Opinion
Oh For Truck’s Sake – a KinderMorgan Story

By Cory G. Litzenberger, CPA, CMA, CFP, C.Mgr – President & Founder of CGL Strategic Business & Tax Advisors (CGLtax.ca)
Say you have a 1953 F-100 pickup truck. It has a 110 horsepower V8 that still works fine. You’ve done regular maintenance and repairs, and you have fixed it repeatedly to keep it on the road, but the job it performs just isn’t enough anymore to meet the demand of your customers.
The old truck isn’t what it used to be. You can’t accelerate as fast, can’t get to where you want to go as quickly, it costs more to run, and the towing capacity isn’t what you need to be at full efficiency.
To most people, the truck is a classic, and many would see it as something worth saving and restoring. Now, you aren’t willing to part with it just yet either, but you know that in order to keep your business running you can’t continue with only this old truck.
As a result, the time has come for an upgrade, so you can continue operations. The new model has an engine with over 400 horsepower, better fuel efficiency, new technology, more safety features, and can easily meet the needs of your business and the needs of your customers for many years to come.
There is only one catch.
You can’t easily get the truck.
The Canadian government is requiring you to have permits, licenses, and approvals before getting the truck.
Then once you get them, the BC government is saying that you shouldn’t have been approved to get the truck.
While you patiently file all papers and deal with all legal proceedings, there are now protestors and politicians blocking any route you try to prevent you from getting the truck.
Meanwhile, you keep using your old truck and see your competitors starting to get new trucks in other jurisdictions and start shipping to your customers while you still patiently wait for your own new truck.
But now the time has come to do something.
If you don’t get your new truck soon, you will have no choice but to go get your new truck somewhere else or you could lose a lot of business.
You aren’t asking for money, you’re just tired of being patient. Your business depends on it, and the delays preventing you from getting the truck are threatening your business.
All you want is for the protestors to move and the governments to stop changing their minds, so you can have the truck.
So what does the government decide to do to help you?
Instead of removing the protestors and sticking to the approvals already granted, they will buy your old truck and bring in their own new truck to compete against you instead.
Say goodbye to something that has been working for you for 65 years, and say hello to your new competitor.
So instead of helping your business, they are telling you to leave it behind and go somewhere else.
Now at least you’ll have the money to put towards that new truck you want, except now you not only have to do it elsewhere, you now have another competitor also getting a new truck, and still has the old one that you were going to use to help pay for the new one.
If this were you, would you ever want to come back to Canada?
Personally, I would enjoy my new truck somewhere else and never look back.
Opinion
Charity Campaigns vs. Charity Donations

Over the past few years, I’ve had canvassers coming to my home in Toronto on behalf of a wide range of non-profits – including hospitals and mental health and homeless support organizations. The fundraisers all “wear” a noticeable post secondary student vibe. That’s hardly news.
But curiously, no matter what they’re collecting for, every last one of them uses the exact same methodology. That is, they refuse to take a one-time donation, instead insisting I sign up for six (not seven, and definitely not five) monthly payments. They don’t want me donating online through the organization’s website (explaining that they wouldn’t get credit for that). They do expect me to enter my basic information on a high-end tablet they’re carrying. When that’s done, they’ll use their smartphones to make a call to a remote agent who would take my financial information.
I only completed the process once – for the Hospital for Sick Children (SickKids) in Toronto. But that was mostly because, at the time, they were in the middle of quite literally saving my granddaughter’s life. I couldn’t very well say no.
Because of the paranoia that comes with my background in IT systems administration, I generally don’t participate, explaining that I never share financial information on a call I didn’t initiate. At the same time, these campaigns are not fraudulent and, with the possible exception of UNICEF, they all represent legitimate organizations. Nevertheless, they all come with the clear fingerprints of a third-party, for-profit company. Which makes me curious.
After a little digging, it became clear that a company called Globalfaces Direct was the most likely employer of the face-to-face (F2F) canvassers I’m seeing. It’s also obvious that those canvassers are paid at least partially through revenue-based commissions.
Estimating how much of your donations are actually used for charitable work can be difficult. For once thing, in the case of SickKids, it’s not even clear which organization the money is going to. There at least three related non-profit accounts registered with CRA: The Hospital for Sick Children, The Hospital for Sick Children Foundation, and the SickKids Charitable Giving Fund.
But even where there isn’t such ambiguity we have only limited visibility into an organization’s finances. Covenant House, for instance, issued receipts for $26 million in donations for 2024, but there’s no way to know how much of that came through Globalfaces Direct F2F campaigns. And there’s certainly no public record indicating how much of that $26 million was spent on commissions and overhead. CRA filings for Covenant House do report fundraising costs of $9.4 million in 2024, which was 22 percent of their total spending and 32 percent of all donations.
It’s likely that their $9.4 million in fundraising costs includes Globalfaces Direct’s canvasser commissions and overhead costs. But those are only some of the costs – which likely include events, direct mail, and other in-house efforts. In fact, it’s not unreasonable to assume that only 20-30 percent of each dollar raised through F2F canvassing is actually spent on charity work.
From the perspective of the non-profit, hiring F2F companies can generate new sources of stable, long-term income that would have been otherwise unattainable. Especially if the F2F agreement specifies withholding a percentage of what’s collected rather than charging a flat fee, then a non-profit has nothing to lose. Why wouldn’t SickKids or Covenant House sign up for that?
Of course, a lot of that will depend on how you think about the numbers. Taken as a whole, an organization that spends just 32 percent of their donations on fundraising activities is well within CRA guidelines: “Fundraising is acceptable unless it is a purpose of the charity (a collateral non-charitable purpose).” But if we just looked at the money raised through a F2F campaign, that percentage would likely be a lot higher.
Similarly, CRA also expects that: “Fundraising is acceptable unless it delivers a more than incidental private benefit.” In other words, if a private company like Globalfaces Direct were to realize financial gain that’s “more than incidental”, it might fail to meet CRA guidelines.
Unfortunately, there’s no easy way for donors to assess the numbers on those terms. So regular people who prefer to direct as much of their donation as possible to the actual cause will generally be far better off donating through an institution’s website or, even better, through a single CRA-friendly aggregator like CanadaHelps.org.
But it would be nice if CRA reporting rules clearly broke those numbers down so we could judge for ourselves.
Addictions
Why B.C.’s new witnessed dosing guidelines are built to fail

Photo by Acceptable at English Wikipedia, ‘Two 1 mg pills of Hydromorphone, prescribed to me after surgery.’ [Licensed under CC BY-SA 3.0, via Wikimedia Commons]
By Alexandra Keeler
B.C. released new witnessed dosing guidelines for safer supply opioids. Experts say they are vague, loose and toothless
This February, B.C pledged to reintroduce witnessed dosing to its controversial safer supply program.
Safer supply programs provide prescription opioids to people who use drugs. Witnessed dosing requires patients to consume those prescribed opioids under the supervision of a health-care professional, rather than taking their drugs offsite.
The province said it was reintroducing witnessed dosing to “prevent the diversion of prescribed opioids and hold bad actors accountable.”
But experts are saying the government’s interim guidelines, released April 29, are fundamentally flawed.
“These guidelines — just as any guidelines for safer supply — do not align with addiction medicine best practices, period,” said Dr. Leonara Regenstreif, a primary care physician specializing in substance use disorders. Regenstreif is a founding member of Addiction Medicine Canada, an advocacy group that represents 23 addiction specialists.
Addiction physician Dr. Michael Lester, who is also a founding member of the group, goes further.
“Tweaking a treatment protocol that should not have been implemented in the first place without prior adequate study is not much of an advancement,” he said.
Witnessed dosing
Initially, B.C.’s safer supply program was generally administered through witnessed dosing. But in 2020, to facilitate access amidst pandemic restrictions, the province moved to “take-home dosing,” allowing patients to take their prescription opioids offsite.
After pandemic restrictions were lifted, the province did not initially return to witnessed dosing. Rather, it did so only recently, after a bombshell government report alleged more than 60 B.C. pharmacies were boosting sales by encouraging patients to fill unnecessary opioid prescriptions. This incentivized patients to sell their medications on the black market.
B.C.’s interim guidelines, developed by the BC Centre on Substance Use at the government’s request, now require all new safer supply patients to begin with witnessed dosing.
But for existing patients, the guidelines say prescribers have discretion to determine whether to require witnessed dosing. The guidelines define an existing patient as someone who was dispensed prescription opioids within the past 30 days.
The guidelines say exemptions to witnessed dosing are permitted under “extraordinary circumstances,” where witnessed dosing could destabilize the patient or where a prescriber uses “best clinical judgment” and determines diversion risk is “very low.”
Holes
Clinicians say the guidelines are deliberately vague.
Regenstreif described them as “wordy, deliberately confusing.” They enable prescribers to carry on as before, she says.
Lester agrees. Prescribers would be in compliance with these guidelines even if “none of their patients are transferred to witnessed dosing,” he said.
In his view, the guidelines will fail to meet their goal of curbing diversion.
And without witnessed dosing, diversion is nearly impossible to detect. “A patient can take one dose a day and sell seven — and this would be impossible to detect through urine testing,” Lester said.
He also says the guidelines do not remove the incentive for patients to sell their drugs to others. He cites estimates from Addiction Medicine Canada that clients can earn up to $20,000 annually by selling part of their prescribed supply.
“[Prescribed safer supply] can function as a form of basic income — except that the community is being flooded with addictive and dangerous opioids,” Lester said.
Regenstreif warns that patients who had been diverting may now receive unnecessarily high doses. “Now you’re going to give people a high dose of opioids who don’t take opioids,” she said.
She also says the guidelines leave out important details on adjusting doses for patients who do shift from take-home to witnessed dosing.
“If a doctor followed [the guidelines] to the word, and the patient followed it to the word, the patient would go into withdrawal,” she said.
The guidelines assume patients will swallow their pills under supervision, but many crush and inject them instead, Regenstreif says. Because swallowing is less potent, a higher dose may be needed.
“None of that is accounted for in this document,” she said.
Survival strategy
Some harm reduction advocates oppose a return to witnessed dosing, saying it will deter people from accessing a regulated drug supply.
Some also view diversion as a life-saving practice.
Diversion is “a harm reduction practice rooted in mutual aid,” says a 2022 document developed by the National Safer Supply Community of Practice, a group of clinicians and harm reduction advocates.
The group supports take-home dosing as part of a broader strategy to improve access to safer supply medications. In their document, they say barriers to accessing safer supply programs necessitate diversion among people who use drugs — and that the benefits of diversion outweigh the risks.
However, the risks — and harms — of diversion are mounting.
People can quickly develop a tolerance to “safer” opioids and then transition to more dangerous substances. Some B.C. teenagers have said the prescription opioid Dilaudid was a stepping stone to them using fentanyl. In some cases, diversion of these drugs has led to fatal overdoses.
More recently, a Nanaimo man was sentenced to prison for running a highly organized drug operation that trafficked diverted safer supply opioids. He exchanged fentanyl and other illicit drugs for prescription pills obtained from participants in B.C.’s safer supply program.
Recovery
Lester, of Addiction Medicine Canada, believes clinical discretion has gone too far. He says take-home dosing should be eliminated.
“Best practices in addiction medicine assume physicians prescribing is based on sound and thorough research, and ensuring that their prescribing does not cause harm to the broader community, as well as the patient,” he said.
“[Safer supply] for opioids fails in both these regards.”
He also says safer supply should only be offered as a short-term bridge to patients being started on proven treatments like buprenorphine or methadone, which help reduce drug cravings and manage withdrawal symptoms.
B.C.’s witnessed dosing guidelines say prescribers can discuss such treatment options with patients. However, the guidelines remain neutral on whether safer supply is intended as a transitional step toward longer-term treatment.
Regenstreif says this neutrality undermines care.
“[M]ost patients I’ve seen with opioid use disorder don’t want to have [this disorder],” she said. “They would rather be able to set goals and do other things.”
Oversight gaps
Currently, about 3,900 people in B.C. participate in the safer supply program — down from 5,200 in March 2023.
The B.C. government has not provided data on how many have been transitioned to witnessed dosing. Investigative journalist Rob Shaw recently reported that these data do not exist.
“The government … confirmed recently they don’t have any mechanism to track which ‘safe supply’ participants are witnessed and which [are] not,” said Elenore Sturko, a Conservative MLA for Surrey-Cloverdale, who has been a vocal critic of safer supply.
“Without a public report and accountability there can be no confidence.”
The BC Centre on Substance Use, which developed the interim guidelines, says it does not oversee policy decisions or data tracking. It referred Canadian Affairs’ questions to B.C.’s Ministry of Health, which has yet to clarify whether it will track and publish transition data. The ministry did not respond to requests for comment by deadline.
B.C. has also not indicated when or whether it will release final guidelines.
Regenstreif says the flawed guidelines mean many people may be misinformed, discouraged or unsupported when trying to reduce their drug use and recover.
“We’re not listening to people with lived experience of recovery,” she said.
This article was produced through the Breaking Needles Fellowship Program, which provided a grant to Canadian Affairs, a digital media outlet, to fund journalism exploring addiction and crime in Canada. Articles produced through the Fellowship are co-published by Break The Needle and Canadian Affairs.
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