Thank you. As I said, I'm a nurse and I'm flexible.
My name is Pauline Worsfold, and I'm the secretary-treasurer of the CFNU, the Canadian Federation of Nurses Unions. As I said before, I'm a recovery room nurse from the University of Alberta Hospital in Edmonton. With me today is Pam Foster, our government relations expert.
The CFNU represents 158,000 nurses and nursing students across Canada. We thank the committee for the opportunity to share our views.
There is an adage that exists in various forms in different cultures that good health is everything. It is the basis for personal and social prosperity. We would like, therefore, to submit to you three proposals for consideration in the next budget, spending proposals that will assist in fortifying Canadians and Canada for a prosperous future.
First, make the 2004 federal-provincial-territorial promise to Canadians a reality by implementing a national drug strategy. Currently unemployment is at 8.7%. There are over 1.5 million unemployed workers in Canada, and when Canadians lose jobs, they lose insurance for essential medicines. Already over four million Canadians do not have any coverage or have inadequate coverage for drug treatment. The lack of first-dollar coverage for essential medications results in patients foregoing required meds, which can land them into acute care settings, and we all know that's far more costly.
Through a national drug formulary, bulk purchasing, reduced administrative costs, and other aspects of a national pharmacare program, we can get more value for less money. Where public health care costs have remained stable against the GDP for decades, the cost of pharmaceutical drugs is increasing at three times the rate of inflation. This poses a threat to the sustainability of our health care system and to the individual health of all Canadians.
The federal government must agree to partner with the provinces and territories to cost-share a national pharmacare program. We also urge the federal government to invest in one of Canada's largest labour forces, health human resources. Nurses, the largest component of the health workforce, worked 21.5 million hours of overtime in 2008. I am one of those. That is the equivalent of 11,900 jobs, costing $879 million per year, and the provinces are spending money competing for scarce resources, poaching nurses one from the other. We need to improve retention and recruitment rates of our health care labour force.
The Health Council of Canada has called for the creation of a national coordinating mechanism, and we second this. Hence, our second recommendation: create an observatory on health human resources as exists in many other countries.
Our third recommendation also relates to a possible federal role in HHR. We urge the government to create an innovation fund to support pilot projects related to retention and recruitment of HHR in Canada. This fund should be made accessible to provincial and territorial governments. It should encourage partnerships between governments, health care authorities, health care unions, professional associations, colleges, and universities. We have confidence that an innovation fund similar to the $30 million patient wait times guarantee pilot project fund that was announced in 2007 could help revolutionize health care workplaces by addressing labour shortages.
Currently, CFNU has received $4.2 million from Health Canada to implement pilots in nine provinces. We are retaining and recruiting more nurses and building capacity to address labour shortages through these very successful partnership programs. It is these kinds of micro-innovations in the workplace, supported by macro-resources, that will ensure retention of the skilled workforce.
To summarize, we suggest allocations in the next federal budget towards a national pharmacare strategy, a national observatory on HHR, and an innovation fund on HHR.
Thank you for the time, and I look forward to your questions.