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Globe editorial: Danielle Smith’s transgender policies are about politics, not children’s health

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Alberta Premier Danielle Smith addresses a news conference in Ottawa on Feb. 5.Sean Kilpatrick/The Canadian Press

Federal Conservative Leader Pierre Poilievre came to the defence of Alberta Premier Danielle Smith this week after the federal Liberal government criticized her United Conservative Party government’s restrictive new policies on transgender health care.

Mr. Poilievre went after Prime Minister Justin Trudeau in particular, saying, “He should let parents raise kids and let provinces run schools and hospitals.”

He has a point. It is the province’s jurisdictional right to, as Alberta is doing, ban the use of puberty blockers and gender-affirming hormone treatments for children with gender dysphoria aged 15 and under, to limit their use for those aged 16 and 17 with strict conditions, and to ban gender-reassignment surgery – so-called top and bottom surgeries – for children aged 17 and under.

This isn’t necessarily controversial. After all, Nova Scotia requires patients seeking top or bottom surgery to be the age of majority, which is 18 in that province, and has done so without raising eyebrows. In British Columbia, where the age of majority is 19, the same rule applies for bottom surgery, but not for top surgery, and no one is outraged.

Provinces set guidelines for the treatment of gender dysphoria all the time without making the national news. There is a reason for that, though: They let their health departments act independently of overt political interference.

That is not the case in Alberta. In her video announcing the new policies, Ms. Smith says that “encouraging or enabling children to alter their very biology or natural growth … poses a risk to that child’s future that I as Premier am not comfortable with permitting in this province.”

Not once does Ms. Smith mention medical science, statistics or relevant data that support her decision.

This is wrong. Her personal views, and the things she isn’t personally comfortable with, while they might conveniently align with those of her socially conservative voters, should not in any way inform medical care in Alberta.

This is a dangerous and anti-scientific position for any premier to take. In Ms. Smith’s case, it could harm children.

The science around gender dysphoria in children is evolving. But the most widely accepted standards of care, prepared by the World Professional Association for Transgender Health (WPATH) and supported by the Canadian Paediatric Society, make it clear that gender-affirming care managed by medical and counselling professionals in co-operation with a child and their parents has by far the best outcomes.

This includes the use of puberty blockers that buy time for a young person to further explore their identity without being faced with the pressure of a changing body. The blockers, whose effects are reversible, can also make gender-reassignment surgery, if that’s the eventually chosen course, less complicated and risky.

Gender-affirming hormone therapy is not fully reversible – there can be a permanent change in voice and body shape, for instance – but it is associated with “improved well-being and mental health, decreased suicidality, and decreased body dissatisfaction,” according to the CPS.

Top surgeries on minors – a double mastectomy – is obviously controversial. But WPATH says it is a proven and safe treatment for gender dysphoria. It’s fair to be concerned about this radical procedure for minors; banning it because a politician is uncomfortable with it is not.

Ms. Smith, a self-declared libertarian, is twisting herself in knots with her policies. By banning puberty blockers and hormone therapies for children 15 and under, who may well be fully developed before that age, she is robbing parents of transgendered children of their right to work with their child and health care professionals to decide on the best medical course of action. Parents will effectively be prevented from raising their kids as they see fit.

She is imposing limitations on the treatments recommended by people who actually went to medical school – political gatekeeping that libertarians used to decry.

If she had mentioned even once in her video that her decision was informed by experts in the Ministry of Health, or quoted just one study that demonstrated that she has an understanding of the current state of transgender health care, her policies might not have sparked such outrage.

But of course she didn’t, making it all too clear her harmful policies have very little to do with children’s health, and everything to do with politics.

 

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Political parties cool to idea of new federal regulations for nomination contests

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OTTAWA – Several federal political parties are expressing reservations about the prospect of fresh regulations to prevent foreign meddlers from tainting their candidate nomination processes.

Elections Canada has suggested possible changes to safeguard nominations, including barring non-citizens from helping choose candidates, requiring parties to publish contest rules and explicitly outlawing behaviour such as voting more than once.

However, representatives of the Bloc Québécois, Green Party and NDP have told a federal commission of inquiry into foreign interference that such changes may be unwelcome, difficult to implement or counterproductive.

The Canada Elections Act currently provides for limited regulation of federal nomination races and contestants.

For instance, only contestants who accept $1,000 in contributions or incur $1,000 in expenses have to file a financial return. In addition, the act does not include specific obligations concerning candidacy, voting, counting or results reporting other than the identity of the successful nominee.

A report released in June by the National Security and Intelligence Committee of Parliamentarians expressed concern about how easily foreign actors can take advantage of loopholes and vulnerabilities to support preferred candidates.

Lucy Watson, national director of the NDP, told the inquiry Thursday she had concerns about the way in which new legislation would interact with the internal decision-making of the party.

“We are very proud of the fact that our members play such a significant role in shaping the internal policies and procedures and infrastructure of the party, and I would not want to see that lost,” she said.

“There are guidelines, there are best practices that we would welcome, but if we were to talk about legal requirements and legislation, that’s something I would have to take away and put further thought into, and have discussions with folks who are integral to the party’s governance.”

In an August interview with the commission of inquiry, Bloc Québécois executive director Mathieu Desquilbet said the party would be opposed to any external body monitoring nomination and leadership contest rules.

A summary tabled Thursday says Desquilbet expressed doubts about the appropriateness of requiring nomination candidates to file a full financial report with Elections Canada, saying the agency’s existing regulatory framework and the Bloc’s internal rules on the matter are sufficient.

Green Party representatives Jon Irwin and Robin Marty told the inquiry in an August interview it would not be realistic for an external body, like Elections Canada, to administer nomination or leadership contests as the resources required would exceed the federal agency’s capacity.

A summary of the interview says Irwin and Marty “also did not believe that rules violations could effectively be investigated by an external body like the Office of the Commissioner of Canada Elections.”

“The types of complaints that get raised during nomination contests can be highly personal, politically driven, and could overwhelm an external body.”

Marty, national campaign director for the party, told the inquiry Thursday that more reporting requirements would also place an administrative burden on volunteers and riding workers.

In addition, he said that disclosing the vote tally of a nomination contest could actually help foreign meddlers by flagging the precise number of ballots needed for a candidate to be chosen.

Irwin, interim executive director of the Greens, said the ideal tactic for a foreign country would be working to get someone in a “position of power” within a Canadian political party.

He said “the bad guys are always a step ahead” when it comes to meddling in the Canadian political process.

In May, David Vigneault, director of the Canadian Security Intelligence Service at the time, said it was very clear from the design of popular social media app TikTok that data gleaned from its users is available to the Chinese government.

A December 2022 CSIS memo tabled at the inquiry Thursday said TikTok “has the potential to be exploited” by Beijing to “bolster its influence and power overseas, including in Canada.”

Asked about the app, Marty told the inquiry the Greens would benefit from more “direction and guidance,” given the party’s lack of resources to address such things.

Representatives of the Liberal and Conservative parties are slated to appear at the inquiry Friday, while chief electoral officer Stéphane Perrault is to testify at a later date.

After her party representatives appeared Thursday, Green Leader Elizabeth May told reporters it was important for all party leaders to work together to come up with acceptable rules.

This report by The Canadian Press was first published Sept. 19, 2024.

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New Brunswick election candidate profile: Green Party Leader David Coon

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FREDERICTON – A look at David Coon, leader of the Green Party of New Brunswick:

Born: Oct. 28, 1956.

Early years: Born in Toronto and raised in Montreal, he spent about three decades as an environmental advocate.

Education: A trained biologist, he graduated with a bachelor of science from McGill University in Montreal in 1978.

Family: He and his wife Janice Harvey have two daughters, Caroline and Laura.

Before politics: Worked as an environmental educator, organizer, activist and manager for 33 years, mainly with the Conservation Council of New Brunswick.

Politics: Joined the Green Party of Canada in May 2006 and was elected leader of the New Brunswick Green Party in September 2012. Won a seat in the legislature in 2014 — a first for the province’s Greens.

Quote: “It was despicable. He’s clearly decided to take the low road in this campaign, to adopt some Trump-lite fearmongering.” — David Coon on Sept. 12, 2024, reacting to Blaine Higgs’s claim that the federal government had decided to send 4,600 asylum seekers to New Brunswick.

This report by The Canadian Press was first published Sept. 19, 2024.

The Canadian Press. All rights reserved.

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New Brunswick election profile: Progressive Conservative Leader Blaine Higgs

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FREDERICTON – A look at Blaine Higgs, leader of the Progressive Conservative Party of New Brunswick.

Born: March 1, 1954.

Early years: The son of a customs officer, he grew up in Forest City, N.B., near the Canada-U.S. border.

Education: Graduated from the University of New Brunswick with a degree in mechanical engineering in 1977.

Family: Married his high-school sweetheart, Marcia, and settled in Saint John, N.B., where they had four daughters: Lindsey, Laura, Sarah and Rachel.

Before politics: Hired by Irving Oil a week after he graduated from university and was eventually promoted to director of distribution. Worked for 33 years at the company.

Politics: Elected to the legislature in 2010 and later served as finance minister under former Progressive Conservative Premier David Alward. Elected Tory leader in 2016 and has been premier since 2018.

Quote: “I’ve always felt parents should play the main role in raising children. No one is denying gender diversity is real. But we need to figure out how to manage it.” — Blaine Higgs in a year-end interview in 2023, explaining changes to school policies about gender identity.

This report by The Canadian Press was first published Sept. 19, 2024.

The Canadian Press. All rights reserved.

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