Alberta
Canadians owe a debt to Premier Danielle Smith
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From the Frontier Centre for Public Policy
In recent days, Premier Smith has endured criticism from many people about her recent announcements relating to treatments for what is often described as gender transition.
Instead, she deserves praise for decisions that are as important for how they were made as for the gender transition issues that concern her and her colleagues. Her actions on this matter demonstrate how public policy should be developed and explained.
The most important quality of the recent policy announcements by the Alberta government is that they are evidence based.
There is an emerging consensus outside Canada that the evidence supporting pharmacological and surgical procedures to change genders in minors is either very weak or nonexistent.
Sweden, Finland, the UK and Norway have restricted or forbidden the use of these treatments on minors, as have twenty-three American states. Ms. Smith referred to these in her press conference announcing the changes her government is making.
Leaders in other countries have done this after conducting detailed studies including one by the UK High Court of Justice and another by Dr. Hilary Cass, a former President of the Royal College of Pediatrics and Child Health in the United Kingdom
Dr. Cass is an independent expert commissioned to provide advice to the National Health Service on gender treatments. She concluded that “evidence on the appropriate management of children with gender incongruence is inconclusive both nationally and internationally’’.
The second reason the decisions taken by Alberta are important is that they were taken despite ideology advocated by the Government of Canada and the unwillingness of federal officials including the Prime Minster to support their opposition to the Alberta policies with any evidence.
In his initial comments, the Prime Minister made no reference to any of the many studies that have been done describing the dangers of pharmacological and surgical procedures to change the gender of minor children.
He also displayed no understanding of the experiences of other countries on this matter. He did not refer to the Cass report and its seminal conclusions.
The comments by Federal Health Minister Mark Holland lacked any evidence the public could use. He also used offensive rhetoric.
Mr. Holland described the Alberta decisions as being behaviour that is “extremely dangerous to engage in …. which is, I think, playing politics about children’s lives.” He also referred to the “devastation that its going to bring”, referring to the Alberta changes.
Federal communications marked by a factual vacuum and excessive language are not going to help resolve serious differences of opinion on serious issues. They are also not condusive to good relations between the federal government and an important province.
The third and particularly significant reason the recent changes announced by the Alberta government are so important is that they will protect children.
Adolescence, a phase of child development that has been with us for thousands of years, is an important part of everyone’s life.
It is a vital part of what it means to be human. Delaying or blocking it is dangerous, something that many observers have noted but that the Prime Minister and the Minister of Health do not recognize.
Federal leaders need to inform themselves, particularly about the negative impact of puberty blockers on bone and brain development and the lifelong medical attention many transitioners will need because of the pharmacological and surgical procedures used on them to change genders.
The Prime Minister and the Minister of Health should also learn about the increasingly large number of transitioners who regret their transition and later seek to reverse it. Their situation is particularly tragic because many of the negative consequences of changing genders in children cannot be reversed.
Federal leaders also support hiding from parents the decisions children make in schools about the pronouns they use to describe their genders. This is another practice that many feel is harmful and divisive.
The federal perspective on this is unreasonable.
Our species survived over the centuries because the first priority for most parents is their children and most take good care of them.
There is no basis for a lack of trust in them and in the relatively few cases where parents do not provide appropriate care, the child protection laws come into play.
It is particularly important that federal leaders recognize the grave problems that puberty blockers and related surgeries often pose for children who are gays or lesbians.
These children sometimes display some of the attributes of the opposite sex as they grow, and these are often misinterpreted as gender dysphoria. They then get treated for a problem they don’t have, with serious lifelong consequences.
Unfortunately, this happens in many Canadian pediatric hospitals.
There is nothing wrong with these children. They should be allowed to develop and grow in their own way and be who they are. That means no puberty blockers or surgeries to change them.
The fourth reason to respect the new directions on gender issues Ms. Smith and her colleagues have decided upon is the moderation displayed by the Alberta government in putting them forward and communicating with the public about them.
The language used has been understated. The changes are lawful in every respect including in relation to the Charter of Rights and Freedom and other legislation.
The evidence has been clearly presented in a way most citizens can readily understand and great care has been taken to deal with those who may have concerns thoughtfully, including allowing time for debate and discussion before the changes are made.
This is a good example of how governments should behave. Federal leaders should show some respect for the approaches taken by Ms. Smith and her colleagues as they dealt with a very complex issue.
The final reason for the importance of the Alberta approach is that it has avoided many of the problems associated with medical practice standards and regulation that are so evident in Canada and which have been a major cause of the difficulties our country faces on gender issues.
Provincial Colleges of Physicians and Surgeons and many regulators elsewhere regulate doctors based largely on prevailing practices by physicians rather than clinical outcomes.
This means that there have been many cases over the years, in Canada and elsewhere, where evidence to support medical procedures has been lacking. Current practices toward gender dysphoria in Canada and some US states are examples.
In these cases, if something is done often enough by enough doctors, that procedure becomes the standard and not clinical outcomes. This often leads to perverse outcomes that everyone ultimately regrets.
In the years to come, unless we change course soon and unless others follow the Alberta path, people will be wondering how the problems summarized in this article developed and why we damaged so many children by an approach defined more by ideology than factual reality.
David MacKinnon is a Senior Fellow at the Frontier Centre for Public Policy
Alberta
Open letter to Ottawa from Alberta strongly urging National Economic Corridor
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Canada’s wealth is based on its success as a trading nation. Canada is blessed with immense resources spread across a vast country. It has succeeded as a small, open economy with an enviable standard of living that has been able to provide what the world needs.
Canada has been stuck in a situation where it cannot complete nation‑building projects like the Canadian Pacific Railway that was completed in 1885, or the Trans Canada Highway that was completed in the 1960s. With the uncertainty of U.S. tariffs looming over our country and province, Canada needs to take bold action to revitalize the productivity and competitiveness of its economy – going east to west and not always relying on north-south trade. There’s no better time than right now to politically de-risk these projects.
A lack of leadership from the federal government has led to the following:
- Inadequate federal funding for trade infrastructure.
- A lack of investment is stifling the infrastructure capacity we need to diversify our exports. This is despite federally commissioned reports like the 2022 report by the National Supply Chain Task Force indicating the investment need will be trillions over the next 50 years.
- Federal red tape, like the Impact Assessment Act.
- Burdensome regulation has added major costs and significant delays to projects, like the Roberts Bank Terminal 2 project, a proposed container facility at Vancouver, which spent more than a decade under federal review.
- Opaque funding programs, like the National Trade Corridors Fund (NTCF).
- Which offers a pattern of unclear criteria for decisions and lack of response. This program has not funded any provincial highway projects in Alberta, despite the many applications put forward by the Government of Alberta. In fact, we’ve gone nearly 3 years without decisions on some project applications.
- Ineffective policies that limit economic activity.
- Measures that pit environmental and economic objectives in stark opposition to one another instead of seeking innovative win-win solutions hinder Canada’s overall productivity and investment climate. One example is the moratorium on shipping crude through northern B.C. waters, which effectively ended Enbridge’s Northern Gateway proposal and has limited Alberta’s ability to ship its oil to Asian markets.
In a federal leadership vacuum, Alberta has worked to advance economic corridors across Canada. In April 2023, Alberta, Saskatchewan and Manitoba signed an agreement to collaborate on joint infrastructure networks meant to boost trade and economic growth across the Prairies. Alberta also signed a similar economic corridor agreement with the Northwest Territories in July 2024. Additionally, Alberta would like to see an agreement among all 7 western provinces and territories, and eventually the entire country, to collaborate on economic corridors.
Through our collaboration with neighbouring jurisdictions, we will spur the development of economic corridors by reducing regulatory delays and attracting investment. We recognize the importance of working with Indigenous communities on the development of major infrastructure projects, which will be key to our success in these endeavours.
However, provinces and territories cannot do this alone. The federal government must play its part to advance our country’s economic corridors that we need from coast to coast to coast to support our economic future. It is time for immediate action.
Alberta recommends the federal government take the following steps to strengthen Canada’s economic corridors and supply chains by:
- Creating an Economic Corridor Agency to identify and maintain economic corridors across provincial boundaries, with meaningful consultation with both Indigenous groups and industry.
- Increasing federal funding for trade-enabling infrastructure, such as roads, rail, ports, in-land ports, airports and more.
- Streamlining regulations regarding trade-related infrastructure and interprovincial trade, especially within economic corridors. This would include repealing or amending the Impact Assessment Act and other legislation to remove the uncertainty and ensure regulatory provisions are proportionate to the specific risk of the project.
- Adjusting the policy levers that that support productivity and competitiveness. This would include revisiting how the federal government supports airports, especially in the less-populated regions of Canada.
To move forward expeditiously on the items above, I propose the establishment of a federal/provincial/territorial working group. This working group would be tasked with creating a common position on addressing the economic threats facing Canada, and the need for mitigating trade and trade-enabling infrastructure. The group should identify appropriate governance to ensure these items are presented in a timely fashion by relative priority and urgency.
Alberta will continue to be proactive and tackle trade issues within its own jurisdiction. From collaborative memorandums of understanding with the Prairies and the North, to reducing interprovincial trade barriers, to fostering innovative partnerships with Indigenous groups, Alberta is working within its jurisdiction, much like its provincial and territorial colleagues.
We ask the federal government to join us in a new approach to infrastructure development that ensures Canada is productive and competitive for generations to come and generates the wealth that ensures our quality of life is second to none.
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Devin Dreeshen
Devin Dreeshen was sworn in as Minister of Transportation and Economic Corridors on October 24, 2022.
Alberta
Premier Smith and Health Mininster LaGrange react to AHS allegations
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Alberta Premier Danielle Smith and Health Minister Adriana LaGrange respond to allegations of political interference in the issuing of health-care contracts.
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