In the portion of The Line‘s weekly dispatch that’s visible to freeloaders, the editors discover to their horror that they have to weigh in on the gender fracas:

So to be clear, we really don’t have any problem with Alberta restricting elective gender-related surgeries on minors under the age of 17. While we are rather concerned about the use of puberty blockers and cross-sex hormones among minors, we also suspect that trying to ban these drugs for absolutely everyone under a certain age represents an overreach by the state.

Also, bluntly, we don’t think that in an ideal world, the state should be involving itself in most of this stuff at all. We want to exist in a country in which sports leagues, doctors, schools and teachers can be trusted to make sensible, evidence-based decisions on a case-by-case basis.

Take sports, for example: does a rec-league pickleball tournament need to have the same rules around trans participation as a competitive women’s rugby league? And do we really want any state regulation bulldozering over the people who are actually on the ground, and best understand the physical and cultural realities of that sport?

Or take puberty blockers.

Should we really be treating a 12-year-old who has displayed severe and crippling gender dysphoria since the age of three with the same treatment protocol as a depressed 14-year-old boy who comes into the gender clinic for the first time attached to a Munchausen-by-Proxy mom documenting every moment of her child’s transition for TikTok? Do we want politicians in Edmonton writing the precise rules that will be faithfully applied in both those situations?

Sigh.

We understand how we got here. Any discussion around trans issues is now highly insane; in a hyper-polarized, borderline hysterical moment, we actually can’t trust our institutions to possess the requisite reserve and dispassion needed to make credible and defensible decisions. These institutions are, or are perceived to be, too ideologically captured to be trustworthy.

For an example that just happened to cross our path today, take this quote from Dr. Simone Lebeuf, a pediatrician in Edmonton who specializes in gender-diverse youth. In it, she notes that restricting puberty blockers to children over the age of 15 effectively makes the treatment useless, as they would be administered at an age well past the onset of puberty.

“It’s done. The window has passed,” the doctor told City News. “And we really look at puberty blockers as an option for kids to have some space and time to make decisions about their future selves and who they might want to be as adults. Their puberty is not benign, it is not a nothing process to go through. The physical changes with puberty are permanent.”

Right off the bat, a statement like this ought to raise eyebrows, and not only because it’s a talking point we’ve already heard dozens of times on TikTok. This doctor — a physician who is actually treating children — is conflating the harms caused by artificially delaying a natural process with the apparent harms caused by the biological process itself. That logic is not sound. There is a clear difference between, say, permanent loss of sexual function and bone density caused by interfering in the natural course of puberty, and the harm of allowing a child’s body to grow an Adam’s apple despite that individual feeling like a woman.

Secondly, Dr. Lebeuf isn’t addressing the core concern with puberty blockers, above and beyond their physical side effects. The majority of children who present with gender dysphoria are not trans. Most of them turn out to be simply gay — a fact they discover via the process of growing up and sexually maturing. By delaying or denying a gender dysphoric child the opportunity to experience normal puberty, critics of these treatment protocols fear that a doctor may be preventing the very process by which gender dysphoria would resolve itself without medical intervention. Most — certainly not all, but most — gender dysphoric children would otherwise grow up to be at ease with their natal sex. But once kids start with the puberty blockers and then cross-sex hormones, this process of medical transitioning may be psychologically self reinforcing, pushing physically healthy minors into pursuing more and more unnecessary and invasive interventions with serious lifelong consequences.

In short, puberty blockers are not magic cures for gender dysphoria. They might be appropriate for some kids with lots of supports and monitoring. But they could be disastrous for others, and we have no foolproof way to know in advance which kids will fall into what camp.

This stuff is complicated, and it’s made more so because it’s difficult to study objectively in ideologically captured environments dominated by activists on all sides who muddy the waters with emotionally charged rhetoric, and confuse good science with bad. If you want to understand why people are turning to Danielle Smith instead of the Alberta Medical Association to address their fears, quotes like the one above are a prime example.

And, by the way, we include “The Media” writ large as having failed on this file. The lack of skepticism and neutrality that the media has demonstrated on even the most maximalist and unpopular positions on gender and sexuality has — to our mind — significantly contributed to the radical decline in its collective credibility.