If you are diagnosed with hypersomnia, your doctor can prescribe various drugs to treat it, including stimulants, antidepressants, as well as several newer medications (for example, Provigil and Xyrem).
You may have your 2015 RMD made payable directly to the charity (provided it meets the IRS definition of a qualified charity), and then designate it as a qualified charitable distribution on your tax return. You'll have satisfied your distribution requirement, and you won't have to pay income taxes on that money.
The Government of Canada is registered in each province to collect provincial sales tax on all taxable supplies. Pursuant to the reciprocal taxation agreements, the federal government currently does not pay provincial sales tax, including QST, on taxable purchases.