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PRESENTATION
NOTES
• Formed in 1982
to be the voice of hard of hearing and deafened Canadians.
• Includes approximately
90% of the approximately 3,000,000 (three million) Canadians with
hearing loss.
• Hearing loss
is the largest disability in Canada.
• The Canadian
Hard of Hearing Association (CHHA) was formed to give visibility
to this invisible disability.
• Main objective
is to promote self-help among hard of hearing and deafened person.
• Encourage support
for individual and collective action.
CHHA works to eliminate
the isolation, indignation, and frustration of hard of hearing and
deafened persons by assisting in increasing personal self-esteem
and confidence which will lead to total integration in society.
Part of our vision: CHHA serves as the voice for the issues and
concerns of HOH and deafened persons in Canada.
PRESENTATION
I wish to open my presentation
by commenting on the unacceptable practice to call a meeting at
the last minute. To function properly we need time to prepare, technology
such as ALD equipment and/or captioning and/or oral facilitation
as I for one do not want to miss a word of the discussion, thus
my (hearing) disability. I, for one, cannot function in the real
word with out understanding, technology, planning and effective
communication.
Second, I which to indicate
that CCRA appears to be applying a rather bizarre approach with
their DTC Sweep that is insulting, hurtful and disgraceful when
approaching people who have a PERMANENT disability(ies) and meet
the criterion of eligibility. We are taxpaying citizens of this
land and being treated like this is disrespectful, undignified and
unnecessary.
So how are we going to
arrive at solutions? First, the problems followed by solutions.
Throughout my presentation when I refer to HOH and also include
persons who are deafened.
PROBLEMS:
P1. Hearing disabilities
as like many others are INVISIBLE to most people. That is to say,
we do not live life in the same fashion as do people without disability.
We cope through strategy, patience, and perseverance. We do survive
through support groups, technology, family and friends.
P2. DTC questions are
restrictive, vague and unfair. Government gives the impression they
don’t want or care about profession/medical opinion care what
professionals feel. Government appears to be heavily weighted by
the fiscally concern versus the human resource.
P3. On the 1st page of
the DTC form (T2201 E (00)), it states “ If you have qualified,
do not file another form unless your previous period of approval
has ended or we ask you to send in a new form”. This statement
is questionable. I have never heard of a period of disability unless
it is a short-term period due to an accident or medical problem.
This needs clarification
P4. The DTC review described
in the letter refers to eligibility being reconsidered for the 2001
taxation year. Past returns are not being considered retroactively
through this initiative. However the Tax authority then state that
it is possible that some DTC recipients will have claims reviewed
and/or disallowed retroactively. As I understand it, the taxpayer
would receive a letter different from the form letter already sent
out. In that case, they would pursue their appeal rights, as described
in the General Income Tax Guide from CCRA.
A major delay and cost
to the taxpayer and not the way to build trust. This is a severe
form of authoritarianism and intimidation, not to say that it will
be costly for everyone involved, a David & Goliath approach.
P5. The cost to the individual
is a major barrier to that individual depending on the person’s
needs. Costs include hearing aids, assistive technologies, preventative
maintenance, batteries, buying new equipment and so forth.
P6. Per the DTC letter,
currently updating our records etc (initial paragraph of the letter).
This is a hunting expedition of the lowest form. It scares and intimidates
people, a vile tactic to say the least.
P7. The DTC letter further
states, In reviewing you new Form T2201, we may need to contact
you, etc. The initial form should be comprehensive so to allow the
taxpayer dignity, not fear of the authorities and the fear of consequence.
P8. It does appear that
decision-makers and policy writers are giving confusing signals.
The letter states, “if you wish, you can wait and submit the
completed certificate with your 2001 income tax return.” When
I spoke with a tax agent last week, I was told it would take up
to 4 months to evaluate DTC. The Taxpayer is not aware of the process
and thus receives a false expectation. This is absurd. The directive
should clearly state the process and time lines for all to know
and work by – it provides consistency.
P9. The criterion is
very stringent. If you can understand a conversation WITH hearing
aids or implant on, in a quiet room WITHOUT lip-reading –
you do NOT qualify for the exemption. Degree of hearing loss doesn't
really matter to the bureaucrat. The way it is written there is
no room for other interpretations. This assumes that the HoH live
in a quiet isolated environment as opposed to the rest of the population.
This criterion does not
necessarily reflect the individual's day to day environments and
difficulties. It means in fact that few HOH actually qualify. This
is so inappropriate and heartless when a diagnosis is not even considered.
SOLUTIONS:
S1. Work together to
arrive at understanding and awareness of the issues. CCRA should
have organized focus groups to review the new and revised forms.
These focus groups should include organizations, physicians and
professionals, such as audiologists, who deal directly with the
Hard of Hearing and (HoH) taxpayer whose lives are directly affected
by these changes. See Task Force Recommendation 52.
S2. Ensure that all CCRA
(Tax Department) officials are working from the same page so that
taxpayers receive consistent and accurate information at all times.
CCRA should focus on the wording of the form so that it will be
less dicriminatory and properly include people. Should consult with
HOH again, particularly to deal for example with the issue of C.I.
S3. Under Earlier version
of Form T2201. Definitions – disability tax credit: it says
….it is one of the key existing tax mechanisms for recognizing
the costs of disability” – The current form is missing
this important piece of information. There is no description to
factor in the excessive cost of a disability. In the case of cochlear
implantees – costs involved are enormous. (Costs: Hearing
aids (tax deductable) between <$1,000 to >$5,000 each, not
including a Cochlear Implant; assistive devices can range from $50.00
to thousands of dollars depending on what is purchased; batteries
to keep them operating; repairs; real-time service such as CART
(Communication Access Realtime Translation) 65.00 and up to whatever
depending on the contract, exact service requirement.) Many of these
costs are borne by the consumer for the sole purpose of access.)
The form should include something that ensures this mechanism is
taken into consideration. This would help make the decision process
more realistic for physicians/professionals that are called upon
to provide clear unbiased judgements.
S4. Tax officials should have disability awareness and sensitivity
training every 18 months – front line workers, policy and
decision-makers and; have disability awareness training provided
by PWD and by the person or persons who represent the disability
being presented.
S5. Suggest a short term
and long term disability criteria. Most of us have permanent (hearing)
disabilities and they do not return to normal. The aging process
also degrades hearing. To suggest otherwise is obscene. When hearing
is diagnosed as a permanent loss – it is exactly that a PERMANENT
LOSS.
In the case of a hearing
disability, everyone is different – for example: I have severe
to profound hearing loss, hearing discrimination of approximately
30% in both ears, sound discrimination that is profound and Ménière’s
Disease. Because I wear hearing aids, I still have a difficult time
hearing people properly and many times effectively. Others have
CI and while the cochlear implant provided sound. It is a different
sound that cannot discriminate sound as the human hearing organs
can thus the profound difficulty for individuals.
S6. Taxpayers need to
know and understand the eligibility criterion for DTC. In addition,
taxpayers should have access to copies of material in alternative
communication format if necessary pertaining to the DTC eligibility,
design, process and evaluation stages.
S7. The T2201 E (00)
form needs to be more open for comments rather than the basis and
restrictive YES, NO response. This is inappropriate, PWD are not
machines that function with one of two ideas. (Reference: Federal
Task Force on Disability Issued 1996)
S8. Basic activities
of daily living need to ensure that each of the 6 points are separated
and not consider cumulatively and that evaluators follow a strict
guidelines towards determining eligibility.
S9. If a re-evaluation
(short-term disabilities) is necessary, the taxpayer should be able
to claim the expense as a medical expense. See the 2nd page of the
form, upper left hand side. CCRA clearly states the cost is borne
by us and not an income tax expense.
Thank you
BACKGROUND
The Federal task Force
on Disability Issues “Equal Citizenship for Canadians with
Disabilities – The Will to act” recommendation 42 states
the following
“The Government
of Canada should base all future revisions to income tax legislation
as it affects persons with disabilities to reflect principles that
deal with the additional cost of disability. These principles are:
• For persons with disabilities normal activities bring extraordinary
costs which are involuntary.
• Some of these costs are general and intangible and others
can be by supported by receipts for expenditures.
• Tax recognition of these costs is not a subsidy based on
sympathy or charity but fair tax treatment.
• Tax recognition of disability-related costs should encourage,
not discourage, the employment of persons with disabilities.
• The costs associated with disability are more onerous when
borne by individuals with limited income.
• The costs associated with disability are not limited to
those with taxable income.”
A NEW DISABILITY EXPENSE TAX CREDIT:
The independent experts who studied the tax system as well
as the participants in our consultations called for two things:
• refundability of a tax credit that recognizes the cost of
disability, and
• a tax credit that more accurately reflects the actual costs
to an individual.
The Government of Canada
should create a more flexible tax measure to help individuals meet
the additional costs of disability. Moving in this direction could
be a “statement of deed” by the federal government that
all residents have a right to be a full member of society and that
the personal supports, aids and devices that an individual needs
to realize this objective would be at least partly paid for by Canada.
INVOLVE THE COMMUNITY
Recommendation 52
The Government of Canada should establish an advisory panel made
up of persons with disabilities, representatives of the federal
government, provincial governments, the insurance industry, employers
and organized labour, to provide within one year, recommendations
for, among other things, tax measures that deal with:
a) a review of the criteria and definitions used for determining
eligibility for the Disability Expense Tax Credit;
b) consistent tax treatment of disability-related income sources;
c) the tax treatment of trusts;
d) determining whether the three claims for dependents with disabilities
can be replaced by one claim;
e) effective measures to promote barrier removal by businesses;
f) allowing non-incorporated businesses the same tax treatment of
supplementary health and dental benefits as incorporated businesses;
g) other issues relevant to the tax treatment of disability.
“THE DISABILITY TAX CREDIT”
The Disability Tax Credit (DTC) is a non-refundable credit that
applies to people who, over a prolonged period of time, are “markedly
restricted” in their ability to perform an essential function
of daily living, even with the use of aids. The tax system is working
from an important clinical tool, the Activities of Daily Living,
which is not wholly appropriate to define eligibility for the DTC.
The list of essential functions includes seeing and walking, for
example, but does not include breathing.
The DTC reduces an individual’s
federal taxes owing by about $720. Combined with the value of the
provincial taxes that the individual also saves, the credit rises
to about $1,120. The DTC may be transferred to a supporting relative,
but it is of value only to those who pay taxes.
Of Canadians identified
in the 1991 Health and Activity Limitations Survey as having severe
disabilities, only 23 percent claimed the DTC in that year. Of people
with moderate disabilities, 16 percent claimed the credit. About
half of the people in these groups surveyed said that they did not
claim the credit because they did not know about it until they were
asked. The remainder had been refused the credit or thought they
would not qualify for it.
Recommendation 44.
In its 1997 Budget, the Government of Canada should:
a) Increase the value of the Disability Tax Credit to offset its
erosion due to inflation and fully index the credit to inflation.
[done]
b) Allow the Disability
Tax Credit to be transferred to any supporting person. [done]
c) expand the list of
para-medical professionals, such as audiologists, who are able to
certify an individual as eligible for the Disability Tax Credit.
[done]
“THE MEDICAL EXPENSES
TAX CREDIT”
The Medical Expenses Tax Credit (the METC) gives individuals a credit
against taxes owed for some medical expenses. The expenses must
exceed 3 percent of net income or $1,614, whichever is lower. The
list of eligible expenses includes such things as:
• costs for hospital and nursing home care,
• personal transportation for medical care, for trips over
40 kilometres,
• medical devices such as prostheses and wheelchairs,
• home renovations,
• attendant care, and
• prescribed drugs.
Expenses that give individuals
some personal benefit are not eligible for the credit. This includes,
for example, the cost of installing air conditioning in the home
for individuals with multiple sclerosis, a condition that is made
worse by heat. Similarly, the costs of necessary nutritional supplements
for persons living with HIV or AIDS are considered personal expenses.
The combined federal
and provincial Medical Expense Tax Credit covers about 26 percent
of the expenses that an individual claims. Since the credit is based
on actual expenses, it is of greater value to those with higher
incomes. It provides a proportionately larger benefit to people
who have extraordinary one-time expenses than to those who have
ongoing costs for disability-related supports and services.
Only about 10 percent
of people who claim the Disability Tax Credit also make a claim
for medical expenses.
Again, we make a recommendation
for an overhaul of the treatment of itemized expenses to replace
the current METC. But until these are put in place, some changes
could be made in line with the principles we have set out above.
Recommendation 45
In the 1997 budget the Government of Canada should:
a) Add to the list of eligible items for the Medical Expense Tax
Credit all necessary medical expenses, including items such as nutritional
supplements for persons living with HIV. Where the cost has a component
of personal consumption, a predefined amount should be allowed for
the credit based on typical costs. To illustrate, $1,000 might be
allowed for medically necessary air conditioning or $5,000 to reflect
the additional cost of installing a lift in a van and to take account
of the fact that a person who requires a lifting device cannot purchase
a smaller, less expensive vehicle.
b) Make eligible for
the Medical Expense Tax Credit the reasonable cost of medically
necessary attendant care provided by family members.
c) Remove the $5,000
limit on claims for attendant care expenses.
d) Remove the $1,614
limit on the net income exemption for the METC and use the funds
for other recommendations made in this report.
“APPLYING THE INCOME TAX ACT”
People with disabilities have experienced problems with the way
the Income Tax Act is applied. Many of these problems can be addressed
through simple actions such as revisions to interpretation bulletins
used by Revenue Canada. For example, people with disabilities told
us that even though the law has not been changed, they believe the
interpretation used by Revenue Canada on the T2201 form, used for
claims for the Disability Tax Credit, has become more restrictive
recently. Many people who had submitted claims for the credit now
appear to be ineligible. The law must be respected, of course, but
the interpretation of the law must be fair and must be seen to be
fair.
Revenue Canada has retroactively
assessed people who claimed the Disability Tax Credit, even though
they were previously allowed the credit and had provided a certificate
from a medical professional to substantiate their claim of a prolonged
and marked inability to perform certain basic functions.
In line with the principles
that we outlined in Recommendation 42, we also feel that the disability-related
expenses covered by the Special Opportunity Grants for students
with disabilities who receive Canada Student Loans should not be
treated as taxable income.
Recommendation
47. For the 1996 taxation year, the Government of Canada should
review the T2201 form, in consultation with the disability community,
to make it consistent with the statutory definition.
48. The Government of
Canada should immediately limit “retroactive” assessment
of the Disability Tax Credit to cases where no bona fide Disability
Tax Credit valid on its face was submitted. The government should
not reassess those who were certified eligible by a physician or
optometrist.
49. The Government of
Canada should allow for a broad interpretation of expenses related
to vocational rehabilitation. If possible, this should be accomplished
by Revenue Canada through a bulletin rather than by legislation.
A NEW DISABILITY EXPENSE TAX CREDIT:
The independent experts who studied the tax system as well as the
participants in our consultations called for two things:
• refundability of a tax credit that recognizes the cost of
disability, and
• a tax credit that more accurately reflects the actual costs
to an individual.
The Government of Canada
should create a more flexible tax measure to help individuals meet
the additional costs of disability. Moving in this direction could
be a “statement of deed” by the federal government that
all residents have a right to be a full member of society and that
the personal supports, aids and devices that an individual needs
to realize this objective would be at least partly paid for by Canada.
Such a tax measure would constitute a move in the direction of a
pan-Canadian program for disability-related supports and services.
It would also be consistent with the broadly based citizenship objectives
that ought to underline the federal role in disability.
The proposed Disability
Expense Tax Credit can combine the best features of the Disability
Tax Credit (DTC) and the Medical Expense Tax Credit (METC). Like
the DTC, the new credit should be available to persons whose disabilities
prevent them from performing basic functions of daily life, even
with the assistance of a technical device or aid. Unlike the DTC,
the credit should be refundable, so that it benefits people who
earn very low incomes. For people who are receiving social assistance,
the provincial and territorial governments should not consider amounts
received under the Disability Expense Tax Credit (DETC) as income
and use them to lower benefits paid to these individuals.
This basic portion of
the DETC may be set at a lower level than the current Disability
Tax Credit, because the full DETC will also take into account receipted
disability-related expenses by means of a tax credit more closely
related to actual disability-related expenditures.
Recommendation 52
In the 1997 Budget, the Government of Canada should announce its
intention to introduce, for the 1998 tax year, a new Disability
Expense Tax Credit to replace the Disability Tax Credit and the
Medical Expense Tax Credit for persons with disabilities. The eligibility
criteria for the Disability Expense Tax Credit should reflect the
current review of the Disability Tax Credit.
The exact design of the Disability Expense Tax Credit should depend
on consultation with the disability community but it should have
the following features:
a) The federal value
of the credit should be refundable (with the provincial share where
arrangements have been made with a province).
b) The credit should
have two components; a base amount available to all those who meet
the overall eligibility criteria; and a second amount which would
be based on disability-related “out-of-pocket” expenditures.
c) The tax treatment
of eligible “out-of-pocket” expenses should be modified
as indicated above. Eligible expenses should include medically-
necessary expenses and increases in employment-related expenses
due to disability.
d) The base amount of
the credit reflects an “across-the-board” estimate of
undocumented costs. This base level should be set recognizing the
change in the treatment of the recognized, “receipted”
expenses.
e) The base amount of
the credit should be refundable in advance on a quarterly basis
much like the practice with the GST credit.
f) The tax rate used
to calculate the credit, normally 17 percent, should be increased
to 29 percent for low-income beneficiaries.
INVOLVE THE COMMUNITY:
We know that we have not resolved all the tax questions related
to disability in this report. Some issues require further study
prior instituting reforms. At the same time, we feel that it is
important to recognize that a new approach is needed. The disability
community should be involved in plans to change and improve the
tax system so that problems can be avoided and so that people feel
well served by a government that treats them fairly.
Because people are not
federal or provincial beings, nor are they isolated from business,
labour and other groups that help determine how our society functions,
true consultation should involve all of these groups as well. There
are a number of issues on which reforms have been recommended, and
these form the basis of the Task Force’s final recommendation.
Recommendation 52
The Government of Canada should establish an advisory panel made
up of persons with disabilities, representatives of the federal
government, provincial governments, the insurance industry, employers
and organized labour, to provide within one year, recommendations
for, among other things, tax measures that deal with:
h) a review of the criteria and definitions used for determining
eligibility for the Disability Expense Tax Credit;
i) consistent tax treatment of disability-related income sources;
j) the tax treatment
of trusts;
k) determining whether
the three claims for dependents with disabilities can be replaced
by one claim;
l) effective measures
to promote barrier removal by businesses;
m) allowing non-incorporated
businesses the same tax treatment of supplementary health and dental
benefits as incorporated businesses;
n) other issues relevant
to the tax treatment of disability.
Colin J.S. Cantlie
President
The Canadian Hard of Hearing Association
Presentation: December 4, 2001
Ottawa, Ontario
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