🇨🇦 You can follow the progress of #billc6 to ban 'conversion therapy' at this link. parl.ca/LegisInfo/Bill…
The bill is the same wording as Bill C8 from the last session with all the multiple drafting flaws. While Minister of Justice @MinJusticeEn David Lametti has been /2
that the bill is not intended to criminalize private conversations or expressions of opinions, he has not been very clear on what it does ban. Everyone is agreeing that certain forms of conversion therapy' very band and should be banned but nobody can say what they are. /3
This is not acceptable when you are talking about criminal laws which carry a maximum penalty of give years in prison. Is there anyone in the government who can give a concrete example of a practice that the bill will ban or an example of a practice that is permitted? /4
For example, would it be acceptable for a therapist to recommend that a teenager for cross sex hormones because he or she had autism spectrum issues which had not been explored. What about a blood condition that might make hormone treatment dangerous? genderreport.ca/gender-dysphor…
/5
Some of the drafting is just thoughtless. There is a blanket ban on any attempt to reduce or repress non-heterosexual attraction or sexual behavior. The plain meaning of these words would ban therapy for minor attracted person or someone with a harmful sexual fetish. /6
The bill defines conversion therapy as changing gender identity to "cisgender." How do non-binary, agender, gender fluid or any of the hundreds of other possible gender identities fit into this wording? How will this language impact therapy for detransitioners who want to /7
re-identify which their natal sex? Did anyone in the government consider these issues? Will anyone in Parliament consider them before the bill is passed?
Please note that I do not equate being LGBT with pedophilia. The bill fails to make this distinction. At minimum, it needs to be amended to permit therapy to repress or reduce sexual behaviuor which is harmful or unlawful.
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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…