Thank you very much for the opportunity to outline the Canadian Nurses Association vision for a stronger, healthier, and wealthier Canada.
My name is Marlene Smadu, and I'm the president of the Canadian Nurses Association, representing registered nurses from across the country. I live and work in Regina, Saskatchewan.
Let me begin by saying that the Conference Board of Canada noted in 2006 that our country's ability to introduce and sustain public programs depends on having the resources that result from growing national wealth. However, a year earlier the Conference Board asserted that productivity is Canada's most significant economic weakness.
As the president of the CNA, I'm here to outline how nurses from across the country can contribute to policy conversation about productivity in the economy. We see the health of the nation as its most fundamental resource. As such, it is a pillar of the Canadian economy, along with literacy, education, natural resources, the environment, and, of course, a robust technological and business infrastructure. It is our belief that with the best economic performance in the G-7 over several years, and with strong indications for continued top-five performance, Canada is well positioned to improve public programs like medicare and to support the health and, in turn, the productivity and prosperity of Canadians. A healthy nation is a wealthy nation.
To support the health and wealth of all Canadians, the federal government can boost productivity by investing its leadership and resources in three key areas: first of all, information management and communications technology; secondly, human capital in the health human resource sector; and thirdly, reductions in disparities and enhancement of the employability of Canadians. Taken together, all of these areas for action can improve timely access to quality care for all Canadians now and can redirect the Canadian health system toward a different, stronger future. Every national review of the Canadian health care system has supported the need for investment in all of these areas, but many gaps remain.
First of all, on investing in tools that boost productivity through technology, to improve access to the health system the federal government should focus its attention on information and communication technology in health care, which some say is as much as ten years behind industries such as banking. Our specific recommendations to the federal government are, first, to accelerate the implementation of information management and communication technology to support the coordinated and coherent delivery of health services; second, to ensure that every Canadian has access to the most suitable technology—for example, broadband—that will allow them to link to the Internet, from our largest urban centres to the most isolated northern communities; and third, to ensure that every Canadian has a personal electronic health record within the next five years.
In the second area, investing in health professionals to boost productivity through human capital, we propose that the looming shortages of health professionals in many disciplines are now global in nature. The United States alone projects a shortage of one million registered nurses in 2012, six years from now, posing a serious threat to the ability of the Canadian health care system by virtue of the U.S.'s economic clout and consequent ability to draw nurses south.
We are keenly aware of the jurisdictional authority in the delivery of health care services, but as many have noted, the federal government still has an important policy role to play to help direct workforces from low to high productivity. Consider the following three points: Saskatchewan, Prince Edward Island, and Newfoundland and Labrador regularly lose as much as 30% of their nursing graduates to other provinces. The federal government is the fifth-largest employer of registered nurses in the country, and federal power includes immigration.
Currently, employers all across Canada are competing for the same relatively small pool of nurses and doctors, so we recommend a federal government investment of $5 million to help with a standard framework for HHR, and $10 million in a mechanism to promote and facilitate pan-Canadian health human resource planning. We also urge the federal government to reinvest in the nursing research fund, a ten-year, $25-million fund that expires in 2008.
Our third area is reducing disparities and boosting productivity. We encourage the federal government to continue to invest in adult literacy, learning, and essential skills programs; to accelerate the development and implementation of a national pharmaceutical strategy; and to invest an initial sum of $10 million to establish an action-oriented, pan-Canadian program to eliminate ethnic, gender, and racial disparities in Canada by 2020.
We know this is long term, but we believe Canada can be a hallmark for the rest of the world in dealing with inequities in health outcomes, housing, safe water, employment, and equitable treatment in the criminal justice system. The strong leadership of the federal government in all of these areas is what assures the current and future health status of Canadians, and Canadian nurses are willing and able partners in policy development in these areas.
Thank you.