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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.

conflict

Energy Security in a Turbulent World: Canada’s Moment to Lead

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From the Frontier Centre for Public Policy

By Terry Etam

Autos are different than maple syrup, which is different than oil, which is different than natural gas…Ottawa, get out of that freaking UN playpen, we have issues here.

Want an example of how upside down the whole world is? Consider these two quotes, retrieved from the web this past weekend, about whatever the hell is going on in Syria:

“There are posts on X discussing this event, with some suggesting that Assad might have fled to Moscow, though these should be treated with caution as social media can spread unverified information. Official state responses or confirmations from the Syrian government were not detailed in the provided sources… This situation reflects the ongoing instability in Syria, where despite years of conflict, the dynamics can still shift dramatically. However, without more concrete details or official statements, the full implications and the veracity of the breach into Assad’s palace remain to be fully assessed.”

“The Assad regime’s ongoing refusal to engage in the political process outlined in UNSCR 2254, and its reliance on Russia and Iran, created the conditions now unfolding, including the collapse of Assad regime lines in northwest Syria. At the same time, the United States has nothing to do with this offensive…”

Now isn’t that interesting, hey? The best and the worst of social media – a voice of calmness and reason, and an inflammatory one of accusations and denial. One statement urging caution and suspicion of social media; the other hurling accusations and the sort of militant and overly simplified claims that sadly seem to be the hallmark of extremism.

Here’s the funny part: the first calm comment originated from…  X’s AI machine Grok, which collates mass data from X, formerly Twitter, the “unhinged right wing platform” which many decry it as. The second inflammatory one originated from – the White House. In whom shall we trust…?

Chaos reigns supreme around the world, and there simply isn’t enough reliable information to leap to significant conclusions. Trump’s recent tariff announcements fit squarely into this mayhem, where the right answer to what will happen is: “No one has any idea where these will lead, including most certainly not Trump.”

It’s hard to catalogue it all, but here goes an attempt to capture some of the most pertinent brick-in-a-washing-machine situations, to possibly guide toward a plausible outlook for the energy industry. If that – a plausible outlook – sounds like a wet-noodle conclusion, well, it is. It should be quite evident that any sort of dead certainty is the realm of fools

Consider all this mayhem unfolding, particularly in comparison to the dreamy world of the 1990s when the Berlin Wall had fallen, and we were all flitting about with flowers in our hair discussing the “peace dividend”.

Today we have:

A global movement to advance the BRICS initiative (Brazil, Russia, India, China, and South Africa), a more-than-significant group of nations that is, for the first time in centuries, looking to carve a future for its mostly ‘developing-nation-status’ participants that is, as India says, not anti-western but non-western. The aligned BRICS nations contain over 3 billion people, which is climbing as more nations seek to join, with a combined GDP of over $30 trillion. These nations do not share the West’s devotion to moralistic causes; they are hungry and want to eat, they want refrigerators and cars, and they want to stop burning dung in their kitchens.

Multiple, simultaneous wars have ensnared the weirdest alignment of countries that may lead to unpredictable outcomes. Let’s start with the poster child for bang-bang bingo, the Middle East. We have…Israel not just fending off but looking to wipe out terrorist organizations that operate in Lebanon, Gaza, Yemen, Qatar (until just a few weeks ago, apparently), and Lord knows where else. All those terrorist organizations trace back to a central head in Iran, who is no doubt in Israel’s crosshairs. Based on this conflict, nations have been forced to align with the Israeli side, or the Iranian side if said nation is close to any one of the tentacles of the Iranian complex.

Now at the same time, Iran is supplying weapons to Russia, which is waging another war that multiplies the minefield of geopolitical relations. China is supporting Russia and, thereby, a de facto supporter of Iran, or kind of, and both support North Korea for some crazy reason. So, by way of association, anyone looking to join the BRICS group is in some way sanctioning what Iran and Russia are doing, including, as Trump called him one upon a time, Little Rocket Man. But Orange Man Bad and Little Rocket Man get along very well, even though this is structurally impossible based on history, and on last year’s ‘rock solid’ alliances.

Now consider that countries like Saudi Arabia, Thailand, Malaysia, and Vietnam have either expressed interest in joining BRICS, or are on their way to membership (the United Arab Emirates has now actually joined). These are significant entities because they are significant trading partners with the US (and the US/west is fully dependent on China anyway for metals/minerals processing, a situation that seems to have yet to fall into the West’s consciousness. What is the West to do when valuable trading partners decide they’d rather join Satan and the Communists’ trading block, rather than the open-if-hectoring arms of the wealthy West?

In a new development, Trump announced 100 percent tariffs on BRICS if they did not make efforts to trade in a manner that would challenge the USD’s status as the global reserve currency. This is even though the US economy is deeply entwined with many countries in BRICS, and these tariffs would rock the US and its voters to the core (with more elections coming up in two years, all this must resolve quickly or boom, there goes the balance of power again).

Now, let’s look at how the madness has permeated the world of energy.  We have a new US president who announced tariffs of 25% on any goods from Canada (oil? Who knows?) and who also said he would prefer to see Keystone XL built, thereby increasing the volume of the product he is seeking to keep out via tariffs…? He has pledged to cut American energy prices in half and promote ‘drill baby drill” while cutting oil prices in half will decimate any producer’s desire to “drill baby drill”.

That’s just in the US. Look at what happened at COP29, where the host country’s president apparently used the conference as a networking event to cement more oil and gas production deals. Later in the conference, an OPEC minister took the stage – mere days after the UN Secretary General’s tiresome wailing about the mortal danger we are all in due to the combustion of fossil fuels – to declare that oil was “a gift from God.” Throw all that into a pot, and surprise, surprise, the final conference statement of progress read like a kid’s soliloquy on why his bedroom was such a disaster –but don’t worry, it will never happen again. In other words, just a bunch of jibber jabber, if for no other reason than to cloak that 70,000 freaking people jetted around the world to a remote location to study the suicidal impact of people flying around the world to remote locations. (And climate conferences manage, if nothing else, to land tens of thousands of people in every exotic destination in every corner of the world, all flown in, to shout vigorously about among other things, the ecological horror that is flying. It’s all too funny for words.)

We have Europe on its industrial knees, Germany in particular, because it shut down all its clean baseload energy sources (nuclear) and stopped buying its life blood fuel – natural gas – from Russia because, and here we go again right back into the swamp, of Russia’s invasion of Ukraine. German industrial output is in freefall, auto manufacturers are bleeding red ink because they are forced to limit sales of the cars people want – internal combustion engine ones – because German policy dictates that electric vehicles must make up a specific percentage of sales. Despite Germany’s formidable engineering prowess, the simple observation that if no one buys EVs, no automaker will sell any ICEs – that’s how a forced EV proportion of sales works – and everything crumbles as a result. Volkswagen is looking to shut down German manufacturing plants for the first time ever. It is a crazy industrial policy.

We are now seeing a pushback against the rushed energy transition/net-zero-whenever agenda that is far beyond my imagination (and my imagination is big) because the inevitable has happened – it is hitting people’s pocketbooks. In the latest very big news on that front, the state of Texas is suing BlackRock, State Street, and Vanguard for illegally conspiring to manipulate energy markets and drive-up costs for consumers. Texas Attorney General’s office issued a news release stating: “Over several years, the three asset managers acquired substantial stockholdings in every significant publicly held coal producer in the United States, thereby gaining the power to control the policies of the coal companies. Using their combined influence over the coal market, the investment cartel collectively announced in 2021 their commitment to weaponize their shares to pressure the coal companies to accommodate “green energy” goals. To achieve this, the investment companies pushed to reduce coal output by more than half by 2030.” The Attorney General argues that efforts to restrict coal power have led to increased electricity costs across the United States, resulting in significant revenue gains for the investment companies that hold shares in these firms. Additionally, the news release claims that these companies misled thousands of investors who chose to invest in non-ESG (Environmental, Social, and Governance) funds, aiming to maximize their profits. Despite their claims to the contrary, these funds implemented ESG strategies. Notably, ten other states have joined the lawsuit.

While that is all unfolding, Trump’s threat of a 25 percent tariff on imports of Canadian and Mexican goods could include oil and natural gas. Given that the North American energy market is hugely intertwined, and that natural gas is quite different than oil (gas is to a certain extent a two-way street – for every 3 GJ of natural gas that Canada exports to the US, the US exports 1 to Canada), there is much complexity here to unpack, and I’m not sure anyone is able to… There are many levels of analysis here – economic, political, geopolitical, retaliatory, defense (Are NATO commitments met? Silence from the Canucks), and there isn’t any indication that either Canada or the US grasps the full nationwide repercussions. Autos are different than maple syrup, which is different than oil, which is different than natural gas…Ottawa, get out of that freaking UN playpen, we have issues here.

The most recent feedback out of Canada’s tariff situation, the reports of the conversations between the two leaders, indicate that in the short term, the tariffs are unavoidable until “the US balances its budget.” No one knows what that means, and assuming the worst isn’t a bad idea because nothing is very stable these days. Having said that, tariffs on oil and gas are going to be chaotic, to put it mildly, if for no other reason than the US needs Canadian crude grades that it cannot produce in the short term, and because the US exports natural gas to Canada in significant quantities.

And that’s just the North American perspective. Globally, we are in severe turmoil as well. We have policymakers who cannot comprehend the very basic math involved in the quantities of energy the developing world will want, and at the very same time those Western policymakers are overseeing the maddest race ever to thrive in the AI and crypto mining spaces, both of which are power hogs of unimaginable proportions because each embeds an unusual feedback loop whereby the more power is consumed, the better these things perform, and the more profitable they are, so guess what happens.

Back here in Canada, some excellent thinkers are pointing out that this country needs to start thinking at a somewhat higher level on the energy file at least, such as Heather Exner-Pirot pointing out in the Calgary Herald that Canada should be looking at reviving Keystone XL and Northern Gateway. The article also discusses how we should be accelerating LNG export development. These are excellent points – we need to take control of our energy destiny to the extent possible. Trudeau’s rushed visit to Florida to plead Canada’s case was a stark and somewhat embarrassing display of exactly what the power relationship is here.

Maybe the US election will also be sufficiently jarring in Canada to cause a thunderclap in the hallways in Ottawa on the energy file. Canada is an energy powerhouse – oil, natural gas, nuclear, hydro, renewables where they work, it is a minerals powerhouse, it has world-class agricultural and manufacturing prowess…the list goes on and on.

The world is demonstrably uncertain, but in the chaos is opportunity. Nationally we have become preoccupied with trivialities and attempting to solve the world’s problems – from a point of view that doesn’t even understand them in the first place.

The US election is a wake-up call to Canada, and many other countries as well – stop playing games, stop acting as though elected officials and an army of bureaucrats are our moral compass, and get back to governance; put your thinking hats on like hasn’t been done for a while; focus on strengths; get our own house in order before lecturing the world. Do right by the people that voted for you, not your perceived legacy.

Few countries are as blessed as Canada with pretty much everything. Time to get off our back foot.

Terry Etam is a columnist with the BOE Report, a leading energy industry newsletter based in Calgary.  He is the author of The End of Fossil Fuel Insanity.  You can watch his Policy on the Frontier session from May 5, 2022 here.

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Frontier Centre for Public Policy

Health Risks from Water Fluoridation are not just in RFK’s Head

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From the Frontier Centre for Public Policy

By Lee Harding

“There is evidence that fluoride exposure has been associated with the diseases [and] disorders that RFK listed, but with caveats”

Water fluoridation has returned to the forefront of public policy debates thanks to environmental lawyer Robert F. Kennedy Jr. Kennedy is expected to have a role in the Department of Health and Human Services, giving his opinion more weight than ever.

In a post to X, Kennedy wrote, “On January 20, the Trump White House will advise all U.S. water systems to remove fluoride from public water. Fluoride is an industrial waste associated with arthritis, bone fractures, bone cancer, IQ loss, neurodevelopmental disorders, and thyroid disease.”

The post links to a High Wire video interview with lawyer Michael Connett, lead attorney in a successful case against the Environmental Protection Agency (EPA). Last September, Obama-appointed District Court Judge Edward Chen sided with Connett and mandated the EPA to more strictly regulate water fluoridation.

Chen’s ruling states, “In all, there is substantial and scientifically credible evidence establishing that fluoride poses a risk to human health; it is associated with a reduction in the IQ of children and is hazardous at dosages that are far too close to fluoride levels in the drinking water…”

Fluoride is a poisonous industrial byproduct, handled in its pure form by people in hazmat suits. Dealing with sodium fluoroacetate was an expense for the Aluminum Company of America before Edward Bernays helped turn it into a profitable venture. In the 1940s, Bernays, the father of modern public relations and nephew of psychoanalyst Sigmund Freud, used mass psychology and public health advocates to have fluoride put in drinking water. Fluoridation opponents were dismissed as kooks ever after.

The toxicology adage “The dose makes the poison” applies. Chemicals, including drugs, can benefit health in some respects but undermine it in others. Unfortunately, recent analysis suggests the “side effects” of fluoridation may outweigh its alleged benefits.

A recent analysis by Cochrane Reviews said water fluoridation may provide a slight dental benefit, but less so since the mid 70’s when manufacturers commonly added fluoride to toothpaste. Fluoride reverses or stops early tooth decay by remineralizing teeth, making them stronger. It also reduces bacteria’s ability to make acids that cause decay.

Fluoride capsules have little effect on teeth, which suggests its main positive effect is topical (meaning by direct contact). An obvious question follows: if fluoride of roughly one part per million passing over the teeth before swallowing, what is its effect during digestion or bodily storage? After all half of fluoride is passed through urine, while the remainder is stored in the body.

In 2020 The Institute of Technology and Business in the Czech Republic made a six-article issue dedicated to the mechanisms of fluoride toxicity. One explained in the abstract that “fluoride is an enzymatic poison, inducing oxidative stress, hormonal disruptions, and neurotoxicity.” The toxic effects were magnified when trace amounts of aluminum were present, and “might contribute to unexpected epidemics in the future.”

Sleeplessness, hypothyroidism, and autism to conditions linked to fluoride consumption, whether through natural sources or water fluoridation. The risks were found through statistical studies comparing health issues in water fluoridated and non-fluoridated areas, biochemical analysis, and human and animal studies.

“We concur with the conclusions of many authors over the world that fluoride neurotoxicity is a serious risk associated with elevated fluoride exposure… […] Fluoride toxicity is a slow, hidden process. Evolving evidence should inspire scientists and health authorities to re-evaluate claims about the safety of fluoride…”

In 2019, researchers from Canadian and U.S. universities tested over 500 Canadian women throughout their pregnancies for fluoride levels in their urine. Their study, published in the Journal of the American Medical Association (JAMA), found that for each milligram of fluoride per litre in the mother’s urine, IQ dropped 4.5 points in their male children tested at ages of three to four years.

Christine Till, a professor in the Department of Psychology at York University in Toronto, told CNN, “At a population level, that’s a big shift. That translates to millions of IQ levels lost.”

Ashley Malin, an assistant professor in the University of Florida’s Epidemiology Department, had similar findings in her Florida study, published in JAMA in 2024.

“There is evidence that fluoride exposure has been associated with the diseases [and] disorders that RFK listed, but with caveats,” Malin told the Virginia Mercury in a recent article.

“Aside from fluoride’s impacts on neurodevelopment, I think that there is more that we don’t know about health effects of low-level fluoride exposure than what we do know, particularly for adult health outcomes,” Malin added.

In August, the National Toxicology Program (NTP) in the United States found that fluoride levels higher than 1.5 mg/L (the highest acceptable level in Canada) are associated with lower IQs in children. The NTP said there is insufficient evidence to conclude that there are similar risks at the recommended level of 0.7 mg/L.

Montreal recently ended its water fluoridation and hopefully other cities will follow. Only a misguided nanny state would poison young minds and old bones for the sake of people who don’t brush their teeth.

Lee Harding is a Research Fellow for the Frontier Centre for Public Policy.

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