Paul,
I don't know if I would take a chance with this - I would be more inclined
to find a different doctor who will treat you.  The problem is you need to
be monitored with your meds and also your doctor should know what you are
on.  Also my husband (we are in Canada) decided to get a med online without
a doctor, they took information and when the med came in the brown envelope
it was from China - you have to wonder what it was (by the way this is not a
question of a Canadian online pharmacy - it was an American site.)  needless
to say he mentioned it to his doctor who advised him to not take it but gave
him a prescription.

You don't say what province you are in that you don't get medical coverage.
Are you meaning you don't get pharmaceutical coverage.  If you are on
disability pension and we know which province we might be able to get you a
link to funding somewhere in your province.  If not I would scream loud and
long to your mp and mla.

It could also be you don't need tramadol but another pain med that is not
necessarily stronger but different.

Good luck,
Kelly