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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.

Frontier Centre for Public Policy

Trust but verify: Why COVID-19 And Kamloops Claims Demand Scientific Scrutiny

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From the Frontier Centre for Public Policy

By Rodney Clifton

Senior Fellow Rodney Clifton calls for renewed scientific scrutiny of two major Canadian narratives: COVID-19 policies and the Kamloops residential school claims. He argues that both bypassed rigorous, evidence-based evaluation, favouring politicized consensus. Critics of pandemic measures, like Dr. Jay Bhattacharya, were wrongly dismissed despite valid concerns. Similarly, the unverified mass grave claims in Kamloops were accepted without forensic proof. Clifton urges a return to the scientific principle of “trust but verify” to safeguard truth, public policy, and democracy.

COVID-19 and Kamloops claims dodged scrutiny – but the truth is catching up

Do we know the best way to decide if specific empirical claims are true?

Of course we do. The best way is by using the procedures of science.

Scientists critically examine the arguments and evidence in research studies to find weaknesses and fallacies. If there are no weaknesses or fallacies, the evidence enters the realm of science. But if there are weaknesses, the research has low or zero credibility, and the evidence does not become a building block of science.

In a historical context, seemingly good evidence may not remain as science because claims are continually evaluated by researchers. This scientific process is not failsafe, but it is far better than other procedures for determining the truth of empirical claims.

This powerful principle is often called “trust but verify,” and it is the idea behind the replication of scientific results.

Today, many such truth claims demand critical examination. At least two come readily to mind.

The first is the claim that the COVID-19 procedures and vaccines were safe and effective.

It is now abundantly clear that the procedures used during the COVID-19 pandemic bypassed time tested scientific protocols. Instead of open scientific debate and rigorous testing, government appointed “scientists” endorsed government-approved narratives. Canadians were told to social distance, wear masks and, most importantly, get vaccinated—often without transparent discussion of the evidence or risks.

Those who questioned the procedures, vaccines or official explanations were dismissed as “deniers” and, in some cases, ridiculed. Perhaps the most notable example is Dr. Jay Bhattacharya, the Stanford epidemiologist and economist who co-authored the Great Barrington Declaration. Despite being vilified during the pandemic, Dr. Bhattacharya is now the head of the U.S. National Institute of Health.

Five years after the pandemic began, it is clear that Dr. Bhattacharya—and many other so-called deniers—were raising legitimate concerns. Contrary to the portrayal of these scientists as conspiracy theorists or extremists, they were doing exactly what good scientists should do: trusting but verifying empirical claims. Their skepticism was warranted, particularly regarding both the severity of the virus and the safety and effectiveness of the vaccines.

The second claim concerns the allegation that Indigenous children died or were murdered and buried in unmarked graves at the Kamloops Residential School.

In 2021, the Kamloops Indigenous Band claimed that 215 children’s bodies had been discovered in the schoolyard. The legacy media swiftly labelled anyone who questioned the claim as a “denier.” Despite millions of dollars allocated for excavations, no bodies have been exhumed. Meanwhile, other bands have made similar claims, likely encouraged by federal government incentives tied to funding.

To date, this claim has not faced normal scientific scrutiny. The debate remains lopsided, with one side citing the memories of unnamed elders—referred to as “knowledge-keepers”—while the other side calls for forensic evidence before accepting the claim.

The allegation of mass graves was not only embraced by the media but also by Parliament. Members of the House of Commons passed a motion by NDP MP Leah Gazan declaring that Indigenous children were subjected to genocide in residential schools. Disturbingly, this motion passed without any demand for forensic or corroborating evidence.

Truth claims must always be open to scrutiny. Those who challenge prevailing narratives should not be disparaged but rather respected, even if they are later proven wrong, because they are upholding the essential principle of science. It is time to reaffirm the vital importance of verifying evidence to resolve empirical questions.

We still need a robust debate about COVID-19 procedures, the virus itself, the vaccines and the claims of mass graves at residential schools. More broadly, we need open, evidence-based debates on many pressing empirical claims. Preserving our democracy and creating sound public policy depend on it because verifiable evidence is the cornerstone of decision-making that serves all Canadians.

Rodney A. Clifton is a professor emeritus at the University of Manitoba and a senior fellow at the Frontier Centre for Public Policy. Along with Mark DeWolf, he is the editor of From Truth Comes Reconciliation: An Assessment of the Truth and Reconciliation Commission Report, which can be ordered from Amazon.ca or the Frontier Centre for Public Policy.

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TD Bank Account Closures Expose Chinese Hybrid Warfare Threat

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From the Frontier Centre for Public Policy

By Scott McGregor

Scott McGregor warns that Chinese hybrid warfare is no longer hypothetical—it’s unfolding in Canada now. TD Bank’s closure of CCP-linked accounts highlights the rising infiltration of financial interests. From cyberattacks to guanxi-driven influence, Canada’s institutions face a systemic threat. As banks sound the alarm, Ottawa dithers. McGregor calls for urgent, whole-of-society action before foreign interference further erodes our sovereignty.

Chinese hybrid warfare isn’t coming. It’s here. And Canada’s response has been dangerously complacent

The recent revelation by The Globe and Mail that TD Bank has closed accounts linked to pro-China groups—including those associated with former Liberal MP Han Dong—should not be dismissed as routine risk management. Rather, it is a visible sign of a much deeper and more insidious campaign: a hybrid war being waged by the Chinese Communist Party (CCP) across Canada’s political, economic and digital spheres.

TD Bank’s move—reportedly driven by “reputational risk” and concerns over foreign interference—marks a rare, public signal from the private sector. Politically exposed persons (PEPs), a term used in banking and intelligence circles to denote individuals vulnerable to corruption or manipulation, were reportedly among those flagged. When a leading Canadian bank takes action while the government remains hesitant, it suggests the threat is no longer theoretical. It is here.

Hybrid warfare refers to the use of non-military tools—such as cyberattacks, financial manipulation, political influence and disinformation—to erode a nation’s sovereignty and resilience from within. In The Mosaic Effect: How the Chinese Communist Party Started a Hybrid War in America’s Backyard, co-authored with Ina Mitchell, we detailed how the CCP has developed a complex and opaque architecture of influence within Canadian institutions. What we’re seeing now is the slow unravelling of that system, one bank record at a time.

Financial manipulation is a key component of this strategy. CCP-linked actors often use opaque payment systems—such as WeChat Pay, UnionPay or cryptocurrency—to move money outside traditional compliance structures. These platforms facilitate the unchecked flow of funds into Canadian sectors like real estate, academia and infrastructure, many of which are tied to national security and economic competitiveness.

Layered into this is China’s corporate-social credit system. While framed as a financial scoring tool, it also functions as a mechanism of political control, compelling Chinese firms and individuals—even abroad—to align with party objectives. In this context, there is no such thing as a genuinely independent Chinese company.

Complementing these structural tools is guanxi—a Chinese system of interpersonal networks and mutual obligations. Though rooted in trust, guanxi can be repurposed to quietly influence decision-makers, bypass oversight and secure insider deals. In the wrong hands, it becomes an informal channel of foreign control.

Meanwhile, Canada continues to face escalating cyberattacks linked to the Chinese state. These operations have targeted government agencies and private firms, stealing sensitive data, compromising infrastructure and undermining public confidence. These are not isolated intrusions—they are part of a broader effort to weaken Canada’s digital, economic and democratic institutions.

The TD Bank decision should be seen as a bellwether. Financial institutions are increasingly on the front lines of this undeclared conflict. Their actions raise an urgent question: if private-sector actors recognize the risk, why hasn’t the federal government acted more decisively?

The issue of Chinese interference has made headlines in recent years, from allegations of election meddling to intimidation of diaspora communities. TD’s decision adds a new financial layer to this growing concern.

Canada cannot afford to respond with fragmented, reactive policies. What’s needed is a whole-of-society response: new legislation to address foreign interference, strengthened compliance frameworks in finance and technology, and a clear-eyed recognition that hybrid warfare is already being waged on Canadian soil.

The CCP’s strategy is long-term, multidimensional and calculated. It blends political leverage, economic subversion, transnational organized crime and cyber operations. Canada must respond with equal sophistication, coordination and resolve.

The mosaic of influence isn’t forming. It’s already here. Recognizing the full picture is no longer optional. Canadians must demand transparency, accountability and action before more of our institutions fall under foreign control.

Scott McGregor is a defence and intelligence veteran, co-author of The Mosaic Effect: How the Chinese Communist Party Started a Hybrid War in America’s Backyard, and the managing partner of Close Hold Intelligence Consulting Ltd. He is a senior security adviser to the Council on Countering Hybrid Warfare and a former intelligence adviser to the RCMP and the B.C. Attorney General. He writes for the Frontier Centre for Public Policy.

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