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Frontier Centre for Public Policy

Transition Troubles: Medical Risks and Regret Among Trans Teens

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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.

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Is Carney Falling Into The Same Fiscal Traps As Trudeau?

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From the Frontier Centre for Public Policy

By Jay Goldberg

Rosy projections, chronic deficits, and opaque budgeting. If nothing changes, Carney’s credibility could collapse under the same weight.

Carney promised a fresh start. His budget makes it look like we’re still stuck with the same old Trudeau playbook

It turns out the Trudeau government really did look at Canada’s economy through rose-coloured glasses. Is the Carney government falling into the same pattern?

New research from the Frontier Centre for Public Policy shows that federal budgets during the Trudeau years “consistently overestimated [Canada’s] fiscal health” when it came to forecasting the state of the nation’s economy and finances over the long term.

In his research, policy analyst Conrad Eder finds that, when looking specifically at projections of where the economy would be four years out, Trudeau-era budgets tended to have forecast errors of four per cent of nominal GDP, or an average of $94.4 billion.

Because budgets were so much more optimistic about long-term growth, they consistently projected that government revenue would grow at a much faster pace. The Trudeau government then made spending commitments, assuming the money would be there. And when the forecasts did not keep up, deficits simply grew.

As Eder writes, “these dramatic discrepancies illustrate how the Trudeau government’s longer-term projections consistently underestimated the persistence of fiscal challenges and overestimated its ability to improve the budgetary balance.”

Eder concludes that politics came into play and influenced how the Trudeau government framed its forecasts. Rather than focusing on the long-term health of Canada’s finances, the Trudeau government was focused on politics. But presenting overly optimistic forecasts has long-term consequences.

“When official projections consistently deviate from actual outcomes, they obscure the scope of deficits, inhibit effective fiscal planning, and mislead policymakers and the public,” Eder writes.

“This disconnect between projected and actual fiscal outcomes undermines the reliability of long-term planning tools and erodes public confidence in the government’s fiscal management.”

The public’s confidence in the Trudeau government’s fiscal management was so low, in fact, that by the end of 2024 the Liberals were polling in the high teens, behind the NDP.

The key to the Liberal Party’s electoral survival became twofold: the “elbows up” rhetoric in response to the Trump administration’s tariffs, and the choice of a new leader who seemed to have significant credibility and was disconnected from the fiscal blunders of the Trudeau years.

Mark Carney was recruited to run for the Liberal leadership as the antidote to Trudeau. His résumé as governor of the Bank of Canada during the Great Recession and his subsequent years leading the Bank of England seemed to offer Canadians the opposite of the fiscal inexperience of the Trudeau years.

These two factors together helped turn around the Liberals’ fortunes and secured the party a fourth straight mandate in April’s elections.

But now Carney has presented a budget of his own, and it too spills a lot of red ink.

This year’s deficit is projected to be a stunning $78.3 billion, and the federal deficit is expected to stay over $50 billion for at least the next four years.

The fiscal picture presented by Finance Minister François-Philippe Champagne was a bleak one.

What remains to be seen is whether the chronic politicking over long-term forecasts that plagued the Trudeau government will continue to be a feature of the Carney regime.

As bad as the deficit figures look now, one has to wonder, given Eder’s research, whether the state of Canada’s finances is even worse than Champagne’s budget lets on.

As Eder says, years of rose-coloured budgeting undermined public trust and misled both policymakers and voters. The question now is whether this approach to the federal budget continues under Carney at the helm.

Budget 2025 significantly revises the economic growth projections found in the 2024 fall economic statement for both 2025 and 2026. However, the forecasts for 2027, 2028 and 2029 were left largely unchanged.

If Eder is right, and the Liberals are overly optimistic when it comes to four-year forecasts, then the 2025 budget should worry Canadians. Why? Because the Carney government did not change the Trudeau government’s 2029 economic projections by even a fraction of a per cent.

In other words, despite the gloomy fiscal numbers found in Budget 2025, the Carney government may still be wearing the same rose-coloured budgeting glasses as the Trudeau government did, at least when it comes to long-range fiscal planning.

If the Carney government wants to have more credibility than the Trudeau government over the long term, it needs to be more transparent about how long-term economic projections are made and be clear about whether the Finance Department’s approach to forecasting has changed with the government. Otherwise, Carney’s fiscal credibility, despite his résumé, may meet the same fate as Trudeau’s.

Jay Goldberg is a fellow with the Frontier Centre for Public Policy.

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Censorship Industrial Complex

A Democracy That Can’t Take A Joke Won’t Tolerate Dissent

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From the Frontier Centre for Public Policy

By Collin May

Targeting comedians is a sign of political insecurity

A democracy that fears its comedians is a democracy in trouble. That truth landed hard when Graham Linehan, the Irish writer behind Father Ted and The IT Crowd, stepped off a plane at Heathrow on Sept. 1, 2025, and was met by five London Metropolitan Police officers ready to arrest him for three posts on X.

Returning to the UK from Arizona, he was taken into custody on the charge of “suspicion of inciting violence”, an allegation levelled with increasing ease in an age wary of offence. His actual “crime” amounted to three posts, the most contentious being a joke about trans-identified men in exclusively female spaces and a suggestion that violated women respond with a swift blow to a very sensitive part of the male’s not-yet-physically-transitioned anatomy.

The reaction to Linehan’s arrest, from J.K. Rowling to a wide array of commentators, was unqualified condemnation. Many wondered whether free speech had become a museum piece in the UK. Asked about the incident, British Prime Minister Keir Starmer defended his country’s reputation for free expression but declined to address the arrest itself.

Canada has faced its own pressures on comedic expression. In 2022, comedian Mike Ward saw a 12-year legal saga end when the Supreme Court of Canada ruled five-to-four that the Quebec Human Rights Commission had no jurisdiction to hear a complaint about comments Ward made regarding a disabled Quebec boy. The ruling confirmed that human rights bodies cannot police artistic expression when no discrimination in services or employment has occurred. In that case, comic licence survived narrowly.

These cases reveal a broader trend. Governments and institutions increasingly frame comedy as a risk rather than a social pressure valve. In an environment fixated on avoiding perceived harm, humour becomes an easy and symbolic target. Linehan’s arrest underscores the fragility of free speech, especially in comedic form, in countries that claim to value democratic openness.

Comedy has long occupied an unusual place in public life. One of its earliest literary appearances is in Homer’s Iliad. A common soldier, Thersites, is ugly, sharp-tongued and irreverent. He speaks with a freedom others will not risk, mocking Agamemnon and voicing the frustrations of rank-and-file soldiers. He represents the instinct to puncture pretension. In this sense, comedy and philosophy share a willingness to speak uncomfortable truths that power prefers to avoid.

Aristotle, in his Poetics, noted that tragedy imitates noble actions and depicts people who are to be taken seriously. Comedy, by contrast, imitates those who appear inferior. Yet this lowly status is precisely what gives comedy its political usefulness. It allows performers to say what respectable voices cannot, revealing hypocrisies that formal discourse leaves untouched.

In the Iliad, Thersites does not escape punishment. Odysseus, striving to restore order, strikes him with Agamemnon’s staff, and the soldiers laugh as Thersites is silenced. The scene captures a familiar dynamic. Comedy can expose authority’s flaws, but authority often responds by asserting its dominance. The details shift across history, but the pattern endures.

Modern democracies are showing similar impatience. Comedy provides a way to question conventions without inviting formal conflict. When governments treat jokes as misconduct, they are not protecting the public from harm. They are signalling discomfort with scrutiny. Confident systems do not fear irreverence; insecure ones do.

The growing targeting of comedians matters because it reflects a shift toward institutions that view dissent, even in comedic form, as a liability. Such an approach narrows the space for open dialogue and misunderstands comedy’s role in democratic life. A society confident in itself tolerates mockery because it trusts its citizens to distinguish humour from harm.

In October, the British Crown Prosecution Service announced it would not pursue charges against Linehan. The London Metropolitan Police Service also said it would stop recording “non-crime hate incidents”, a controversial category used to document allegations of hateful behaviour even when no law has been broken. These reversals are welcome, but they do not erase the deeper unease that allowed the arrest to happen.

Comedy survives, but its environment is shifting. In an era where leaders are quick to adopt moral language while avoiding meaningful accountability, humour becomes more necessary, not less. It remains one of the few public tools capable of exposing the distance between political rhetoric and reality.

The danger is that in places where Agamemnon’s folly, leadership driven by pride and insecurity, takes root, those who speak uncomfortable truths may find themselves facing not symbolic correction but formal sanctions. A democracy that begins by targeting its jesters rarely stops there.

Collin May is a Senior Fellow with the Frontier Centre for Public Policy, a lawyer, and Adjunct Lecturer in Community Health Sciences at the University of Calgary, with degrees in law (Dalhousie University), a Masters in Theological Studies (Harvard) and a Diplome d’etudes approfondies (Ecole des hautes etudes, Paris).

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