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FEDERAL ELECTION 2015 1

FEDERAL

ELECTION

2015
H

Medicare

matters:

Social

Access

Environmental

Fiscal

why ealth 2

Protect and strengthen Canada's

universally accessible, publicly funded and not-for-pro?t health system

Improve access to quality, person-

centred care

Tackle the social determinants of health

Protect the environment

Build ?scal capacity

Electing a new federal government

Canadians head to the polls on Oct. 19. Voting is a privilege, and yet election campaigns don't always provide voters with the information they need to make their decision. So before Canadians cast their vote, the Registered Nurses' Association of Ontario (RNAO) has detailed the most important health issues for the upcoming federal election. Even though health is a provincial responsibility, the federal government has a vital role to play in keeping Canadians healthy, and RNAO wants each federal political party to put health ?rst during the campaign. We encourage nurses and all Canadians to actively participate in the electoral process, including: running for o?ce, getting to know candidates and key issues, attending events, and casting an informed vote.

for registered nurses (RN), nurse practitioners (NP) and nursing students in the 2015 election:

2 3

Medicare

Medicare

3Canadians cherish the

principle of equitable health care for all. Unfortunately, some key services are missing from our current system, including coverage for home care and a universal pharmacare program. Our country must also embrace health promotion and disease prevention and provide better access to primary care, instead of relying on hospitals. A hands-o? approach to health care has resulted in damaging experimentation with privatization (e.g. private for-pro?t clinics in several provinces and medical tourism in Ontario). The federal government has also walked away from the Health Accord, terminated the Health

Council of Canada,

reduced health transfers to provinces, and made cuts to the Interim

Federal Health Program

for refugee claimants.

RNAO URGES NURSES AND THE PUBLIC TO VOTE

FOR CANDIDATES THAT WILL:

enforce the principles of the

Canada Health Act

and negotiate a new Health Accord including increased health transfers expand our universally accessible, publicly funded, not-for-pro?t health-care system to include home care and pharmacare reject e?orts to privatize and/or commercialize the delivery of health care - including user fees, co- payments, means testing, and medical tourism resurrect a commitment made by the First Ministers in

2003 to achieve 24/7 access to primary care delivered

by interprofessional teams working to their full scope reverse cuts made to the Interim Federal Health

Program

reinstate the Health Council of Canada 4 to care

The Canadian population

is aging, and the RN/NP workforce has not kept pace with the increased demands this has caused.

Although the total nursing

workforce has grown, this is largely the result of more registered or licensed practical nurses Registered Nurses and Nurse Practitioners

Access

to care

Access

5being hired. RNs and NPs

receive more education that allows them to care for patients who have complex or unpredictable conditions. With growing patient acuity and complexity, we need more RNs and NPs across the country to ensure better health outcomes for Canadians and health system cost-e?ectiveness. 6

End-of-life care

The Supreme Court of Canada's ruling to strike down the ban on assisted death has set the stage for an open dialogue about end-of-life care. The election represents an opportunity to discuss this important issue.

RNAO URGES NURSES AND THE PUBLIC TO VOTE

FOR CANDIDATES THAT WILL:

create a national palliative care strategy that provides universally accessible services across the country develop a principled regulatory framework to implement the Supreme Court of Canada's decision on assisted deathRNAO URGES NURSES AND THE PUBLIC TO VOTE

FOR CANDIDATES THAT WILL:

earmark funding to increase RN/NP-to-population ratios

7Nurses spend a great deal

of their time helping people manage their illnesses.

They would much rather

help people stay healthy in the ?rst place. The circumstances in which people are born, grow up, live, and work all play a factor in their health.

More and more people are

Social

working in precarious jobs without access to reliable, a?ordable housing. The disparity between the rich and the poor is growing, and poverty rates remain high.

This is not a recipe for good

health.

Social

determinants of health determinants of health 8

RNAO URGES NURSES AND THE PUBLIC TO VOTE FOR

CANDIDATES THAT WILL:

support a?ordable housing programs by increasing federal spending by $2 billion annually commit to a comprehensive national poverty reduction strategy, with targets, timelines and su?cient investments adopt the recommendations of the Truth and Reconciliation Commission of Canada to address the legacy of residential schools 8 9

Environmental

Environmental

determinants of health determinants of health

People have the right to a

clean environment. One of the de?ning environmental issues of our time is climate change.

Its e?ects are being felt across

Canada, including in the far

north, with increased levels of greenhouse gases in the atmosphere. 10

RNAO URGES NURSES AND THE PUBLIC TO VOTE

FOR CANDIDATES THAT WILL:

implement carbon pricing decrease greenhouse gas emissions reduce toxic emissions, and ensure that people are made aware of toxics in their homes, workplaces and the products they consume 10 11

11Nurses know that governments have to balance their

budgets. But the federal government also has to make sure its policy and budget decisions meet the health needs of Canadians.

Fiscal capacity

Fiscal

capacity

RNAO URGES NURSES AND THE PUBLIC TO VOTE

FOR CANDIDATES THAT WILL:

ensure that all people and corporations pay their fair share of taxes rely more heavily on green taxes that impose user fees on any activity that damages the environment 12

The Registered Nurses' Association

of Ontario (RNAO) is the professional association representing registered nurses, nurse practitioners and nursing students in Ontario. Since 1925, RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses' contribution to shaping the health-care system, and in?uenced decisions that a?ect nurses and the public they serve.

RNAO.ca

Authorized by the

Registered Nurses' Association of Ontario

These are the issues RNs, NPs and nursing students believe are worth talking about and taking action on.

Make sure your voice is heard.

Let candidates running for o?ce know why health matters.

Vote for changes you believe will make Canada a healthier place and strengthen our publicly funded and not-for-pro?t health system.

August 2015

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