Evidence of meeting #99 for Veterans Affairs in the 42nd Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was research.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Faith McIntyre  Director General, Policy and Research Division, Strategic Policy and Commemoration, Department of Veterans Affairs
Robert Tomljenovic  Area Director, Department of Veterans Affairs
Karen Ludwig  New Brunswick Southwest, Lib.
Shaun Chen  Scarborough North, Lib.
Cyd Courchesne  Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs
Alexandra Heber  Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

5:20 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

Dr. Cyd Courchesne

Right, every doctor in Canada can give authorizations. If you have an MD or if you're a nurse practitioner with that scope of practice in your province, you can provide that, so the list would be very—

5:20 p.m.

Conservative

Cathay Wagantall Conservative Yorkton—Melville, SK

It's a question of how many, I guess. That's what I'm asking. How many are authorizing at this point?

5:20 p.m.

Liberal

The Chair Liberal Neil Ellis

We'll have to come back for that answer. We're out of time.

5:20 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

5:20 p.m.

Liberal

The Chair Liberal Neil Ellis

We'll end with Mr. Samson. I think you're splitting your four minutes.

5:20 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

Yes, I have two quick questions. In talking about specialists, in Nova Scotia we don't have a specialist who can authorize or who does authorize—zero. We've asked VAC to help us out now for two years and we haven't had any success.

5:20 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

Dr. Cyd Courchesne

Well, any specialist can authorize.

5:20 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

There's no specialist in Nova Scotia who's able.... There's only one and he doesn't authorize.

5:20 p.m.

Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

Dr. Alexandra Heber

Again, as a physician—

5:20 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

I'm talking about 10 grams over three grams, specialists.

5:20 p.m.

Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

Dr. Alexandra Heber

Yes, so what you're asking of a physician is to authorize something for a patient, and there's no evidence of what it does—

5:20 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

That's not my question, Doctor.

5:20 p.m.

Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

Dr. Alexandra Heber

If it's for a mental health problem, any psychiatrist can authorize over three grams for a veteran.

5:20 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

There's no one in Nova Scotia who authorizes.

5:20 p.m.

Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

Dr. Alexandra Heber

Well, they may not do it, but what I'm saying is that they can.

5:20 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

Yes, but VAC, are you helping to find doctors who do?

5:25 p.m.

Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

5:25 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

Dr. Cyd Courchesne

Our policy is to reimburse. My main concern is the well-being and the safety of the veterans.

5:25 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

Of course.

5:25 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

Dr. Cyd Courchesne

When there is a substance that has no proven effect—

5:25 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

Doctors, with all due respect, that's not my question. The question is: Is there a process for receiving more than three grams?

5:25 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

5:25 p.m.

Chief of Psychiatry, Health Professionals Division, Department of Veterans Affairs

5:25 p.m.

Liberal

Darrell Samson Liberal Sackville—Preston—Chezzetcook, NS

That process is not available in Nova Scotia.

5:25 p.m.

Director General, Health Professionals Division, Chief Medical Officer, Department of Veterans Affairs

Dr. Cyd Courchesne

It is. The specialists are not willing, because there is no evidence. They're not willing to provide that authorization to their patients, because their concern is for the well-being of their patients. I cannot force—