which included a morning session inside council chambers and breakout discussions in the afternoon — was designed to look at the successes of the city’s Older Adult Plan, which was approved in 2012 and now needs to be refreshed for this term of council.

There were more than 115,000 seniors (65 and over) living in Ottawa, according to the 2011 census. That’s about 13 per cent of the population, but that number is expected to rise steadily in the coming years. By 2031, more than one in five Ottawa residents will be over the age of 65, the city says.

Some of the key achievements so far include:

  • Retrofitting 18 city facilities with additional automatic door openers and washroom grab bars
  • Installing additional pedestrian signal technology at 12 intersections
  • Buying and/or installing 34 new benches in areas of the city with high concentrations of seniors

The city released details of the plan late Wednesday:

 

BC seniors have major stake in transit referendum

Seniors have major stake in transit referendum: Access to transportation a key factor for health, wellbeing

March 17th, 2015 · · No Comments · Seniors, Taxes

By Shannon Daub, Co-Director of the CCPA-BC’s Seniors Project, and
Sandra (Sandy) James LEED AP MCIP CCPI, Director, Walk Metro Vancouver Society

Between now and May, residents of Metro Vancouver will receive a mail-in ballot asking if they are in favour of a .5 percentage point increase on sales tax to fund transportation improvements in the region. Officially called the Congestion Improvement Tax (CIT), the revenue from this sales tax increase will fund public transit and transportation infrastructure and enhance levels of transit services.

Here is how the outcome of the Transportation Referendum will impact seniors, and why we believe a “Yes” vote will enhance seniors’ accessibility and livability in Metro Vancouver.

1. Lack of access to transportation is one of the major challenges people face as they age, and that has been identified by the United Way of the Lower Mainland [1] and BC’s Seniors Advocate [2] as a key factor contributing to seniors’ isolation and ill health.

2. If seniors become housebound, they are less likely to eat well, get regular exercise or get to medical appointments, and are more likely to become socially isolated from friends, family and the wider community. Research shows [3] that social connectedness is a key determinant of seniors’ health, slowing cognitive decline, the onset of dementia, and the progress of disability. Active, healthy seniors are also less likely to require more expensive health services like physician and hospital care.

3. Public transit is an issue that calls for intergenerational solidarity. Thehighest users of transit [4] in Metro Vancouver include those aged 18-29 and those aged 70-plus. Students and young people  need  dependable access to the more frequent and convenient services the transit plan proposes so they can get to school and work efficiently and safely. For the growing population of seniors who are living longer and independently, transit accessibility, comfort and convenience is paramount.

4. For vulnerable seniors—those with low incomes, recent immigrants, those with chronic health problems, and the frail elderly—a “yes” vote is especially critical. A “yes” vote  will result in a thirty per cent increase in HandyDart rides, a twenty-five per cent increase in bus services, and a twenty per cent decrease of congestion on the roads. A twenty per cent decrease in traffic means that emergency vehicles will be able to get people in crisis to hospitals much faster. The proposed transit improvements will also benefit outlying areas that are currently underserved and where there are high concentrations of older adults with low average incomes—including Surrey, Langley, and Maple Ridge—and areas with high concentrations of recent immigrant seniors[5].

5. This referendum is not about a vote for or against Translink, the regional transportation authority, but is a vote for an overall  strategic transportation plan to ensure regional accessibility and livability in the next thirty years. Funding will provide for transportation infrastructure (roads, traffic lights, light rail transit lines and trains) as well as services. Access, shelters, benches and lighting will be improved at bus stops, facilitating easier travel. As part of complete healthy communities, making the experience to and from transit use ensures seniors can engage in the community, stay active by walking, and continue being mobile throughout the city.

6. Metro Vancouver and its citizens have a major choice to make regarding how people will move around the region in the next thirty years. Voting “yes” on the referendum will benefit everyone, including seniors. With less vehicles and more transit, the region will be more accessible to all, with reduced pollution and less congested roads. It is a positive legacy for the next generation of people living in Metro Vancouver.

HandyDart bus

References:

[1] United Way Seniors Vulnerability Report. United Way of the Lower Mainland. 2011.

[2] The Journey Begins: Together We Can Do Better. Office of the BC Seniors Advocate. October 2014.

[3] The Links Between Social Support and Improved Health Outcomes. Jolene Lansdowne. Vancouver Coastal Health. 2011.

[4] Transportation and Health in Metro Vancouver. My Health, My Community (Vancouver Coastal Health, Fraser Health, eHealth Strategy Office at the University of British Columbia). 2015.

[5] Figure 18 p. 39 and figure 3 p. 16 in: United Way Seniors Vulnerability Report. United Way of the Lower Mainland. 2011.