Toronto Star

How Canada harms its most vulnerable citizens

- JENNIFER ZWICKER AND STEPHANIE DUNN

At a recent Senate committee hearing on the Disability Tax Credit (DTC) and the Registered Disability Savings Plan (RDSP), the father of a child with autism made a heartfelt plea and a chilling statement: “We are impacted by the inability to secure our son’s future. We are his sole social circle, we are his financial backers, we are his transporta­tion — we are his life. My fears keep me awake at night.

If we don’t have something in place — a plan, a program, a support network — what will happen to my son when I’m gone? Institutio­nalized, neglected, or worse, homeless, with no love or supports — I need peace of mind and he needs a future.”

Who do you think this father should turn to in Canada to raise these important issues?

Minister of Revenue Diane Lebouthill­ier and the Canada Revenue Agency?

Probably not your first guess. Yet through their administra­tion of the DTC, our national tax agency is the unlikely gatekeeper of a number of important disability supports in Canada.

In February, Lebouthill­ier and CRA representa­tives appeared before the Standing Senate Committee on Social Affairs, Science and Technology to defend their highly criticized supervisio­n of the DTC — a program that currently fails to reach most Canadians with qualifying disabiliti­es, with take-up estimated to be only around 40 per cent of eligible working-aged adults.

Over the course of the hearings, disability advocates and senators reiterated a broad range of concerns, including poorly defined and interprete­d eligibilit­y criteria, a complex applicatio­n process, opaque appeals channels and the absence of adequate data to monitor the program.

While some of these issues can be addressed with more effective administra­tion — for example, the CRA has yet to enforce the bill limiting third-party fees despite the bill being introduced four years ago — others are beyond the scope of the CRA.

Yet it is unclear which ministry is willing to address them. At the heart of this issue is the fragmentat­ion of the governance of disability policy in Canada, leaving no single ministry with appropriat­e authority, decision-making ability and, importantl­y, accountabi­lity.

The CRA is responsibl­e for administer­ing federal disability tax measures, including the DTC and aspects of the RDSP. Finance has purview over the legislatio­n underlying these tax measures (including the eligibilit­y criteria for the DTC) via the Income Tax Act.

The Minister for Sports and Persons with Disability is responsibl­e for administra­ting the grants and bonds associated with RDSPs (for which the DTC is a prerequisi­te), in addition to its mandate around accessibil­ity and overseeing the Office for Disability Issues.

This fractured governance and limited accountabi­lity bodes poorly for Canadians with severe disabiliti­es, a group that faces high levels of unmet needs and significan­t barriers to accessing education, employment and achieving equal participat­ion in society. What needs to change? If we are serious about wanting to improve outcomes for individual­s with disabiliti­es — and the federal government should make this a priority — accountabi­lity in governance of disability policy in Canada is needed.

Astrong and empowered ministry that is directly responsibl­e and accountabl­e for the broad portfolio of disability policy, including both supports and rightsbase­d legislatio­n, is essential. This includes shifting the important task of disability assessment out of the CRA’s purview (and the Income Tax Act) and into a department under the disability ministry’s authority.

In the short term though, the CRA will continue to administra­te key disability supports. To do this effectivel­y it needs to recognize they are currently, de facto, one of the most powerful institutio­ns involved in federal disability policy as the decision-maker for access to lifechangi­ng disability supports.

This will involve both the will to address concerns around barriers to accessing the DTC, and engagement in meaningful collaborat­ion with other ministries.

How Canada governs disability policy says a lot about who we are as a nation and what we value.

 ??  ?? Dr. Jennifer Zwicker is an expert adviser with EvidenceNe­twork.ca, a director of health policy at the School of Public Policy and assistant professor in the Department of Kinesiolog­y at the University of Calgary.
Dr. Jennifer Zwicker is an expert adviser with EvidenceNe­twork.ca, a director of health policy at the School of Public Policy and assistant professor in the Department of Kinesiolog­y at the University of Calgary.
 ??  ?? Stephanie Dunn is a research associate in the health policy division at the School of Public Policy at the University of Calgary and an expert adviser with EvidenceNe­twork.ca.
Stephanie Dunn is a research associate in the health policy division at the School of Public Policy at the University of Calgary and an expert adviser with EvidenceNe­twork.ca.

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