Frontier Centre for Public Policy
Transition Troubles: Medical Risks and Regret Among Trans Teens
From the Frontier Centre for Public Policy
By Lee Harding
Do teens going through cross-gender hormones and surgeries know what they’re doing? A leak of internal conversations by the World Professional Association for Transgender Health shows even some doctors administering the procedures have serious doubts.
The U.S. advocacy organization Environmental Progress, led by president and founder Michael Shellenberger, made the leaks public.
“The WPATH Files show that what is called ‘gender medicine’ is neither science nor medicine,” Shellenberger said in a press release.
A short list of excerpts highlighted many telling comments.
Child psychologist Dianne Berg, who co-authored the child chapter of the 8th edition of WPATH Standards of Care, said young girls don’t understand what it means to get male hormones.
“[It is] out of their developmental range to understand the extent to which some of these medical interventions are impacting them. They’ll say they understand, but then they’ll say something else that makes you think, oh, they didn’t really understand that they are going to have facial hair.”
Canadian endocrinologist Dr. Daniel Metzger acknowledged, “We’re often explaining these sorts of things to people who haven’t even had biology in high school yet.”
Metzger said neither he nor his colleagues were surprised at a Dutch study that found some young post-transition adults regretted losing their fertility.
“It’s always a good theory that you talk about fertility preservation with a 14-year old, but I know I’m talking to a blank wall. They’d be like, ew, kids, babies, gross,” Metzger said.
“I think now that I follow a lot of kids into their mid-twenties, I’m like, ‘Oh, the dog isn’t doing it for you, is it?’ They’re like, ‘No, I just found this wonderful partner, and now want kids.’ … It doesn’t surprise me.
“Most of the kids are nowhere in any kind of a brain space to really talk about [fertility preservation] in a serious way.”
While youth keeps some from grasping the lifelong consequences of their actions, mental illness does the same for others. But that doesn’t always mean the doctors refuse to transition them.
One gender therapist administered cross-sex hormones to a patient with dissociative identity disorder. The therapist said asking the split personalities if they approved the treatment was ethical. Otherwise, a lawsuit could follow.
In one case, a nurse practitioner struggled with how to handle a patient with PTSD, major depressive disorder, observed dissociations, and schizoid typical traits who wanted to go on hormone therapy. Somehow the clear moral dilemma was lost on Dr. Dan Karasic, lead author of the mental health chapter of WPATH Standards of Care 8.
Karasic replied, “I’m missing why you are perplexed… The mere presence of psychiatric illness should not block a person’s ability to start hormones if they have persistent gender dysphoria, capacity to consent, and the benefits of starting hormones outweigh the risks…So why the internal struggle as to ‘the right thing to do?’”
Testosterone injections carry cancer risks for those born female. In one case, a doctor acknowledged a 16-year-old had two liver masses, one 11 cm by 11 cm, and another 7 cm by 7 cm, and “the oncologist and surgeon both have indicated that the likely offending agent(s) are the hormones.”
The friend and colleague of one doctor received close to ten years of male hormones, leading to hepatocarcinoma. “To the best of my knowledge, it was linked to his hormone treatment… it was so advanced that he opted for palliative care and died a couple of months later,” the doctor said.
Some female-born transitioning patients had terrible pain during orgasms, while males on estrogen complained of erections “feeling like broken glass.”
The future may be even stranger, according to one doctor.
“I think we are going to see a wave of non-binary affirming requests for surgery that will include non-standard procedures. I have worked with clients who identify as non-binary, agender, and Eunuchs who have wanted atypical surgical procedures, many of which either don’t exist in nature or represent the first of their kind and therefore probably have few examples of best practices,” the doctor said.
Unsurprisingly, some people regret their medical transitions and want to change back. Some WPATH members want to discount this altogether. WPATH President Marci Bowers admitted, “[A]cknowledgment that de-transition exists even to a minor extent is considered off limits for many in our community.”
An unnamed researcher thought it was just a matter of perspective, saying, “What is problematic is the idea of detransitioning, as it frames being cisgender as the default and reinforces transness as a pathology. It makes more sense to frame gender as something that can shift over time, and to figure out ways to support people making the choices they want to make in the moment, with the understanding that feelings around decisions [may] change over time.”
Should our physical being be substantially altered and re-altered according to our feelings? Is transitioning a matter of mental health or self-expression? At least Alberta is putting the brakes on these dubious practices for minors. Other provinces should follow.
Lee Harding is a research fellow for the Frontier Centre for Public Policy.
Frontier Centre for Public Policy
Canada Lets Child-Porn Offenders Off Easy While Targeting Bible Believers
From the Fr0ntier Centre for Public Policy
By Lee Harding
Judges struck down one-year minimum prison sentences for child pornography possession. Meanwhile, the chair of the Parliamentary Human Rights Committee publicly stated that religious scriptures condemning homosexuality are “hateful.” Lee Harding says the 1982 Charter has led to an inversion of Canadian values.
Light sentences for child-porn possession collide with federal signals that biblical texts could be prosecuted as hate
Was Canada’s 1982 Charter meant to condemn the Bible as hate literature or to weaken sentencing for child pornography? Like it or not, that is the direction post-Charter Canada is moving.
For Halloween, the black-robed justices at the Supreme Court of Canada ruled that a one-year mandatory sentence for accessing or possessing child sexual abuse materials amounted to “cruel and unusual punishment.” The judgment upheld a similar ruling from the Quebec Court of Appeal.
A narrow 5-4 majority leaned on a hypothetical. If an 18-year-old received a sexually explicit image from a 17-year-old girlfriend, that image would technically be child porn. If prosecuted, the recipient could face a one-year minimum sentence. On that basis, the judges rejected the entire minimum sentence law.
But the real case before them was far more disturbing. Two Quebec men possessed images and videos that were clearly the result of abuse. One had 317 unique images of child porn, with 90 per cent showing girls aged three to six years old forced into penetration and sodomy by adults or other minors. The other had 531 images and 274 videos of girls aged five to 10 engaged in sexual acts, including anal and vaginal penetration and, in some cases, multiple children.
The sentences were light. The first offender received 90 days of intermittent imprisonment, served concurrently, plus 24 months of probation. The second received nine months of imprisonment and the same probation period. How is this acceptable?
The judgment did not emerge without warning. Daniel A. Lang, a Liberal campaign chair appointed to the Senate by Lester B. Pearson, saw this coming more than 40 years ago. On April 23, 1981, he expressed concerns that the new Constitution could be used to erode basic decency laws. He pointed to the U.S. experience and predicted that Canada could face a wave of cases challenging laws on “obscenity, pornography and freedom of speech,” leading to the “negation of federal or provincial legislation.”
His warning has come true. If Parliament wants to restore mandatory minimum sentences, it can do so by passing a new law that removes the obscure scenario judges used to strike them down. Section 33, the notwithstanding clause, gives elected officials the power to override court rulings for up to five years at a time.
This reflects Canada’s own system. In the British tradition Canada inherited, Parliament—not the courts—is the ultimate authority. British common law developed over centuries through conventions and precedents shaped by elected lawmakers. Section 33 protects that balance by ensuring Parliament can still act when judges disagree.
There is a democratic check as well. If a government uses Section 33 and voters believe it made the wrong call, they can remove that government at the next election. A new government can then follow the judges’ views or let the old law expire after five years. That accountability is precisely why Section 33 strengthens democracy rather than weakening it.
Yet today, Ottawa is working to limit that safeguard. In September, the Carney Liberals asked the Supreme Court to rule on new limits to how legislatures can use Section 33. Five premiers wrote to Carney to oppose the move. Former Newfoundland and Labrador premier Brian Peckford, the last living signatory to the agreement that produced the 1982 Constitution Act, has also condemned the attempt as wrongful.
The judges will likely approve the new limits. Why would they refuse a chance to narrow the one tool elected governments have to get around their rulings? For decades, the Supreme Court has made a habit of striking down laws, telling Parliament it is wrong and forcing political change.
And while minimum sentences for child-porn offenders fall, the Carney cabinet is focused on something else entirely: prosecuting Bible believers for alleged hate.
The quiet part was said out loud by Montreal lawyer Marc Miller, former minister of immigration and citizenship and chair of the Parliamentary Human Rights Committee. On Oct. 30, he told the committee, “In Leviticus, Deuteronomy, Romans, there’s other passages, there’s clear hatred towards, for example, homosexuals.”
The former minister added, “There should perhaps be discretion for prosecutors to press charges … [T]here are clearly passages in religious texts that are clearly hateful.”
That is the former minister’s view. Instead of Bible thumpers, we now have Charter thumpers who use their “sacred” document to justify whatever interpretation suits their cause and wield it against their ideological opponents. When wokeness hardens into dogma, disagreement becomes heresy. And we know what happens to heretics.
A country that lets child-porn offenders off easy while it hunts down Bible believers for fines and possible prison has lost its way. Most Canadians would reject this trade-off, but their rulers do not, whether in cabinet or on the judges’ bench. A dark shadow is settling over the country.
Lee Harding is a research fellow for the Frontier Centre for Public Policy
Business
Ottawa Pretends To Pivot But Keeps Spending Like Trudeau
From the Frontier Centre for Public Policy
New script, same budget playbook. Nothing in the Carney budget breaks from the Trudeau years
Prime Minister Mark Carney’s first budget talks reform but delivers the same failed spending habits that defined the Trudeau years.
While speaking in the language of productivity, infrastructure and capital formation, the diction of grown-up economics, it still follows the same spending path that has driven federal budgets for years. The message sounds new, but the behaviour is unchanged.
Time will tell, to be fair, but it feels like more rhetoric, and we have seen this rhetoric lead to nothing before.
The government insists it has found a new path, one where public investment leads private growth. That sounds bold. However, it is more a rebranding than a reform. It is a shift in vocabulary, not in discipline. The government’s assumptions demand trust, not proof, and the budget offers little of the latter.
Former prime ministers Jean Chrétien and Paul Martin did not flirt with restraint; they executed it. Their budget cuts were deep, restored credibility, and revived Canada’s fiscal health when it was most needed. Ottawa shrank so the country could grow. Budget 2025 tries to invoke their spirit but not their actions. The contrast shows how far this budget falls short of real reform.
Former prime minister Stephen Harper, by contrast, treated balanced budgets as policy and principle. Even during the global financial crisis, his government used stimulus as a bridge, not a way of life. It cut taxes widely and consistently, limited public service growth and placed the long-term burden on restraint rather than rhetoric. Carney’s budget nods toward Harper’s focus on productivity and capital assets, yet it rejects the tax relief and spending controls that made his budgets coherent.
Then there is Justin Trudeau, the high tide of redistribution, vacuous identity politics and deficit-as-virtue posturing. Ottawa expanded into an ideological planner for everything, including housing, climate, childcare, inclusion portfolios and every new identity category.
The federal government’s latest budget is the first hint of retreat from that style. The identity program fireworks are dimmer, though they have not disappeared. The social policy boosterism is quieter. Perhaps fiscal gravity has begun to whisper in the prime minister’s ear.
However, one cannot confuse tone for transformation.
Spending still rises at a pace the government cannot justify. Deficits have grown. The new fiscal anchor, which measures only day-to-day spending and omits capital projects and interest costs, allows Ottawa to present a balanced budget while still adding to the deficit. The budget relies on the hopeful assumption that Ottawa’s capital spending will attract private investment on a scale economists politely describe as ambitious.
The housing file illustrates the contradiction. New funding for the construction of purpose-built rentals and a larger federal role in modular and subsidized housing builds announced in the budget is presented as a productivity measure, yet continues the Trudeau-era instinct to centralize housing policy rather than fix the levers that matter. Permitting delays, zoning rigidity, municipal approvals and labour shortages continue to slow actual construction. These barriers fall under provincial and municipal control, meaning federal spending cannot accelerate construction unless those governments change their rules. The example shows how federal spending avoids the real obstacles to growth.
Defence spending tells the same story. Budget 2025 offers incremental funding and some procurement gestures, but it avoids the core problem: Canada’s procurement system is broken. Delays stretch across decades. Projects become obsolete before contracts are signed. The system cannot buy a ship, an aircraft or an armoured vehicle without cost overruns and missed timelines. The money flows, but the forces do not get the equipment they need.
Most importantly, the structural problems remain untouched: no regulatory reform for major projects, no tax-competitiveness agenda and no strategy for shrinking a federal bureaucracy that has grown faster than the economy it governs. Ottawa presides over a low-productivity country but insists that a new accounting framework will solve what decades of overregulation and policy clutter have created. The budget avoids the hard decisions that make countries more productive.
From an Alberta vantage, the pivot is welcome but inadequate. The economy that pays for Confederation receives more rhetorical respect, yet the same regulatory thicket that blocks pipelines and mines remains intact. The government praises capital formation but still undermines the key sectors that generate it.
Budget 2025 tries to walk like Chrétien and talk like Harper while spending like Trudeau. That is not a transformation. It is a costume change. The country needed a budget that prioritized growth rooted in tangible assets and real productivity. What it got instead is a rhetorical turn without the courage to cut, streamline or reform.
Canada does not require a new budgeting vocabulary. It requires a government willing to govern in the country’s best interests.
Marco Navarro-Genie is vice-president of research at the Frontier Centre for Public Policy and co-author with Barry Cooper of Canada’s COVID: The Story of a Pandemic Moral Panic (2023).
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