Merci, madame la présidente.
Thank you all for your presentations. They were very informative.
There seem to be recurring themes in the presentations on this subject. As I think Dr. Moride pointed out, it's not necessarily that we have a lack of information in the country; it's how we use it and how it's interlinked. We also have the question put forward on whether practitioners would willingly provide information on adverse effects—or even the larger question of post-market surveillance, I presume—if there were feedback, if valuable information came back to them that helped them in their practices. It's a shame that we haven't got to that point yet.
We are wrestling with whether there should be legislation. Should mandatory reporting be necessary? Would that assist us? It's a difficult question. I think it's made a little more complicated by Dr. Gowing, because his definition of adverse effects is a little different from what we've been dealing with so far. It's beyond somebody being rushed to the hospital; it includes somebody not receiving the effect you would expect from a therapy.
I want to open the question to all of you. We've heard of two possible elements here of change, aside from the technological aspect. One is progressive licensing, where medication would come on the market at different levels and be progressively licensed as information was available. The second one that we heard a lot about is off-label use. We've heard of the necessity for off-label use because of the way we license our drugs and the therapies they eventually become useful for.
It appears to me that both of those instances would be a great way to get a lot of the data you were talking about, Dr. Moride, because the uses wouldn't necessarily be the ones they were licensed for. So you could expect the community to feed back more at that time if the health treatment community was getting useful information from it.
I open it to all of you to comment.