I got CLM while traveling in South America last year. 
I returned to Canada and soon developed a foot full of parasitic worms, the itch was like something I've never experienced, it hurt to walk.
Health Canada's SAP denied the request my infectious disease doctor made for ivermectin which is without argument the first line treatment for this condition.
I will forever be grateful to the hospital pharmacist who compounded the medication for me from scratch so I didn't have to wait and sift through Health Canada's red tape. I paid 40$ for two small pills and they worked like a charm.  
As a health care worker I was appalled that bureaucrats rather than clinicians were making the final decision to release this medication or not (and not just this medication but many others).
Something needs to change!!!
Thank you very much for writing this article.