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The Canadian Dental Care Plan starts next month — but many dentists are reluctant to participate – CBC.ca

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The Canadian Dental Care Plan (CDCP) is set to start providing coverage next month — but it’s not clear that enough dentists will enrol to provide care to the 1.6 million seniors that have signed up already.

Health Canada would not provide CBC News with a figure for how many oral health care providers have registered for the CDCP since applications opened on March 11. The department will only say “thousands” have signed on.

According to their national associations, there are approximately 26,500 dentists, 1,700 independent hygienists and 2,400 denturists practising in Canada — 30,500 in total.

“I’m hearing that the sign-up is slow,” said Dr. Heather Carr, president of the Canadian Dental Association. “I do not think it’s as high as we would hope in order for this plan to be successful.”

The $13 billion Canadian Dental Care Plan, announced in December, will provide low- and middle-income Canadian residents with dental insurance if they don’t have private coverage.

The national program will eventually apply to one quarter of Canadians, but Ottawa is rolling out eligibility gradually, starting with seniors first. (An interim dental plan has been covering kids under the age of 12 since December 2022.)

Seniors learning their dentists aren’t taking part

Some seniors approved for coverage are finding out their dentists aren’t participating.

“I was annoyed. I was really cross,” said Karen Trimingham, 82, who lives in Yarmouth, N.S., where she’s seen the same dentist for 16 years. “I didn’t think they’d refuse me because I’m a regular customer.”

Trimingham said she doesn’t want to drive hours from her rural community to find a dentist in another city who is signed up for the program.

“I’ve just got to continue paying. I’ll just go and have the minimal amount done with the dentist I’ve got,” she said. “Instead of having this tooth replaced that I lost a couple of months ago, I’ll just go with the gap.”

Victoria senior Joanne Thibault, 68, said her dentist won’t take part either.

“It really irks me that the federal government came out and announced a dental plan, but they didn’t do their homework to get the thing in place so that my dentist could be part of it,” she said.  

“I’m not abandoning my dentist. I just want the federal government to do their job and to get this sorted out with them so that she can do her job.”

Association presidents aren’t signing up their own clinics

Canada’s dentists, hygienists and denturists have broadly supported the idea of a national public dental care plan, which they say will help provide essential oral health care to people most in need who otherwise would have to pay out of pocket.

But the presidents of some provincial dentist associations — who are practising dentists themselves — have told CBC News they aren’t planning to offer the program in their own dental offices.

They say Ottawa still has not provided enough details for a program due to launch in a matter of weeks.

They also say they’re troubled by the fact that Ottawa is requiring them to sign contracts in order to join the program, something that no other public or private plans require.

“The patient should have the autonomy and the right to choose their own dentist,” said Dr. Jenny Doerksen, president of the Alberta Dental Association.

“But unlike other dental plans, this federal program is asking the dentist to sign a contract that’s seven pages long with a lot of unknown factors and unnecessary terms and conditions.”

Canada’s dentists, hygienists and denturists have advocated for a Canada-wide public dental insurance plan. But dentists say they’re reluctant to sign a contract with Ottawa without knowing the full details of the plan. (Brian Morris/CBC)

Dental health care providers say they’re also concerned about imposing a lot of new paperwork on already overburdened administrative staff.

“My staff have told me in no uncertain terms they don’t want to do the program because they just cannot handle the extra burden that comes with it,” said Dr. Rob Wolanski, president of the B.C. Dental Association.

The CDCP is modelled on the Non-Insured Health Benefits, a federal program that provides dental care to First Nations and Inuit in Canada.

“It’s a program that has faced criticism for years from both patients and patient communities, as well as providers,” said Dr. Daron Baxter, president of the Manitoba Dental Association.

“One of the main reasons is due to the intensive administrative burden that often leads to delays in delivery of care.”

Dentists also still don’t know how the CDCP will coordinate with other plans offered by provinces and territories.

Last-minute consultation

Provincial dental associations say Ottawa only began consulting with them in November, just a month before the program was announced.

“The dentists were brought in at the 11th hour,” said Dr. Brock Nicolucci, president of the Ontario Dental Association.

“Why did we start so late and are we rushing in a program that maybe we should be putting the brakes on?”

WATCH | Dentists raise concerns about federal dental care rollout:

Dentists raise concerns about federal dental care rollout

2 days ago

Duration 8:45

Canadian Dental Association president Heather Carr says her colleagues are ‘hopeful’ the new federal dental care program will mean better care for more Canadians, but the rollout has included ‘a great deal of confusion and a great deal of complications’ for dentists and patients.

The federal government, they say, also initially pitched the plan as “free” dental care — and it isn’t.

The program only covers some types of dental work and pays dental health care providers at a lower rate than the fees recommended by provincial and territorial guidelines issued by dental associations. Dentists say they still don’t know exactly how much the federal government will pay them for providing care. Those amounts change every year; the 2024 CDCP guide still hasn’t been published.

There is also a significant co-pay for those with household net incomes between $70,000 and $90,000.

That means most patients should still expect a bill after visiting the dentist’s chair.

Minister of Health Mark Holland listens to a question following an announcement on dental care on December 11, 2023 in Ottawa. (Adrian Wyld/The Canadian Press)

Health Minister Mark Holland suggested Ottawa may sweeten the deal to entice more dental care providers to join.

“We’re working actively on creating an alternative portal that will allow dentists to participate just directly. When a patient comes in front of them, to just put in the information, and be able to put in that claim,” Holland told reporters during a stop in Winnipeg this week.

Holland compared the CDCP to the introduction of universal healthcare in Canada, which he says also came with challenges.

“There’s a lot of fear, it’s a new program, I get that,” Holland said.

“But conversation by conversation, it’s been moving very positively, and I believe that we’re going to have exceptionally strong uptake.”

Do you have questions about how Canada’s new dental care plan may affect you? Send an email to ask@cbc.ca.

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Tua Tagovailoa sustains concussion after hitting head on turf in Dolphins’ loss to Bills

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MIAMI GARDENS, Fla. (AP) — Miami Dolphins quarterback Tua Tagovailoa sustained a concussion for the third time in his NFL career, leaving his team’s game Thursday night against Buffalo after running into defensive back Damar Hamlin and hitting the back of his head against the turf.

Tagovailoa remained down for about two minutes before getting to his feet and walking to the sideline after the play in the third quarter. He made his way to the tunnel not long afterward, looking into the stands before smiling and departing toward the locker room.

The Dolphins needed almost no time before announcing it was a concussion. The team said he had two during the 2022 season, and Tagovailoa was diagnosed with another concussion when he was a college player at Alabama.

Dolphins coach Mike McDaniel said Tagovailoa would get “proper procedural evaluation” and “appropriate care” on Friday.

“The furthest thing from my mind is, ‘What is the timeline?’ We just need to evaluate and just worry about my teammate, like the rest of the guys are,” McDaniel said. “We’ll get more information tomorrow and take it day by day from here.”

Some players saw Tagovailoa in the locker room after the game and said they were encouraged. Tagovailoa spoke with some players and then went home after the game, McDaniel said.

“I have a lot of love for Tua, built a great relationship with him,” said quarterback Skylar Thompson, who replaced Tagovailoa after the injury. “You care about the person more than the player and everybody in the organization would say the same thing. Just really praying for Tua and hopefully everything will come out all right.”

Tagovailoa signed a four-year, $212 million extension before this season — a deal that makes him one of the highest-paid players in the NFL — and was the NFL’s leading passer in Week 1 this season. Tagovailoa left with the Dolphins trailing 31-10, and that was the final score.

“If you know Tua outside of football, you can’t help but feel for him,” Bills quarterback Josh Allen said on Amazon following the game. “He’s a great football player but he’s an even greater human being. He’s one of the best humans on the planet. I’ve got a lot of love for him and I’m just praying for him and his family, hoping everything’s OK. But it’s tough, man. This game of football that we play, it’s got its highs and it’s got its lows — and this is one of the lows.”

Tagovailoa’s college years and first three NFL seasons were marred by injury, though he positioned himself for a big pay bump with an injury-free and productive 2023 as he led the Dolphins into the playoffs. He threw for 29 touchdowns and a league-best 4,624 yards last year.

When, or if, he can come back this season is anyone’s guess. Tagovailoa said in April 2023 that the concussions he had in the 2022 season left him contemplating his playing future. “I think I considered it for a time,” he said then, when asked if he considered stepping away from the game to protect himself.

McDaniel said it’s not his place to say if Tagovailoa should return to football. “He’ll be evaluated and we’ll have conversations and progress as appropriate,” McDaniel said.

Tagovailoa was hurt Thursday on a fourth-down keeper with about 4:30 left in the third. He went straight ahead into Hamlin and did not slide, leading with his right shoulder instead.

Hamlin was the player who suffered a cardiac arrest after making a tackle during a Monday night game in January 2023 at Cincinnati, causing the NFL to suspend a pivotal game that quickly lost significance in the aftermath of a scary scene that unfolded in front of a national television audience.

Tagovailoa wound up on his back, both his hands in the air and Bills players immediately pointed at him as if to suggest there was an injury. Dolphins center Aaron Brewer quickly did the same, waving to the sideline.

Tagovailoa appeared to be making a fist with his right hand as he lay on the ground. It was movement consistent with something that is referred to as the “fencing response,” which can be common after a traumatic brain injury.

Tagovailoa eventually got to his feet. McDaniel grabbed the side of his quarterback’s head and gave him a kiss on the cheek as Tagovailoa departed. Thompson came into the game to take Tagovailoa’s spot.

“I love Tua on and off the football field,” Bills edge Von Miller said. “I’m a huge fan of him. I can empathize and sympathize with him because I’ve been there. I wish him the best.”

Tagovailoa’s history with concussions — and how he has since worked to avoid them — is a huge part of the story of his career, and now comes to the forefront once again.

He had at least two concussions during the 2022 season. He was hurt in a Week 3 game against Buffalo and cleared concussion protocol, though he appeared disoriented on that play but returned to the game.

The NFL later changed its concussion protocol to mandate that if a player shows possible concussion symptoms — including a lack of balance or stability — he must sit out the rest of the game.

Less than a week later, in a Thursday night game at Cincinnati, Tagovailoa was concussed on a scary hit that briefly knocked him unconscious and led to him being taken off the field on a stretcher.

His second known concussion of that season came in a December game against Green Bay, and he didn’t play for the rest of the 2022 season. After that, Tagovailoa began studying ways where he may be able to fall more safely and protect himself against further injury — including studying jiu-jitsu.

“I’m not worried about anything that’s out of my hands,” McDaniel said. “I’m just worried about the human being.”

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Too much? Many Americans feel the need to limit their political news, AP-NORC/USAFacts poll finds

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NEW YORK (AP) — When her husband turns on the television to hear news about the upcoming presidential election, that’s often a signal for Lori Johnson Malveaux to leave the room.

It can get to be too much. Often, she’ll go to a TV in another room to watch a movie on the Hallmark Channel or BET. She craves something comforting and entertaining. And in that, she has company.

While about half of Americans say they are following political news “extremely” or “very” closely, about 6 in 10 say they need to limit how much information they consume about the government and politics to avoid feeling overloaded or fatigued, according to a new survey from the Associated Press-NORC Center for Public Affairs Research and USAFacts.

Make no mistake: Malveaux plans to vote. She always does. “I just get to the point where I don’t want to hear the rhetoric,” she said.

The 54-year-old Democrat said she’s most bothered when she hears people on the news telling her that something she saw with her own eyes — like the Jan. 6, 2021, attack on the U.S. Capitol — didn’t really happen.

“I feel like I’m being gaslit. That’s the way to put it,” she said.

Sometimes it feels like ‘a bombardment’

Caleb Pack, 23, a Republican from Ardmore, Oklahoma, who works in IT, tries to keep informed through the news feeds on his phone, which is stocked with a variety of sources, including CNN, Fox News, The Wall Street Journal and The Associated Press.

Yet sometimes, Pack says, it seems like a bombardment.

“It’s good to know what’s going on, but both sides are pulling a little bit extreme,” he said. “It just feels like it’s a conversation piece everywhere, and it’s hard to escape it.”

Media fatigue isn’t a new phenomenon. A Pew Research Center survey conducted in late 2019 found roughly two in three Americans felt worn out by the amount of news there is, about the same as in a poll taken in early 2018. During the 2016 presidential campaign, about 6 in 10 people felt overloaded by campaign news.

But it can be particularly acute with news related to politics. The AP-NORC/USAFacts poll found that half of Americans feel a need to limit their consumption of information related to crime or overseas conflicts, while only about 4 in 10 are limiting news about the economy and jobs.

It’s easy to understand, with television outlets like CNN, Fox News Channel and MSNBC full of political talk and a wide array of political news online, sometimes complicated by disinformation.

“There’s a glut of information,” said Richard Coffin, director of research and advocacy for USAFacts, “and people are having a hard time figuring out what is true or not.”

Women are more likely to feel they need to limit media

In the AP-NORC poll, about 6 in 10 men said they follow news about elections and politics at least “very” closely, compared to about half of women. For all types of news, not just politics, women are more likely than men to report the need to limit their media consumption, the survey found.

White adults are also more likely than Black or Hispanic adults to say they need to limit media consumption on politics, the poll found.

Kaleb Aravzo, 19, a Democrat, gets a baseline of news by listening to National Public Radio in the morning at home in Logan, Utah. Too much politics, particularly when he’s on social media sites like TikTok and Instagram, can trigger anxiety and depression.

“If it pops up on my page when I’m on social media,” he said, “I’ll just scroll past it.”

___

Sanders reported from Washington. David Bauder writes about media for the AP. Follow him at http://x.com/dbauder.

The AP poll of 1,019 adults was conducted July 29-August 8, 2024, using a sample drawn from NORC’s probability-based AmeriSpeak Panel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 4.0 percentage points.



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A linebacker at West Virginia State is fatally shot on the eve of a game against his old school

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CHARLESTON, W.Va. (AP) — A linebacker at Division II West Virginia State was fatally shot during what the university said Thursday is being investigated by police as a home invasion.

The body of Jyilek Zyiare Harrington, 21, of Charlotte, North Carolina, was found inside an apartment Wednesday night in Charleston, police Lt. Tony Hazelett said in a statement.

Hazelett said several gunshots were fired during a disturbance in a hallway and inside the apartment. The statement said Harrington had multiple gunshot wounds and was pronounced dead at the scene. Police said they had no information on a possible suspect.

West Virginia State said counselors were available to students and faculty on campus.

“Our thoughts and prayers are with Jyilek’s family as they mourn the loss of this incredible young man,” West Virginia State President Ericke S. Cage said in a letter to students and faculty.

Harrington, a senior, had eight total tackles, including a sack, in a 27-24 win at Barton College last week.

“Jyilek truly embodied what it means to be a student-athlete and was a leader not only on campus but in the community,” West Virginia State Vice President of Intercollegiate Athletics Nate Burton said. “Jyilek was a young man that, during Christmas, would create a GoFundMe to help less fortunate families.”

Burton said donations to a fund established by the athletic department in Harrington’s memory will be distributed to an organization in Charlotte to continue his charity work.

West Virginia State’s home opener against Carson-Newman, originally scheduled for Thursday night, has been rescheduled to Friday, and a private vigil involving both teams was set for Thursday night. Harrington previously attended Carson-Newman, where he made seven tackles in six games last season. He began his college career at Division II Erskine College.

“Carson-Newman joins West Virginia State in mourning the untimely passing of former student-athlete Jyilek Harrington,” Carson-Newman Vice President of Athletics Matt Pope said in a statement. “The Harrington family and the Yellow Jackets’ campus community is in our prayers. News like this is sad to hear anytime, but today it feels worse with two teams who knew him coming together to play.”

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