🇨🇦 Some comments on the state of free speech in Canada in light of the @WeAreFairCop and #IStandWithScottow cases. In Canada it is unlikely that anyone would be criminally charged for 'misgendering'. The hate crime provisions in the Criminal Code are very restrictive it would /2
require much more than using the wrong pronouns to justify a charge. Section 319(1) applies to statements made in public which are likely to provoke a breach of the peace. Section 319(2) is broader and could cover statements made on social media but charges under this section /3
require the approval of the attorney general. Charges are very rare. The police would not be able to make an arrest on a complaint of a private individual. The limitations on free speech in Canada generally fall into three categories: 1. Non-publication orders made in criminal /4
or family cases involving minors which can be enforced by contempt of court charges; 2. Civil or administrative action under provincial human rights codes (Morgane Oger is big on this); 3. Non-governmental action by workplace, professional or academic sanctions.
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1/ In his embarrassing interview with Stella O'Malley and Mia Hughes, Gordon Guyatt repeated the claim that the Health and Human Services report on gender medicine used the McMaster reviews to justify the denial of care to transgender people.
2/ This is a misrepresentation of the HHS report, which does not make any policy recommendations. It does present evidence which could be used to justify a ban on pediatric gender medicine but this evidence goes well beyond the systematic reviews. opa.hhs.gov/sites/default/…
3/ The HHS report conducted an umbrella review of all of the systematic reviews of pediatric gender medicine, and not just the McMaster reviews, to support the finding that the evidence of benefit is low certainty.
1/ One aspect of the controversy over @GuyattGH, @segm_ebm and the McMaster systematic reviews which has not been noted is the link with Egale Canada and ongoing litigation over the pediatric gender medicine ban in Alberta.
@GuyattGH @segm_ebm 2/ Egale Canada is the plaintiff in an action to block the Alberta legislation restricting medical transition of minors. A judge granted an interim injunction against the implementation of the law, and the government has appealed cbc.ca/news/canada/ca…
@GuyattGH @segm_ebm 3/ An analysis of the injunction decision by @GeoffSigalet argues that the judge was operating inside a liberal misinformation bubble. macdonaldlaurier.ca/a-misinformati…
A short but pointed thread by another leading figure in evidence based medicine on the extent to which the recent statement @GuyattGH and some of his colleagues on their systematic reviews of gender medicine betrays the core principles he helped to develop. /2
One of the principles of evidence based medicine is avoiding bias through management of conflicts of interest. The methodologists who lead systematic reviews and guideline development are supposed to be neutral on the clinical and policy implications of their work. /3
By expressing the opinions in the letter and donating to Egale Canada, which is a highly partisan advocacy group supporting medical transition of minors, Guyatt and his team are putting themselves in a position of intellectual conflict of interest on issues of gender medicine. /4
WPATH can't catch a break. Even though the ACLU agreed to dismiss Boe v Marshall, where it challenged the Alabama law banning medical transition of minors, a federal judge has just ordered that more of the documents WPATH disclosed be made public. /2
Many of the documents produced by WPATH were subject to a protective order and could not be published but the judge ruled that recordings or WPATH and USPATH conferences and panel discussions were not confidential and were not covered by the order. /3 reason.com/volokh/2025/06…
Although WPATH was not a party to the case, the judge ordered it to produce documents relating to its standards of care as they were the basis of the plaintiff's claim that gender affirming treatments were medically necessary. /4justdad7180.substack.com/p/boe-v-marsha…
1/ The report of the Quebec Comité de sages sur l'identité de genre is out. It is over 200 pages in French only so it will take me some time to review. The recommendations are modest and often vague but do represented some small progress. Link is in the next Tweet.
2/ The report consists of two volumes and a summary. This is a summary of the summary. The links are on this page:quebec.ca/gouvernement/m…
3/ The first chapter discusses the evolution of the phenomenon of gender identity. It is clear that sex is binary but it does get intersex wrong. Here are the recommendations with an English translation by Deepl.
1/ The Canadian Medical Association is challenging Alberta legislation restricting pediatric medical transition on the grounds that it violates the Charter by restricting physician's freedom of conscience.
2/ The Alberta law bans puberty blockers, limits cross sex hormones to patients over 18 and surgery to those over 18. It is part of a larger package that covers social transition in schools and sports. justdad7180.substack.com/p/alberta-chal…
3/ The issue of doctors' freedom of conscience was considered in Canada when a group of Christian doctors challenged a regulation requiring them to refer patients who wanted medically assisted death to a doctor who did not object to this practice. canadianlutheran.ca/christian-doct…