Thank you, Mr. Chair.
Thank you very much, committee.
The Canadian Healthcare Association has been a champion of publicly funded health systems and the health system in general for almost 80 years. We're the only federation of provincial and territorial health associations and organizations in the country that represents the breadth of the health system and therefore, we feel, brings a uniquely important perspective to any discussion that concerns the health of the nation, financial or otherwise.
I would, however, like to reassure the committee that we do appreciate the complex and delicate decisions facing you concerning the next federal budget—we get it. We're here today to suggest concrete and doable ways to address fiscal pressures on Canadians and the health system. There are solutions.
I have five key premises, not all of which I will speak to—they are in the documentation—but I must mention health and the economy.
Illness and poor health have a negative impact on tax revenue, corporate profits, and wage-based productivity, which in turn causes less money to be available to fund government initiatives such as health, education, housing, and other programs. This, too, we get. In fact, we are committed to the understanding that the health of the nation is driven by far more than the provision of medical services and must be nurtured through equal attention to other determinants of health, such as poverty, education, and employment.
The second premise is on health system funding.
We know the days of large surpluses are gone, but funds for new health and social programs and broad tax reductions that will both reduce poverty and improve the health and social well-being of Canadians are needed even more during this recessionary period, and the 6% escalator must be protected.
Third, on tax credits, CHA believes that recent non-refundable tax credits have not been effective in meeting the needs of Canadians who need tax relief and government programs the most. Using tax credits or tax expenditures as instruments of social policy is not appropriate. It marginalizes Canadians who do not have the financial ability to save or make use of these very credits.
We do have solutions, two of which I will speak to during this brief presentation: care for the caregivers and infrastructure.
Twenty-three per cent of Canadians provided informal care to a family member or close friend with serious health problems and 41% had to use personal savings to survive during this time. If replaced by a paid caregiver, the economic value is estimated to be between $5.7 billion and $26 billion.
We have two options to recommend to you. One is a provision in the Canada and Quebec Pension Plans similar to the provisions that currently exist for those who have taken time off from the workforce to raise children. A second option is to transfer the compassionate care program from employment insurance so that individuals who are not eligible for EI, such as contract workers and part-time workers, still have the ability to draw on the fund.
Our second recommendation for today has to do with infrastructure. We solicit your support for investment in this health infrastructure piece. Many health facilities are in serious need of renovation or replacement. Modern designs will inhibit spread of infectious disease and facilitate patient recovery. This isn't just about bricks and mortar.
Access to infrastructure stimulus funds, the green infrastructure funds, and eco-energy funds would allow facilities--community, acute care, all of the facilities--to build or retrofit to green standards, providing a sustainable and safe environmental future.
If we really want to improve the quality, the efficiency, and effectiveness of health care for the patients as well as enhance collaboration among health professionals, we need to support the Canada Health Infoway in its mandate for electronic health records. It's absolutely essential.
I haven't even touched on health human resources, but I can, and I would welcome the opportunity if we have questions.
We've also focused on long-term care. We have a special policy brief that will be launched next Tuesday on facility-based long-term care, with good recommendations that might assist you in your work.
A healthy economy is created, sustained, and grown by healthy Canadians. These are turbulent and financially challenging times, but there are many effective ways to address fiscal pressures on Canadians and the health system. We welcome that opportunity to work with you to develop and implement these solutions.
Thank you. Merci.