Showing posts with label American Academy of Pediatrics. Show all posts
Showing posts with label American Academy of Pediatrics. Show all posts

Saturday, September 29, 2018

American Circumcision: A Reaction to a Documentary on Circumcision in America



The award-winning documentary on male infant circumcision in America, "American Circumcision," was released last year. Though I kept my finger on the pulse regarding the release of this film, I didn't know it had been completed and even released until I had read that the film actually won the Best Documentary Film Award at the Lone Star Film Festival in November 2017. Up until recently, I hadn't actually seen the film, either. I didn't think I needed to see it, as I've been an intactivist since 1996 or so, and I felt I knew everything I needed to know regarding this complex issue. I finally got a chance to see the film in its entirety, and my assumptions were confirmed, although I was actually rather surprised. In this post, I will give my reaction to it.

The Film Maker, Brendon Marotta, not only covered as many points as he could on this issue; he actually had the courage to interview known male infant circumcision advocates face to face. Knowing what I know about the circumcision advocates he interviewed, I don't know what I would do if I were actually standing face to face with them. Hearing them actually blatantly and deliberately state lies as if they were accepted matter-of-fact, and hearing them deliberately minimize or deny the gravity of what is male infant circumcision, gave me the feeling of wanting to put my hand through the screen and strangle them.

There was nothing new in the film that I didn't already know, but American Circumcision seemed to breathe life into that knowledge. It reignited something in me to watch Brian Morris outright say that intactivists are "causing death all around the world" with total seriousness, to watch Marie Wawer and her partner go on and on about how circumcision is "almost like a vaccine," to watch Edgar Schoen minimize and dismiss men who are angry about their circumcisions, to watch Andrew Freedman deny the religious bias evident in the "convictions to his tribe" he had just finished professing, and yes, to watch and hear video of a baby being circumcised. I wonder what must have gone through Brendon's mind as he filmed the doctor go through the procedure of forcibly mutilating a healthy, non-consenting child's genitals.

I already knew that there were actually people trying to pass off lies as gospel truth on this matter, but it's one thing to know about these things, and it's quite another to actually see these acts on film personified. When I observe someone telling a deliberate lie and I know that what they are telling is demonstrably false, I think one of two things is happening; either the person is idiotic and stupid for actually believing and repeating these blatant lies, or they know that they're lying and are hoping the people they tell lies to are idiotic and stupid.

The situation in America makes me lose faith in science. Deep down in my heart, I want to believe that scientists and researchers out there are interested in finding out the truth. I want to believe that scientists and researchers are neutral, unbiased, dispassionate, and that they are interested in seeking for truth, not reinforce preexisting beliefs apriori. I want to believe that where there is untruth, scientists and researchers will oust it and expel it as such. I want to believe that researchers and scientists can put their own personal beliefs aside and profess the truth, no matter how uncomfortable this makes them feel, and how shaking this is for religious beliefs they've held all along. I want to believe that doctors actually want to practice medicine, not practice superstition. Instead, what I see in America is "researchers," "scientists" and "doctors" use pseudoscience to confirm their own superstitious beliefs. They then push these beliefs onto naive parents under the pretense of "public health."

If something is demonstrably false, it's the duty of other scientists and researchers to call it out, is it not?

What is going on in America?

What is happening on in world stage that other scientists and researchers lack the gall to call Americans on their deliberate superstitious circumcision nonsense?

Brian Morris is neither a surgeon, nor a pediatrician, nor a urologist, nor a doctor of any kind. And yet, it's as if he were the Alex Jones of male infant circumcision; he seems to have no trouble passing himself off as a "circumcision expert" dispensing advice to parents, and news outlets actually look to him as a respectable source, despite his lack in any medical credentials. He goes on and on about how much he "loves science," but then he minimizes or dismisses science and research he doesn't agree with. Worse than that; he actually spends his time trying to discredit authors that write research showing circumcision to be detrimental. You're not a true scientist if you dismiss research and findings you disagree with. WHAT IS THE REASON the University of Sydney hasn't already stripped him of their prestige for using it to pass himself as any kind of "expert" on male infant circumcision?

There are huge holes in the "research" in Marie Wawer's work, and the work of others, and claims on it that "circumcision reduces the risk of HIV." Among other things, their findings simply fail to manifest in the real world, where HIV and other STDs are more prevalent in circumcising United States, than they are in non-circumcising Europe, Australia, Japan and other countries. "Mass circumcision campaigns" are being conducted in Africa based on this. This has led to people in Africa circumcising boys and teens against a parent's wishes, not to mention tribes are using these claims to justify the forced circumcision of men in their communities. What is the reason researchers and scientists around the world aren't questioning these claims and decrying these "studies" and the "mass circumcision campaigns" as the human experiments they are? Would we ever endorse "research" that involved circumcising 1000s of women to "measure how much FGM reduces HIV transmission?" And then pour millions into "mass female circumcision campaigns?"

Freedman and Schoen would deny it, but it is obvious their judgement is colored by their conviction to preserve the traditions of "their tribe." When a Muslim doctor advocates for FGM, we don't call it "persecution" to blast him or her for it. We don't treat the situation with kid gloves so as to avoid being called "anti-Muslim." There is an ongoing case in Chicago, where a doctor is in hot water for performing FGM on girls in this country. Her allegations are no different than those of Jewish advocates of circumcision; "This is our culture, it is our religious right." Why is it only with male infant circumcision that suddenly, we want to "respect people's cultural and religious beliefs?"

Here we have Andrew Freedman openly declaring his fidelity to his "tribe," but we're expected to believe him when he says this doesn't at all color his judgement, he "wants this to be a choice for parents." Only 0.6% of the population is Jewish. Why do American parents, 99.4% of which do not to belong to this "tribe" need to have this "choice?" Why does eliciting any kind of "choice" from parents have to be public health policy? And why are doctors expected to perform a superstitious, religious ritual for parents? The question becomes, what if parents want the doctor to perform female circumcision "because it's their religion, their tribe, and they should have the choice?" Since when is it a doctor's duty to superstition and religion and not medicine?

It's not talked about in this film, but Edgar Schoen was Jewish (he died in 2016), he was an avid male infant circumcision evangelist, and he was connected with many proponents of male infant circumcision. He was connected with Neil Pollock, he himself a Jewish mohel in Canada, whose sole source of income are his male infant circumcision clinics, and who goes to different countries, taking advantage of the male circumcision/HIV gravy train to promote circumcision. He was connected with Daniel Halperin, one of the "researchers" trying to push circumcision in Africa. Edgar Schoen himself went on a campaign to try and convince European medical organizations to endorse male infant circumcision as public health policy, but he was rejected, every single time. A Jewish circumcision evangelist, you couldn't find anyone more biased on this topic than Edgar Schoen, and yet he somehow found his way into the AAP, and helped change public policy. The AAP was on its way to aligning itself with medical organizations in the rest of the world, but it instead took a step back into the 1800s, and it was all due to this man.

Brendon touches on a topic that is often a no-go zone when it comes to this conversation. Both activists against female genital mutilation and advocates of male infant circumcision shut down the conversation whenever female genital cutting comes up. "Don't compare the two," they say. "They aren't the same." They expect for the conversation to end there and then, and refuse to continue beyond that. The fact of the matter is that most people who utter these snappy sound-bites don't actually know what they're talking about. Most only heard from somewhere, or saw it in propaganda against female genital cutting, or female genital mutilation, and simply memorized all these points because they sound good, and are often effective in shutting down the conversation. "Don't compare them," they say. Well, somebody had to have, in order to come up with the idea that they're "not comparable." I myself used to believe that male and female circumcision are "completely different," until I actually started looking.

The more you investigate, study and compare genital cutting, the more you realize that actually, both male and female circumcision are quite comparable, if not identical. You come to realize that every aspect of male and female circumcision is the precisely same. The claims, the truths, the lies, everything. Everything that you can say to justify male infant circumcision can be used to justify female circumcision. Everything that you can say to condemn female genital cutting is also true of male genital cutting.

Female is horrific and performed in the African bush by amateur shamans using crude utensils such as rusty blades and shards? The same is true for male circumcision. Male circumcision is performed by trained professionals in the pristine conditions of a hospital using sterile equipment? The same is true for female circumcision. Female circumcision is used to subjugate women and control their sexuality? The whole reason male circumcision exists in the west was to stop boys and men from masturbating. In the Chabad website, it is written on various pages that the subjugation of Jewish male sexuality is the very goal of male circumcision. (Other Chabad references here and here.) Male has "potential medical benefits?" Well, so does female circumcision. Male circumcision is an "important religious cultural custom?" Whether you want to acknowledge it or not, so is female genital cutting. Female circumcision causes complications and death in girls and women? Well male circumcision causes complications and kills also. Male circumcision can be performed in infants so that they don't remember the pain? This is precisely what they do in South East Asian countries.

We talk about "severity," "intent," the professional status of those who do this, the cleanliness of the utensils use etc. as if any of this actually mattered. As if female genital cutting could be justified if it were made "less severe," if we made it about "medical benefits" instead of sexual detriment, if it were done by trained professionals in a hospital using clean utensils instead of out in the African bush. As if the moral acceptability of forcibly cutting healthy, non-consenting minors hinged on the outcome of "studies" or "research." In the end, we have determined there would never be enough "benefits," never enough "studies," never a procedure "minimal" enough that would ever under any circumstances justify the forced cutting of a girl or woman. WHY the double-standard for boys and men?

Brendon actually interviews two women who underwent what we would call "female genital mutilation." One of them actually recognizes and acknowledges the parallel of what what happens to boys daily in this country, and what happened to her. The other woman, a westernized, by all means American woman, recounts her story of how she was taken away for her female genital cutting ritual. Instead of being angry, the second woman "embraces" what has happened to her, and actually advocates that forced female genital cutting be practiced freely. If you heard her talk and closed your eyes, you would think she sounded like any other American mother advocating for male infant circumcision. If she had a deeper voice, you could confuse her for a man minimizing his own circumcision. "It's our culture, it's our choice." According to her, her forced genital cutting has not impaired her ability to experience sexual pleasure and orgasm.

It is often claimed that female circumcision destroys a woman's ability to orgasm, but here we have one of many women saying from personal experience that this is simply not true. We seem have invented this maxim that "as long as a person can still experience sex, as men are still able to after circumcision, then it's OK," only, it's turning out that it's based on pure myth and propaganda. Another researcher, Sarah Johnsdotter, who has talked with hundreds African women, reveals that even women who have undergone the most severe form of FGM, "infibulation" (sowing up the vulva to leave a small hole), are still able to enjoy sex and orgasm. So is forcibly cutting a girl or woman justified now? I don't know about my readers, but for me, the answer is "no." When an action is a violation of basic human rights, it doesn't matter that you can still enjoy sex afterward.

Brendon's film shines light on these claims that "male and female circumcision are worlds apart" and "should never be compared," and reveals them to be simply hyperbole meant to allow people to criticize the practices of another culture, while protecting their own. The closer one looks, if one dares, the more one realizes that not only are these practices "comparable," they're identical. Either both should be allowed to continue based on "religious freedom" and "parental choice," or both must be condemned for being the basic human rights violations that they are.

One of the aspects this film touches upon are the different attitudes we have towards the male and female sex. While it's acceptable for women to be victims, damsels in distress if you will, it's not acceptable for men. It is expected that males be strong, stoic and resilient; "whining" and "complaining" is seen as "weak" and "unmanly." Men protesting wrongs that befall them is a joke. In fact, it's "comedy" in America to cause damage to a man's genitals. Someone kicks a man in the testicles and hilarity is supposed to ensue. It's no surprise, then, that in America we try to make a joke of circumcision, and we belittle and dismiss men when they say that they are unhappy that this happened to them. When a woman expresses discontent that something has happened to her, the world is ready to listen. There are women's crisis centers and hotlines for women seeking support. Nothing for men. Most men have to look for help at women's crisis centers.

 A common quip used by male infant circumcision advocates is that "men will get over it." Edgar Schoen himself is in this film telling men to "Get a life! Most men are happy they were circumcised." (I don't remember exactly, and I don't want to scrub through the video to get the exact quote.) Well what if men aren't happy, and that the reason they don't come forward is precisely because they're afraid they'll be ridiculed and laughed at instead of being given support? Men do complain. It's just that we as a nation have decided to pretend we can't hear them. This is funny, because at the same time, we bellyache that "men don't listen" or that they "have trouble articulating." We expect men to respect other people's bodies when their own bodies weren't respected, to listen when nobody listened to them, to speak up when they hurt after we've told them all their lives from day one that their pain and suffering doesn't matter.

The film touches on so much more. He touches on the misinformation American doctors inadvertently or quite deliberately give parents, how circumcision botches are not recognized as such, how some parents don't learn about the risks and adverse outcomes of circumcision until it's too late, how in America, there isn't a system of monitoring the adverse effects of circumcision, how hospitals, doctors and medical organizations like the American Academy of Pediatrics don't seem to be interested (Why would they be, if male infant circumcision is a money maker for them?), how historically it was believed that babies feel no pain, desensitization due to circumcision, restoration, efforts to ban the practice, Jewish voices in the intactivist movement, the numerous lawsuits for botched circumcisions and the lawyers behind them, and much more that I probably missed.

This much can be said; when it comes to knowledge concerning anatomically correct male genitals, America is in the dark ages. Male infant circumcision was once the rule of the day in English-speaking countries like the United Kingdom, Australia and New Zealand, but they've since moved on, and no one buys into the "medical benefits" there. The practice has been banned in hospitals in Australia, much to the chagrin of Brian Morris. Male infant circumcision is pseudoscientific pseudo-medicine that should have gone the way of blood-letting and head trepanning, and yet, for whatever reason, American doctors continue to cling to it. America can surely benefit from an overhaul in medical curricula; the most any American physician learns about the anatomically correct genitals is how to cut the foreskin off. In America, most males are circumcised, as is the American psyche; Americans are only ever exposed to circumcised penises in health and medical textbooks.

Americans need to sit down and actually have a real conversation regarding male genitals. No, not on how funny it is to kick men in groin and jokes about how one should never buy gribenes from a mohel. A genuine, serious conversation. Americans need to learn to hear circumcised, gentile and Jewish alike. Put down your spring-loaded dismissal lines and actually listen to what they have to say. It may be uncomfortable, but such a conversation is becoming increasingly unavoidable and long overdue.

American Circumcision is an introspective, well-researched beginning to this conversation.


Related Post:
"American Circumcision" Wins Best Documentary Film Award at the Lone Star Film Festival

Politically Correct Research: When Science, Morals and Political Agendas Collide

DETROIT: Woman Doctor Faces Charges For FGM

COURTROOM SHOWDOWN: Religious Freedom on Trial

Edgar Schoen Showing His Age

EDGAR SCHOEN: America's Circumcision Champion Dies

INTACTIVISTS: Why We Concern Ourselves

Circumcision is Child Abuse: A Picture Essay

External links:
Official American Circumcision Film Website

#circumcision  #i2

Tuesday, July 18, 2017

CONNECTICUT: Baby's Glans Partially Amputated - Doctor Cleared of Negligence

Particularly in the United States, suing for circumcision malpractice is an uphill battle.

About 80% of US males are circumcised from birth, and though male infant circumcision rates have fallen in the past years, to about about 56% if CDC numbers are to be believed, the practice is still quite prevalent, at about 1.3 million boys circumcised a year.

This means that male infant circumcision is viewed favorably by a considerable number of the population.

The country is exposed to a constant drizzle of news articles and "studies" saying that circumcising male infants is "beneficial," and that adverse effects of it are "negligible."

So we, as a nation, are predisposed to believe that circumcision is a benign, "harmless" procedure and that nothing could ever go wrong.

It's no surprise, then, that any adverse results that do present themselves are minimized, and those who are at fault for negligence or malpractice are often absolved, boys and men who have to live with the consequences of a circumcision gone wrong be damned.

Connecticut Mogen Clamp Case
A circumcision malpractice case is currently stirring up controversy on Facebook, where at least one user who posted the case on his timeline has been punished with a 30 day ban.




The case in question is Mahoney v. Smith, a case in Connecticut where parents sued Dr. Lori Storch Smith over malpractice for a circumcision performed at Norwalk Hospital on December 29, 2010.

During this procedure, Dr. Smith used a Mogen Clamp, and then realized that she had cut off approximately 30% of the glans of the baby's penis. The baby was subsequently transported to Yale-New Haven Hospital where he had the amputated portion reattached.

The trial began on April 15, 2015 – and the jury cleared the defendant. The verdict was appealed, and the Appellate Court ruled against the plaintiffs on July 13, 2017.

Long story short, the jury was presented with evidence, and despite the fact that the child's circumcision resulted in 30% of his glans being amputated, decided that the Bay Street Pediatrics doctor should be cleared of medical negligence.

The Devil in the Details
The parents tried appealing the court decision but were unsuccessful.

They tried to argue that  a video shown in court was unfairly allowed by the trial judge, which may have swayed or confused the jurors.

The video shows a Mogen procedure being completed successfully without any complications.

Furthermore, details that were never an issue or point of contention were addressed, namely that anesthesia and the right surgical tools to control bleeding were used. (The end result was 30% of the child's glans being severed, regardless of how much anesthesia or which tools were used.)

According to the appellate court, rather than confuse, the video likely illustrated for the jury the testimony given by the Mahoneys’ own expert witness, Dr. David Weiss, describing a circumcision using a Mogen clamp, an allegation that can't be true, given the fact that the child's circumcision was a botched surgery, not one completed successfully as shown in the video.

The problem lies in the technicality that the Mahoneys' counsel identified the video as acceptable evidence for presentation prior to the trial.

The Mahoneys are apparently at fault for not having requested to see the video before it as presented and rejected it as evidence.

According to Law360, "The plaintiffs could have asked to watch the video prior to its introduction at trial, but did not do so; nor did they file a motion in limine seeking to preclude its admission into evidence, move for a continuance after it was marked for identification or recall Dr. Weiss to serve as a rebuttal witness concerning the video," the panel wrote in a nine-page opinion.

The Mahoneys tried to argue that use of the video violated the court rules regarding disclosure of expert testimony, but the panel rejected this argument saying the plaintiffs did not specifically make those claims in their motions to set aside the verdict for a new trial.

The jury, while deliberating, wanted to see the video again. However, this request was denied because the video itself was not part of the evidence, because it was not produced as evidence and was not a recording of the actual botched surgery. (Begging the question of why it was allowed to be shown in the first place.)

The jury then requested to hear again the declaration of the expert witness, the one that presented the video. They were told they could get a  transcript but that would take about 2 days to just listen to the transcript again.

It must be asked, what was the purpose of showing a video where the procedure went how it was supposed to in the first place?

How was it significant enough to show it to the jury the first time, but suddenly not significant enough to request to see it a second?

So if your blogger read the appellation correctly, the court discouraged the jury from re-hearing this testimony. In my opinion, this is necessarily the result of judges who are already circumcised themselves, and/or have circumcised children, working with a jury whose members are likely to be circumcised/parents of circumcised children themselves, both of whom already want believe circumcision is benign and could never go wrong, and want to see this case dismissed, so that they can go back to believing circumcision is "harmless" and "good."

In the end, a child's glans was partially amputated, and the jury believed the doctor wasn't negligent and performed the circumcision "properly" because that's what they saw in a video.

And it's the parents' fault for not requesting to see the video before it was presented.

The details can be read here.

It Doesn't Matter
 A Mogen clamp; the circumcision clamp used in this case

We can go on and on quibbling about the details in this case, how the judges, jury, lawyers handled it etc., but that is beating around the bush.

The fact is a mogen clamp was used in 2010, when it was already clear that there is potential for injury even in the best case.

I have already written numerous posts on this before, but the Mogen Clamp is notorious for glans amputations.


Common Mogen Problem: The circumciser is blind to the
conditionof the child's glans. Some or all of the glans is pulled up
along with the foreskin, resulting in partial or full glans amputations.

Back in August, 2000, the FDA issued a warning regarding the potential for injury employing the use of the Mogen and Gomco clamps, after 105 reports of injuries between July 1996 and January 2000.

On July of 2010, six months before this botched procedure, an Atlanta Lawyer won a $10.8 million lawsuit for the family of a baby whose glans was amputated during a Mogen clamp circumcision.

Mogen Circumcision Instruments of New York was already $7 million in default on another lawsuit, and was thus forced out of business.

Another baby, born on March of 2010 (9 months before this botched circumcision) also had the glans of his penis removed during a Mogen clamp circumcision. His parents filed a lawsuit on April of 2015.

The FDA warning was later archived, but remained accessible on their website for some time.

(Incidentally, your blogger tried accessing that warning today, but it is nowhere to be seen. The failed search even offers to search the FDA archive, but this is also a dead end. Fortunately, a copy of the warning can be found archived on the CIRP webpage.)

AAP Silent
In 2012, the American Academy of Pediatrics issued their policy statement on circumcision, in which they make the self-contradictory statement that “the benefits outweigh the risks”, but that “the benefits are not enough to recommend circumcision.”

Dr. Andrew Freedman from the task force said that “there are modest benefits and modest risks."

In their statement, the AAP tries to minimize the risks and complications of male infant circumcision, including the most catastrophic risks, which include partial or full ablation of the penis, hemorrhage and even death. Reported incidences of adverse effects of circumcision are dismissed as "case reports" because of the lack of statistics.

The AAP admits in their 2012 statement that "the true incidence of complications after newborn circumcision is unknown."

The AAP policy statement on circumcision is turning 5 years next month.

Will they reaffirm it?

Will they present a new one?

Are they even trying to document the actual number of catastrophic injuries?

The fact is, physicians and hospitals are not required to report adverse outcomes of circumcision procedures.

It's also a fact that the AAP is first and foremost a trade union, whose primary interest is the welfare of their members, a great deal of who profit from the business of male infant circumcision.

Something tells me they're not interested in conducting investigations that could prove devastating to their members.

The bottom line is that male infant circumcision is elective, cosmetic non medical surgery whose risks and complications are no longer deniable.

Are parents being warned of these risks?

But more importantly, can doctors get away with reaping profit performing non-medical surgery on healthy, non-consenting individuals?

Were it the amputation or extraction of any other part of the body, the medical fraud would be undeniable.

Why is it that doctors who perform male infant circumcision get a free pass?

Related News Articles:
Schmidt Law - Mogen Clamp Circumcision Lawsuit Filed for Penis Amputation

AJC - Atlanta lawyer wins $11 million lawsuit for family in botched circumcision

WCPO Cincinnati - Cincinnati protesters demand end to circumcisions at Good Samaritan Hospital

Journal of Perinatology - Pain During Mogen or PlastiBell Circumcision


Related Posts:
Mogen Circumcision Clamp Manufacturers Face Civil Lawsuit

The Ghost of Mogen

CINCINNATI: Intactivists Protest Circumcision "Experiment" at Good Samaritan Hospital

AFRICA: Botwsana to Implement Controversial Infant Circumcision Devices

Monday, July 10, 2017

MEDICAL FRAUD: First Choice Pediatrics Brazenly Misquoting AAP to Push Circumcision

Sometimes you've got to help the AAP along.

You see, in their 2012 statement on circumcision, the AAP did everything they could to vindicate male infant circumcision, but in the end stopped short of a recommendation because in their own words, "the benefits [of male infant circumcision] aren't great enough to recommend" it.

So what do you do?

You get ambitious pediatricians to give them that extra push.

In a YouTube video published by First Choice Pediatrics, one can see Esther Song brazenly saying the AAP actually does recommend male infant circumcision, and boasting that they use a sucrose solution to help with pain management among other things.


"American Academy of Pediatrics do recommend circumcision for the babies... there's some controversies and the problem is that insurance are not covering it, they're still considering it as cosmetic procedure, but we do believe that it is better for their hygiene, and there's other studies showing that it does decrease rates of sexually transmitted infections... and its' actually quicker healing, and we do use this sucrose solution to calm them down and it is very effective and doctors do use local anesthesia to help with the pain also, so I do recommend getting the circumcision and we do offer the surgery here..." ~Esther Song, Pediatrician, First Choice Pediatrics

So many things wrong here, beginning with the fact that actually, no, the AAP does not recommend male infant circumcision. They stopped short in their 2012 statement stating that the "benefits are not sufficient."

Second, babies don't have sex, so why a possible reduction in sexually transmitted diseases is relevant to tell parents is questionable.

Third, she is talking about pain management that has been shown by studies to actually be quite ineffective.

Here is what one study on "sucrose solution," or sugar water has to say on the matter:

"Our data suggest that oral sucrose does not significantly affect activity in neonatal brain or spinal cord nociceptive circuits, and therefore might not be an effective analgesic drug. The ability of sucrose to reduce clinical observational scores after noxious events in newborn infants should not be interpreted as pain relief."
Slater, Rebeccah; Laura Cornelissen, Lorenzo Fabrizi, Debbie Patten, Jan Yoxen, Alan Worley, Stewart Boyd, Judith Meek, Prof Maria Fitzgerald (2010-10-09). "Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial". Lancet, The 376 (9748): 1225-1232. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2961303-7/fulltext. Retrieved 2011-04-08.

Additionally, here are two studies on local pain management:

  "...more than half of the study group had what we considered excessive pain/discomfort over the course of the entire procedure.". 
Taeusch, H William; Alma M Martinez, J Colin Partridge, Susan Sniderman, Jennifer Armstrong-Wells, Elena Fuentes-Afflick (April/May 2002). "Pain During Mogen or PlastiBell Circumcision". Journal of Perinatology 22 (3): 214-218. http://www.nature.com/jp/journal/v22/n3/full/7210653a.html. Retrieved 2011-04-08.

"The adrenal cortisol response to surgery was not significantly reduced by the administration of lidocaine.".
Williamson, Paul S.; Nolan Donovan Evans (August 1986). "Neonatal Cortisol Response to Circumcision with Anesthesia". Clinical Pediatrics 25 (8): 412-416. http://cpj.sagepub.com/content/25/8/412.abstract. Retrieved 2011-04-08.

I think it is clever how she makes the controversy about "insurance companies not covering it," and doesn't get into how human rights groups consider it to be mutilation and a human rights violation outside a valid medical necessity.

Will she inform parents about how circumcision has been abandoned by pretty much every other English-speaking country?

I guess you can't talk about that if you're trying to sell circumcision to parents, can't you...

One of the persons in the videos said that babies "sleep through the procedure." I'm guessing she thinks, or she hopes, YouTube videos aren't available for parents to watch, and that parents wouldn't bother to see them, because no, babies don't sleep through the procedure. And they certainly aren't asleep during the post-operation diaper changes when the babies scream their lungs out. There are YouTube videos for that too.

How stupid do the folks at First Choice think parents are?

Hurray for fully informing parents!

"It is difficult to get a man to understand something when his salary depends on his not understanding it."
~Upton Sinclair

So the only thing really going for First Choice is their "belief" that male infant circumcision is more "hygienic." Why they don't believe in soap and water like the rest of the English-speaking world is puzzling.

I wonder what the American Academy of Pediatric thinks about medical groups deliberately misquoting them for profit...

For their own benefit, we do hope the folks at First Choice are willing to rectify the deliberate misinformation they're feed parents.

Statements by Other Organizations
Just for fun, here is a list of statements on circumcision released by medical organizations around the world. 

USA
"The British Medical Association has a longstanding recommendation that circumcision should be performed only for medical reasons... Recent policy statements issued by professional societies representing Australian, Canadian, and American pediatricians do not recommend routine circumcision of male newborns".
~AMA Report 10 of the Council on Scientific Affairs

"...benefits are not sufficient for the American Academy of Pediatrics to recommend that all infant boys be circumcised."
~American Academy of Pediatrics (AAP) 

"...the association between having a sexually transmitted disease (STD) - excluding human immunodeficiency virus (HIV) and being circumcised are inconclusive... most of the studies [of the effect of circumcision on HIV] ...have been conducted in developing countries, particularly those in Africa. Because of the challenges with maintaining good hygiene and access to condoms, these results are probably not generalizable to the U.S. population".
~AAFP "Position Paper on Neonatal Circumcision" 

Canada
"Current understanding of the benefits, risks and potential harm of this procedure no longer supports this practice for prophylactic health benefit. Routine infant male circumcision performed on a healthy infant is now considered a non-therapeutic and medically unnecessary intervention."
~College of Physicians and Surgeons of British Columbia 

"[We] do not support recommending circumcision as a routine procedure for newborns."
"Circumcision of newborns should not be routinely performed."
~The Canadian Paediatric Society 

Britain
"The BMA considers that the evidence concerning health benefits from non-therapeutic circumcision is insufficient for this alone to be a justification for doing it."
~The British Medical Association
Australia

Australia
The Royal Australasian College of Physicians stated in 2010 that the foreskin "exists to protect the glans" and that it is a "primary sensory part of the penis, containing some of the most sensitive areas of the penis."
 
According to the Australasian Academy of Paediatric Surgeons:
"The Australasian Association of Paediatric Surgeons does not support the routine circumcision of male neonates, infants or children in Australia. It is considered to be inappropriate and unnecessary as a routine to remove the prepuce, based on the current evidence available."

"We do not support the removal of a normal part of the body, unless there are definite indications to justify the complications and risks which may arise. In particular, we are opposed to male children being subjected to a procedure, which had they been old enough to consider the advantages and disadvantages, may well have opted to reject the operation and retain their prepuce."

"Neonatal male circumcision has no medical indication. It is a traumatic procedure performed without anaesthesia to remove a normal functional and protective prepuce. At birth, the prepuce has not separated from the underlying glans and must be forcibly torn apart to deliver the glans, prior to removal of the prepuce distal to the coronal groove."
 
Netherlands
In the Netherlands, the Royal Dutch Medical Association (KNMG) issued a statement in 2010 stating that "The official viewpoint of KNMG and other related medical/scientific organizations is that non-therapeutic circumcision of male minors is a violation of children’s rights to autonomy and physical integrity." Circumcision can cause complications, including infection and bleeding, and are asking doctors to insistently inform parents that the procedure lacks medical benefits and has a danger of complications. In addition to there not being any convincing evidence that circumcision is necessary or useful for hygiene or prevention, circumcision is not justifiable and is reasonable to put off until an age where any risk is relevant, and the boy can decide himself about possible intervention, or opt for available alternatives. They went on to say "There are good reasons for a legal prohibition of non-therapeutic circumcision of male minors, as exists for female genital mutilation."

Related Posts:
AAP: Around the Bush and Closer to Nowhere

OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

Monday, August 29, 2016

EDGAR SCHOEN: America's Circumcision Champion Dies


DISCLAIMER:Before I begin, I'd like to make a disclaimer, because I know that as soon as I post this, there will not be a shortage of people using claims of anti-Semitism to dismiss me, and to dismiss the rest of the intactivist movement. Let it be clear: I speak out against the forced circumcision of healthy, non-consenting minors in any way, shape or form. I make no exception for "religion" nor "cultural practice" of any kind. For me, unless there is clear medical or clinical indication, forcibly performing surgery on healthy, non-consenting minors is always medical fraud, always child abuse, and always a violation of the most basic, the most precious of human rights. Please do not conflate my disdain for the forced circumcision of minors with a hate for Jews. The views I express in this blog are my own individual opinion, and they do not necessarily reflect the views of all intactivists. I am but an individual with one opinion, and I do not pretend to speak for the intactivist movement as a whole, thank you.
~Joseph4GI


Advocates of genital integrity can now breathe a sigh of relief; it appears as though America's foremost advocate of male circumcision has finally kicked the bucket.

Interestingly enough, his obituary mentions nothing of male circumcision, although it could be said that the defense, advocacy and active promotion of male infant circumcision in America was his legacy.

I'll take care of that.

Edgar Schoen's Legacy: America's Male Infant Circumcision Champion
There was a time when the routine circumcision of newborn baby boys was a near-universal practice in the British Commonwealth. The practice has nearly vanished, however, but it remains popular in the United States, where 80% of all US males are circumcised from birth.*


But how could this be?

How is it that in other Commonwealth nations such as the UK, Australia and New Zealand, male infant circumcision has all but disappeared, but in America it's doing so well?

This man alone may be solely responsible for male infant circumcision's survival in the United States.

Read on to see why this may be the case.

Let's go back in time to before there was ever such a thing as the "American Academy of Pediatrics Circumcision Task Force."

*Actually, the rate of male infant circumcision has been declining recently, as low as 56% according to the CDC, and Schoen and friends had been busy trying to change that.

The Very First AAP Task Force on Circumcision
The year is 1970.

Recognizing the need for an authoritative statement on routine neonatal circumcision, the American Academy of Pediatrics' Committee on Fetus and Newborn issued a statement saying that there were "no valid medical indications" for performing circumcisions on newborns.

This bold statement, released in 1971, was met with objections from some physicians, leading the AAP to create their very first Task Force on Circumcision in 1975 to reconsider the previous position.

A First in American Medicine; The Parents Will Decide
The AAP Task Force published their report in Pediatrics in October 1975, saying they had found "no basis" for changing their statement. There was "No absolute medical indication for routine circumcision of the newborn."

However they added the following qualification:

Nevertheless, traditional, cultural and religious factors play a role in the decision made by parents, pediatrician, obstetrician, or family practitioner on behalf of a son. It is the responsibility of the physician to provide parents with factual and informative medical options regarding circumcision. The final decision is theirs, and should be based on true informed consent. It is advantageous or discussion to take place well in advance of deliver, when the capacity for clear response is more likely.

This statement is an extraordinarily unique instance in the history of American medicine.

The pediatricians declared that their colleagues should be willing to perform surgery lacking adequate medical rationale, provided only that parents request, or agree to it.




In short, a group of credentialed, well-qualified, learned pediatricians gave parents exclusive right to authorize physicians to perform surgery for explicitly non-medical reasons.

In collaboration with the American College of Obstetricians and Gynecologists (ACOG), the AAP's Committee on Fetus and Newborn issued Guidelines for Prenatal Care in 1983, which repeated the 1975 recommendations.

Enter Edgar J. Schoen
The ACOG/AAP publication attracted Schoen's attention, and in 1989, Schoen was made chair of another Task Force on Circumcision who released yet another statement, this one highly biased in favor of male infant circumcision.

Due attention was paid to "contraindications" and "complications," but the report discussed the prevention of phimosis, paraphimosis, cancer of the penis and cervix, infections as "potential medical benefits."

It characterized circumcision as "a rapid and generally safe procedure when performed by an experienced operator." Infants were said to respond with "transient behavioral and physiologic changes."

The conclusion was studiously ambiguous:

"Newborn circumcision has potential medical benefits and advantages as well as disadvantages and risks. When circumcision is being considered, the benefits and risks should be explained to the parents and informed consent obtained."

Notably absent was the 1975 statement about "no valid medical indications."

Where did it go?

It is clear that, while not exactly a brief for circumcision, the AAP 1975 Circumcision Policy Statement was much more biased in favor of circumcision than the previous statements.

1999 - Schoen Is Dissatisfied
The Schoen-chaired statement drew objections from circumcision opponents, leading to the creation of yet another task force in 1999, and the issuance of a new "circumcision policy statement," this one evaluating all claims in greater detail, and introducing the new and noteworthy topic of medical ethics.

The concluding statement was basically a compilation of the last few statements, which seemed to try and satisfy everyone:

"Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision. In the case of circumcision, in which there are potential benefits and risks, yet the procedure is not essential to the child's current well-being, parents should determine what is in the  best interests of the child... It is legitimate for parents to take into account cultural, religious and ethnic traditions, in addition to the medical factors, when making this decision."

It seems the best solution any group of pediatricians can come to is to shirk their responsibilities and issue temporary PhD's to parents.

It must be asked, what "medical factors" exist when assessing a perfectly healthy, non-consenting newborn?

Since when are physicians expected to facilitate religious and/or cultural incisions/extirpations?

Needless to say, Schoen was not happy with the 1999 statement.

He soon teamed up with Thomas Wiswell and Stephen Moses, both known circumcision advocates, Moses pushing circumcision as HIV prevention.

Schoen's circumcision dream team called the new statement a "cause for concern," and presented arguments in favor of circumcision, from penile cancer to HIV, calling on the AAP leadership to "quickly address the narrow, biased and inadequate data analysis as well as the inappropriate conclusions."

The AAP Task Force at that time replied by reiterating that while they recognized "potential medical benefits" of circumcision, they were "not sufficiently compelling" when weighed against the "evidence of low incidence, high-morbidity problems." They repeated that they favored "leaving it up to the family to decide whether circumcision is in the best interests of the child."

2003 - Schoen Comes Back
In June 2003, Schoen returns to the scene by writing a letter to Pediatrics, arguing that "new data" had accumulated supporting the claims that circumcision protected against penile cancer, HIV infection, UTIs, phimosis and penile skin lesions, as well as arguing that circumcision "improved genital hygiene throughout life."

In his letter, he urged the AAP revise its 1999 statement, and that a new report be issued to provide "a comprehensive picture of disease prevention from birth through old age."

The next AAP statement on circumcision was to be released 13 years later in 2012, when a policy statement on male infant circumcision was long overdue.
 
It should be noted that while the 2012 AAP statement does dance around "new, updated data,"  the statement does little more than repeat the compiled conclusions of it's predecessors, citing "potential benefits," but never quite committing to a recommendation because, in their own words "the benefits are not great enough," placing the onus of responsibility on parents.

Incidentally, the AAP 2012 statement was formally rejected by well-respected pediatric organizations and senior pediatricians from around the world.

Thus, much to Schoen's chagrin, it continues to be fact; No respected medical board in the world recommends circumcision for infants, not even the AAP.

Unanswered Questions
The AAP statements raise more questions than they answer.

The questions are these:

  • Without medical or clinical indication, can a doctor even be performing elective, non-medical surgery on healthy, non-consenting minors?
  • Let alone be offering parents any kind of a "choice?"
  • If the answer is "yes," then the next question would be, what other surgery are physicians expected to perform merely because a parent requests it?


The AAP's biggest mistake was deciding to shirk their responsibilities and put them on parents.

How is it possible that lay parents, the majority of whom never went to medical school, could come up with a more reasonable conclusion than the people holding credentials in the medical field?

How is it physicians are suddenly too stupid to do their jobs, and parents suddenly more learned on medical matters than qualified doctors with degrees?

The AAP should have never opened that can of worms.

Edgar Schoen: Rejected Circumcision Evangelist
America is not the only place where Schoen tried to establish his circumcision legacy. Schoen was a circumcision evangelist who tried to (unsuccessfully) spread circumcision to other parts of the world. The following is an excerpt of a letter written against him in the publication Disease in Childhood:

Schoen’s claims have been rejected wherever he goes. When he published in the New England Journal of Medicine in 1990, his views were opposed by Poland. When he published in Acta Paediatrica Scandinavia in 1991, his views were rebutted by Bollgren and Winberg. When Schoen published in this journal in 1997, his views were countered by Hitchcock and also by Nicoll. In the present instance, his views are offset by Malone.

When the Canadian Paediatric Society published their position statement on neonatal circumcision in 1996, they followed the views of Poland, not those of Schoen. Although Schoen was chairman of the American Academy of Pediatrics (AAP) taskforce on circumcision that published in 1989, he did not serve on the AAP taskforce on circumcision that published in 1999. That second taskforce distanced the AAP from the views published by Schoen’s taskforce a decade earlier.
Schoen’s present views on circumcision are strikingly similar to those of Wolbarst, which were published nearly a century ago. This suggests that Schoen’s views are founded in a desire to preserve his culture of origin, not in medical science.

Read more here

Conflict of Interest - Public Health? Or Cultural/Religious Preservation?

Daring to point out that a physician who advocates for neonatal circumcision might be partial to the practice out of religious conviction invariably gets you labeled an "anti-Semite."

But what's so anti-Semitic about pointing out that a person might have religious conviction to put circumcision in a positive light? That a person may be predisposed to welcome evidence that the most particular and problematic religious custom of Judaism might be medically beneficial, and to dismiss arguments to the contrary?

According to a MEDLINE search, Edgar Schoen has been published 20 times in the medical literature on the subject of circumcision.

He also happened to be Jewish, where male infant circumcision is considered to be a divine commandment.

This being the case, he may have had a conviction to defend a cherished tradition that has been under fire since the time of the Maccabees, and which has been falling out of favor in this country, even among Jews themselves.

So it must be asked, did Edgar Schoen's actions stem from a true and genuine interest in public health?

Or did they stem from a religious conviction to protect and promote male infant circumcision under the guise of medical advice?



This is a clip is an excerpt from the Dr. Dean Edell radio program,
which aired live from 1979 until December 10, 2010.
Dean Edell is a Jewish-American physician and broadcaster
who became one of the most outspoken opponents of circumcision.

It is generally well accepted that an "authority," especially a medical one, needs to be objective and impartial, and that an audience can only evaluate information from a source if they know about conflicts of interest that may affect the objectivity of the source.

Does it not follow that a physician's religious convictions for circumcision ought to be disclosed?

My Thoughts
It is my opinion that Schoen's religious conviction to male infant circumcision is in direct conflict with a feigned interest in disease prevention and public health.

Edgar Schoen was a Jewish doctor who protected and promoted forced circumcision for Jewish reasons, while disguising these reasons as medical advice.

Schoen used his credentials and prestigious position of AAP Task Force chair to ensure the survival of a Jewish religious tradition, and thus couldn't care any less about public health and the well-being of children.

Edgar Schoen had ulterior motives for promoting male infant circumcision.

He sought to supplant American culture with his own culture of origin, where being circumcised is a mark of being Jewish, and not being circumcised makes you an outcast.

To a certain degree he has been successful; in America having anatomically correct genitals carries social stigma, as it is seen as "dirty" or "disgusting."

I'd be lying if I said I'm sad that Edgar Schoen died.

He did nothing more than participate in the perpetuation of child abuse and violation of basic human rights in this country.

His legacy will live in infamy as that of America's ultimate circumcision champion.

I feel grief, but not for him...

I feel grief and regret men who are angry at what has happened to them didn't get to see the day when this man were held responsible for his actions; the promotion of male genital mutilation... The mental anguish caused to American men with anatomically correct genitals, by the institutionalized profanity against the natural male body...

I feel an evil man has died without being made to face justice.

I can only imagine this is how holocaust survivors might feel when they learn a Nazi who participated in the execution of Jews has died without having been brought to justice...


The millions of needless surgeries...

The countless infections, partial or full ablations, hemorrhages, deaths, this man is responsible for...

The many lives he ruined...

The many men who have to live their lives with deformed penises... marred bodies...

The many men who have to live with the reality that they must live in a body they did not ask for...

That they must live with an artificial, forced phenomenon...

That they will never know what sex as nature intended it would be...

That they will live with a sense that the body which they were born with was never their own...

That they will never know the feeling of having a whole, intact body...

For the rest of their lives...

It is clear that he left an indelible mark upon American medicine, and upon millions of American males across the country, whether they wanted it or not.

A perpetuator of charlatanism, child abuse and the violation of the most basic and sacred of human rights has died.

Good riddance.

I can't wait for others like him to die off and be relegated to one of the darkest eras in American history.

Related Posts:
Edgar Schoen Showing His Age

Intactivism: It's Not Just for Gentiles Anymore

The "Anti-Semite" Card No Longer Washes

AAP: Around the Bush and Closer to Nowhere

OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

The Circumcision Blame Game

Letter to Editors at the Vancouver Sun

Tuesday, September 8, 2015

CANADA: CPS Diverges from AAP on Infant Circumcision


In 2012, the American Academy of Pediatrics (AAP) released a controversial policy statement on circumcision.

While the statement did not culminate in a recommendation as circumcision advocates were hoping for, it was littered with the baseless mantra that "the benefits [of circumcision] outweighed the risks," and with calls for public medical programs to cover it.

The claim that "the benefits outweigh the risks" conflicts with statements that "the benefits [of male infant circumcision] aren't great enough to recommend" it, and that "the true incidence of complications after newborn circumcision are unknown," found within the same Policy Statement.

So out-of-line was the 2012 AAP report, that 38 pediatricians, urologists, epidemiologists, and professors, representing 20 medical organizations and 15 universities and hospitals in 17 countries formally rejected it.

Even so, circumcision advocates took the "benefits outweigh the risks" soundbite and ran with it.

Some go as far as actually saying the AAP has given a recommendation for circumcision, when it is clear to those who have actually read their 2012 statement that they stop short.

After the AAP released their statement, it didn't take very long for the Centers for Disease Control (CDC) to mirror them. Almost like clockwork, the CDC released a statement similar to that of the AAP, seemingly giving circumcision advocates yet more ammunition for promoting male infant circumcision. (As the AAP, the CDC shies away from a clear recommendation for male infant circumcision.)

With the Canadian Paediatric Society due for a release of their own policy statement on male infant circumcision, speculation arose as to whether or not they too would mirror the controversial AAP statement.

Circumcision advocates were hoping the CPS would get into lockstep with the AAP, and repeat the same "benefits outweigh the risk" slogan.

Much to their chagrin, however, the CPS not only failed to join the AAP and CDC in chorus, they outright reaffirmed their position against it.

Said Dr. Thierry Lacaze, chair of the CPS Fetus and Newborn Committee:
"While there may be a benefit for some boys in high risk populations and the procedure could be considered as a treatment or to reduce disease, in most cases, the benefits of circumcision do not outweigh the risks."

Thus the AAP and CPS can be witnessed going separate ways on the matter.

Is the CPS stepping out of line?

Or is it the AAP who is deviating?

The fact of the matter is that the trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations.


The AAP tried very hard to push the slogan that "the benefits [of circumcision] outweigh the risks" in their 2012 statement, but they were formally rejected by 38 pediatricians, urologists, epidemiologists, and professors, representing 20 medical organizations and 15 universities and hospitals in 17 countries.

And now, the Canadian Paediatric Society joins the number of respected medical organizations who diverge with the AAP.

Thus, it continues to be true:

No respected medical board in the world recommends male infant circumcision. All of them, including the AAP in their latest statement, state that there isn't sufficient evidence to warrant this endorsement.

To say otherwise would be to take an unfounded position against the most respected medical organizations in the West.

Good on the CPS for refusing to buy into the AAP's nonsense.

Relevant Posts:
CANADA: Canadian Paediatric Society - Monkey See, Monkey Do?

OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

USA: Centers for Disease Control to Mirror American Academy of Pediatrics

Relevant Links:

Tuesday, December 2, 2014

USA: Centers for Disease Control to Mirror American Academy of Pediatrics



Just the other day, I had finished giving my predictions as to what the Canadian Paediatric Society may be planning to do on their next position statement on circumcision, and just today I read that a release of a statement from the Center for Disease Control, with "guidelines" on circumcision, is eminent.

I'm not going to say much on this post, as it's pretty much the same thing I think of the CPS.

It looks like the CDC is getting ready to do exactly what the AAP did, and that's go on forever about HIV and other "benefits." I predict that, as the AAP did in 2012, the CDC will short of a recommendation, because they know that this would be taking an unfounded position against modern medicine.

The fact is that the trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations. No respected medical organization recommends infant circumcision based on the current body of medical literature.

The reason the 2012 AAP statement didn't culminate in a recommendation is because they knew full well that doing so would result in a loss of respect and credibility. The CDC will more or less fall along those lines. Of course they will overblow the dubious HIV/circumcision claims, but like the AAP, will continue to say "the parents should decide."

Get ready for more of the same rehashed BS.

UPDATE: A Preview
The latest on the CDC webpage (note the highlights...):

Status of CDC Male Circumcision Recommendations

Some recent reports have speculated about the Centers for Disease Control and Prevention's (CDC's) upcoming public health recommendations on male circumcision for HIV prevention in the United States.

It is important to note that the recommendations are still in development and CDC has made no determination at this time about the final content. CDC is employing a deliberative, evidence-based process for developing the circumcision recommendations, which allows for both external and internal CDC experts to provide input. CDC will also publish draft recommendations for public comment before the content will be finalized.

With respect to infant circumcision, it is important to recognize that many options are still being considered in this process, including simply recommending that health-care providers educate parents about the potential benefits and risks to ensure that parents have the information they need to make an informed decision.

In developing its recommendations, CDC is also considering whether circumcision should be recommended for heterosexual adults at high risk for HIV infection in the United States, as well as whether there is sufficient scientific evidence to make any recommendations for men who have sex with men.

Whatever the content may include, CDC's final circumcision recommendations will be completely voluntary. While CDC has not yet determined if male circumcision should be recommended for any population, ultimately the decision will rest with individuals and parents. CDC's public health imperative is to provide the best possible information on the risks and benefits to help inform those decisions.

 "Voluntary..." (Chuckle...)


Related Posts:
CANADA: Canadian Paediatric Society - Monkey See, Monkey Do?


AAP: New Statement Over-Hyped by US Media?

AAP: Around the Bush and Closer to Nowhere
OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

External Links:
To Cut or Not to Cut: CDC Poised to Offer Circumcision Guidance

Saturday, November 29, 2014

CANADA: Canadian Paediatric Society - Monkey See, Monkey Do?


Hopefully not...

In 2012, the American Academy of Pediatrics (AAP) released a conflicting, wishy-washy policy statement, claiming, of all things, that "the benefits of infant circumcision outweigh the risks."

Despite this sound-bite, which I can only assume its creators hoped would become a mantra instilled in the minds of those who heard or read it (...the AAP 2012 report was nothing more than a poor attempt at infant circumcision PR, really...), the policy statement did not culminate in the recommendation that circumcision proponents, such as one Australian professor Brian Morris (...who does not have a single medical credential to his name, mind you...) were hoping for.

For circumcision advocates, the "benefits outweigh the risks" bit was sufficient enough for satisfaction, but for introspective professionals who actually read it, the 2012 AAP policy statement left more questions than it did answers.

In fact, so out-of-whack was the latest AAP report, that 38 pediatricians, urologists, epidemiologists, and professors, representing 20 medical organizations and 15 universities and hospitals in 17 countries formally rejected it.

One can read the catchy "benefits outweigh the risks" line throughout the report, but this conflicts with the admission that "the true incidence of complications after newborn circumcision are unknown," found in the very same report, not to mention the fact that, after much ado, the authors of the policy statement fell short of a recommendation.

Even after admitting there is insufficient data to support the statement that "the benefits outweigh the risks," even after failing to issue a recommendation for infant circumcision based on the current body of medical literature, the AAP authors still have the audacity to say that parents should still consider the benefits (...which were not "great enough" for a recommendation, in their own words...), doctors were within reason to comply with a parent's wishes to circumcise a healthy newborn, and public coffers ought to pay for it.

*Note: Under any other circumstance, reaping profit from performing non-medical procedures on healthy, non-consenting individuals constitutes medical fraud.

In short, the 2012 AAP Policy Statement can be summarized as thus:

1. "The benefits outweigh the risks."
2. These same "benefits" are "not great enough" to issue a recommendation.
3. The risks are "unknown."
4. Based on the self-same insufficient data that couldn't move us to make a recommendation, parents ought to make the call.
5. Doctors can comply with a parent's "decision" to have their son circumcised without diagnosis of medical or clinical indication, guilt-free. And...
6. Public coffers should have to pay for this "decision."

 What will the Canadian Paediatric Society do?


I see one of two things happening:


1. The CPS will issue a true and honest statement based on genuine analysis of current medical literature. It may still take a hands-off, pass-the-buck approach in the end, but it will not be as ready to publish canned sound-bites to the effect that "the benefits outweigh the risks."

2. The CPS may have been hijacked by circumcision proponents who are in lockstep with pro-circumcision AAP members, and are getting ready to issue a carbon-copy of the 2012 AAP Policy Statement. As the AAP did, the CPS may overstate the so-called "benefits" of circumcision, minimize the risks, and may even admit that they don't know what these are, but will stop short of a recommendation, unless they wish to damage their credibility in Western medicine.

The fact is that the trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations. No respected medical board in the world, not even the AAP, recommends circumcision for infants. All of them, including the AAP in their latest statement, state that there isn't sufficient evidence to warrant this endorsement.

In the end, whatever route the CPS takes, the result will be the same; they will not issue any sort of recommendation for circumcision, disappointing many, and the statement that there is not a single respected medical organization that recommends male infant circumcision, will nonetheless continue to be true.

DISCLAIMER:
The views I express in this blog are my own individual opinion, and they do not necessarily reflect the views of all intactivists. I am but an individual with one opinion, and I do not pretend to speak for the intactivist movement as a whole, thank you.

Related Posts:
AAP: New Statement Over-Hyped by US Media?

AAP: Around the Bush and Closer to Nowhere

OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

External Link:
CPS Policy Media Fund

Tuesday, June 18, 2013

"I Did My Research" - The Quest for Scientific Vindication



The battle for genital integrity and basic human rights for boys has come a long way. Advocates of circumcision have come to realize that appeals to antiquity, tradition and religion simply aren't enough to justify the forced genital mutilation of healthy, non-consenting minors. They now call and plead with the gods of science and research to vindicate male infant circumcision, and to placate human rights activists, such as myself, as if science and research could be used to make an ethically repugnant practice morally acceptable.

While in the past, most parents confronted about the issue made appeals to their religion, or the fact that "this is what's been done in our family for generations," today, no circumcision apology is complete without appeals to knowledge and scientific research.

"Don't you insult us by posting links to studies and papers," retorts many a parent defensively; "We've done our research."

There are a few things wrong with this type of reasoning, beginning with the notion that an ethically repugnant practice can be made justifiable with "the right amount of research."

The second thing I find wrong with this kind of reasoning is the delusion that parents can demand procedures for their children as long as they can dig up the "research" that suits them, and that doctors are obliged to comply, like servants at their beck and call. For any other medical treatment and procedure, it is usually the doctor's professional responsibility to "do the research," and determine the medical validity of a procedure. Only after a doctor has issued a diagnosis and prescribed treatment can a parent be asked to consent to treatment. Circumcision seems to be the only instance in American medicine where it is lay parents, not doctors, who are expected to determine the medical validity of a surgical procedure, and then doctors are expected to act on this judgement, whether it be consistent or inconsistent with the medical trends of the time.

But thirdly, what I find particularly disconcerting about about "we've done our research" is the fact that, if current position statements from the most respected medical authorities in the world are correct, this is simply not possible.

The fact is that the trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations. No respected medical board in the world, not even the AAP, recommends circumcision for infants. All of them, including the AAP in their latest statement, state that there isn't sufficient evidence to warrant this endorsement, much to the chagrin of circumcision advocates.

It is simply not possible, then, that parents who defend their decision to have their male children circumcised "did their research."

Parents who claim having "done their research" and choose in favor of circumcision take an unfounded position against the best medical authorities of the West.

"We've done our research" is, then, a poor attempt at sounding intelligent, that human rights activists in the know will see through rather quickly.

Let it be clear...
No respected medical organization endorses male infant circumcision, not even the AAP. The most respected medical organizations in the West have weighed the current body of evidence, and have found it to be insufficient to recommend the circumcision of infants.

It is simply not possible, then, that parents who choose in favor of circumcision "did their research."

It is fallacious to expect lay parents to examine the same body of evidence, and come up with a more reasonable conclusion than that of entire organizations of medical professionals.


It is medically fraudulent that parents are being allowed to make a "choice" that is inconsistent with the conclusions of entire organizations of medical professionals, that doctors pretend that they can comply with such a "choice," and that public coffers are expected to reimburse them.

Without medical or clinical indication doctors have no business performing surgery on healthy, non-consenting minors, let alone be giving parents any kind of a “choice.”


Genital mutilation, whether it be wrapped in culture, religion or “research” is still genital mutilation.

It is mistaken, the belief that the right amount of “science” can be used to legitimize the deliberate violation of basic human rights.


Related Posts:
Politically Correct Research: When Science, Morals and Political Agendas Collide

AAP: Around the Bush and Closer to Nowhere
 
OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

TU QUOQUE: The AAP Fends Off Accusations of Bias

The Circumcision Blame Game