Rachel Thexton Connects. Dr. Jill Wiwcharuk: Substance Use, Stigma & Canada's Public Health Crisis.

Street Doctor Jill (Dr. Jill Wiwcharuk) is an addiction medicine physician, emergency room doctor, and one of Canada’s most important voices on the substance use public health crisis. In this episode of the Rachel Thexton Connects Podcast, Dr. Jill breaks down evidence-based treatment, compassionate care, the contaminated street supply, stigma in healthcare, and why policy makers need more courage to act on the research.🔔 Subscribe for honest, compassionate conversations on substance use, mental health, and public health in Canada.📲 Follow Dr. Jill Wiwcharuk: Instagram & Facebook: @streetdrjill 📲 Follow Rachel Thexton Connects:  @rachelthextonconnects  [https://www.instagram.com/rachelthextonconnects/?hl=enTOPICS COVERED SECTION• How Dr. Jill went from violin & Spanish to street medicine• Why all Canadian doctors should have substance use disorder training• Barriers to care for unhoused & marginalized communities• How stigma in clinics, pharmacies & the ER costs lives• Why she started @streetdrjill on Instagram & Facebook• Evidence-based care strategies and why they save millions of dollars• Prescription medications contaminating Canada’s unregulated street supply• Why emergency response medications don’t always work — and why that matters• The reality of withdrawal — why “just stopping” isn’t that simple• Recovery: why there’s no one-size-fits-all approach• What policy makers must do to end the public health emergency• Indigenous communities and the preventable deaths crisis in BC#AddictionMedicine #SubstanceUseDisorder #PublicHealth #StreetDoctorJill #CanadaHealthCrisis #RecoveryIsPossible #MentalHealth #EvidenceBasedCare #CompassionateCare #BCHealthCrisis #RachelThextonConnects #DrJillWiwcharuk 0:00 Introduction — Meet Street Doctor Jill1:15 Dr. Jill’s Journey: From Violin & India to Medicine3:30 Emergency Medicine + Addiction — More Than One Label4:15 Should All Canadian Doctors Have Substance Use Training?7:00 Barriers to Care: Homelessness, Stigma & Marginalized Communities8:30 How Stigma in Healthcare Costs Lives13:20 The Numbers: 21% of Canadians Will Face Substance Use Disorder14:00 Sadness & Rage: Rolling Back Public Health Progress17:30 Safe Supply, the Diversion Debate & Political Pressure18:00 Why Dr. Jill Started @streetdrjill on Social Media22:30 Evidence-Based Care: What It Actually Means26:35 The Financial Case: Why Preventive Care Saves Millions27:00 Prescription Medications Contaminating the Unregulated Supply29:30 Why Emergency Response Medications Sometimes Fall Short33:45 Understanding Withdrawal — It’s Not Just Stopping36:45 Medications That Support Recovery & Stability38:10 Recovery Looks Different for Everyone41:40 What Policy Makers Must Do to End the Crisis43:35 Indigenous Communities & Preventable Deaths in BC45:25 Closing Thoughts & Where to Follow Dr. Jill