Showing posts with label Edgar Schoen. Show all posts
Showing posts with label Edgar Schoen. 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

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

Friday, January 4, 2013

Edgar Schoen Showing His Age


In a reality where circumcision is increasingly falling out of favor, Edgar Schoen appears to be absorbed in an idealistic dreamworld, where citizenship to a country is marked by being male, and whether or not his penis has been mutilated at birth.

In an article he wrote for JWeekly recently, he raves on about circumcision being "the norm" in this country, touts the so-called "medical benefits" of it, and plugs infant circumcision using rather out-dated propaganda. In the end, though, Schoen reveals his true interests in infant circumcision, as he brow-beats Jewish parents who are beginning to abandon the practice.

In this blog post I take apart his most recent circumcision plug piece.

Schoen describes the world of his fantasies on JWeekly
"In this country, circumcision is the norm. According to the Center for Disease Control and Prevention, 89 percent of non-Hispanic white males in the United States are circumcised. If an American boy is uncircumcised, it generally means his parents are immigrants, usually Hispanic, or low-income."

I'd like to take this opportunity to point out how the very idea of opposing male infant circumcision makes me a "racist anti-Semite." But it seems Edgar Schoen can get away with the bold-faced racism that he is demonstrating here.

In Edgar Schoen's world, only circumcised, non-Hispanic white males count as being "American." This can be pardoned, and one can only pass as being truly "American," if a male comes from an affluent household, and has been circumcised. If an American boy is not circumcised, it is because he is a son to Hispanic immigrants, or low-income white folks. (And therefore don't count as being "American"?) It sounds as though Edgar Schoen would like 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. (Although, according to tradition, a male is Jewish whether he be circumcised or not, if his mother is Jewish.)

It is interesting, the numbers Schoen wishes to quote from the CDC. 89% sounds very impressive, although this number denotes the number of adult males who are circumcised from birth. The fact is, however, that, according to the CDC, the rate of infant circumcision in this country has fallen to approximately 56%, from 80-90% in the 1980's.

The following is a graph of male infant circumcision rates by state:

Data from the Healthcare Cost and Utilization Project (H-CUP) 2009 Statistical Brief

Perhaps, at one time, circumcision was "the norm," in this country, but not so much anymore.

Schoen fails to mention the downward trend of male infant circumcision in this country because it doesn't paint his desired reality.

He also fails to hide his true interest in infant circumcision:

"The exception is a small number of middle-class boys whose parents have been convinced by activist anti-circumcision groups to leave their baby boys “intact,” as they call it. Parents targeted by lay anti-circumcision groups are usually well educated, secular and liberal, live in coastal “blue” states and are attracted to alternative/holistic medical practice.

Many Jews fall into this profile, so that now, thousands of years after the covenant between Abraham and God mandating circumcision on the eighth day (Genesis 17), we see Jewish boys with foreskins."

Schoen also happens to be Jewish, where male infant circumcision is considered to be a divine commandment, and a cherished tradition that has been defended since the time of the Maccabees. Schoen's religious conviction to male infant circumcision is in direct conflict with his feigned interest in disease prevention and public health. Here we note the disdain he has as he witnesses circumcision vanish as a Jewish tradition before his very eyes.

Schoen continues:

"The Bay Area is ground zero for activist organizations gunning against circumcision, such as NOCIRC, NOHARMM and Intact."

Well, at least he has one thing right...

"The arguments of these cultlike groups are based on anecdotes, testimonials, false theories and bogus claims with no scientific support."

Something that has always struck me as disconcerting, entertaining at times, is circumcision advocates' incorrigible projection. For example, intactivists are always being accused of being "cultlike," who always use "false theories" and have "no scientific support." We're also accused of being circumcision "fetishists," but we'll get into that later.

We must ask, what are Schoen's arguments based on?

I challenge readers to look through the current literature. Who wrote it? On what is it based? What do circumcision advocates like Schoen pass off as "scientific support?" They will find that much of the so-called "research" is nothing more than glorified opinion, written by the self-same usual suspects who are looking to vindicate circumcision, based on theories which have either not ever been proved, or even been dis-proven.

"Recently, as compelling medical evidence demonstrates the significant health advantages of circumcision on newborns, there has been a flurry of desperate activity by anti-circumcision groups, as they see their cause being  decimated," says Schoen.

But rather than furnishing said "compelling medical evidence," he goes on a tirade against human rights advocates who oppose male infant circumcision. The decimation of the intactivist cause is something Schoen would like to see materialize, though this does not easily come about by the mere shroud-waving he engages in. Actually, far from being decimated, our cause is going strong and it has circumcision advocates running scared, as readers will see.

"They picketed the local office of the American Academy of Pediatrics, and the executive director had to call the police. At an AAP meeting in San Francisco in July, I was harassed by anti-circumcision protesters, leading the hotel to assign me a security guard. This all followed last year’s unsuccessful attempt to criminalize infant male circumcision in San Francisco."

And that's not all. After publishing their latest statement, many letters of criticism were written by intactivists from within and outside notable organizations, but cowards at the AAP have refused to publish them. (We know that there are letters that do not appear on the AAP website because a number of human rights activists published them openly. They are viewable here and here.)

Strangely enough, while they won't publish dissenting letters from intactivists, despite being fully referenced, they will publish Brian Morris praising the new AAP policy statement and tooting his own horn. (Brian Morris is quite possibly Australia's most vocal advocate of male infant circumcision. View his "Welcome" of the new policy here. I rebuke him here, although this too has yet to be published.)

And, as if silencing dissent regarding their latest statement weren't enough, the AAP successfully kicked the intactivist organization Intact America out from inside their trade show last year, even after four straight years of allowing them to exhibit. And, as if this weren't enough even further still, the AAP tried to have the New Orleans Police Department dismantle the intactivist protest outside of their trade show, happening on public property. (NOPD told the AAP intactivist protesters were breaking no laws.)

It is clear that the AAP and circumcision advocates like Schoen are intimidated by intactivists, because they are able to take apart their arguments and call them out on their ulterior motives. The AAP knows their latest policy statement is horrendously flawed, and they are terrified to let groups like Intact America speak on the matter, because they don't want to be confronted with the truth. The extent to which the AAP has gone to silence intactivism, that Schoen would rather hide behind a hotel security guard, shows just how terrified they are of our message, how weak their position actually is, and how inept they are at defending it.

To me, these are the actions of guilty criminals squirming under the light of scrutiny.

The AAP has released a horrendously flawed statement they cannot actually substantiate. Circumcision advocates like Schoen are too scared to confront intactivists. They know it, and they don't want to be confronted with anybody who can give them a run for their money.

 Westin employee defending Schoen from all of ONE protester.

"The documented evidence of the lifetime preventive health advantages of circumcision is overwhelming."

Underwhelming, he means. So underwhelming are the so-called "advantages" of circumcision that no medical organization, yes, not even the AAP, has found it compelling enough to recommend it.

Let us analyze Schoen's usage of the word "lifetime." What does he mean? Does that mean that in a child's lifetime, he is immune to the diseases he mentions? Let it be known; a circumcised male is as susceptible to any disease as an intact male. Circumcision does not, cannot prevent disease transmission, ever. Circumcised males must continue to use condoms for actual protection, and there is no doctor or "researcher" that can deny this fact.

"This year, the AAP stated that the significant benefits of newborn circumcision outweigh the minor risks."

They also said that these self-same "benefits" were not enough to recommend the practice, as they did in their last statement. Circumcision enthusiasts like Schoen just love to leave this part out.

"Severe infant kidney infections, which can lead to kidney damage, are 10 times more common in uncircumcised males in the first year of life."

I believe it's UTIs, not "severe kidney infection"? Really, Dr. Schoen.

"10 times" certainly sounds compelling, but what is the risk for UTIs in intact males to begin with? It's already quite low. The fact is that UTIs are already quite rare in males; they are far more common in baby girls. When a girl develops a UTI, it is easily treatable with anti-biotics. The same is true with UTIs in boys. It makes no sense to circumcise a child to prevent an already rare, easily treatable ailment. Somehow, I doubt we'll hear this from Dr. Schoen.

"The presence of a foreskin leaves a young boy susceptible to painful local infections (balanoposthitis) and inability of retraction (phimosis)."

The question is, how common are these diseases? And are they treatable without circumcision?

"In sexually active years, circumcision provides 60 percent greater protection against HIV/AIDS, which has killed over 20 million people in Africa and tens of thousands in this country. The United Nations, the World Health Organization and the National Institutes of Health have all endorsed circumcision to help prevent HIV/AIDS."

The "research" this claim is based on has been continuously under fire. One of the biggest flaws in this "research" is that the much fabled "60%" is not observable in real-world data. The research is not based on a scientifically proven causal link, but on some un-proven, and even dis-proven hypotheses.

According to USAID, HIV transmission was more prevalent among *circumcised* men in 10 out of 18 African countries. The HIV transmission rate is far higher in the US, where according to Schoen himself, over 80% of the male population is circumcised, than it is in Europe, where circumcision is rare.

But even assuming the so-called "research" to be 100% infallible, the fact of the matter is that circumcision fails as HIV prevention. It fails so drastically to prevent anything that even the authors of the "studies" cannot overstate the use of condoms.

But whats' more, the UN and WHO (which are basically the same organization) have endorsed circumcision in promiscuous ADULT MALES in high-risk areas in Africa. Dr. Schoen would like to sell the fantasy that there is this world-wide campaign to circumcise the children of the world as a HIV prevention measure. Such a campaign does not exist.

"Other sexually transmitted infections that circumcision helps protect against are genital herpes, human papilloma virus (the cause of penile and cervical cancer), trichomonas and bacterial vaginosis."

*Might* help protect, Schoen means to say. The evidence is inconclusive, which is why no physician in the right mind will recommend circumcision as a way to prevent any of these diseases; they stress the use of condoms. The fact is that circumcised males are still susceptible to these diseases, and partners of circumcised males are still susceptible to HPV transmission and bacterial vaginosis. Some research actually suggests that the HPV is more easily transmitted by circumcised males.

Continues Schoen:
"The advantages in old men include avoidance of penile cancer and urinary infections, which are prevalent in the elderly, as well as easier genital hygiene in the incapacitated."

Regarding penile cancer, this is what the American Cancer Society has to say on the matter:
In the past, circumcision has been suggested as a way to prevent penile cancer. This was based on studies that reported much lower penile cancer rates among circumcised men than among uncircumcised men. But in many of those studies, the protective effect of circumcision was no longer seen after factors like smegma and phimosis were taken into account.

Most public health researchers believe that the risk of penile cancer is low among uncircumcised men without known risk factors living in the United States. Men who wish to lower their risk of penile cancer can do so by avoiding HPV infection and not smoking. Those who aren't circumcised can also lower their risk of penile cancer by practicing good hygiene. Most experts agree that circumcision should not be recommended solely as a way to prevent penile cancer.
Geriatric care facilitation seems to be a common theme amongst circumcision advocates. Schoen is not the first to use it, as Daniel Halperin has before. (Daniel Halperin is one of the "researchers" working hard to flood the medical literature with pro-circumcision "research." His office is only a stone's throw away from Edgar Schoen's office.") Hygiene in the elderly is an interesting theme to tackle. The majority of the elderly in Europe are not circumcised, and difficulty in cleaning intact males doesn't seem to be a problem there. It is interesting that Schoen and Halperin suggest circumcision as a way to facilitate hygiene in elderly males, instead of better instruction of geriatric caretakers. Then again, Halperin and Schoen share the same culture of origin. (Both Jewish and vehement advocates of male infant circumcision.)

Continues Schoen: "The newborn period is the ideal time for circumcision."

And here begins Schoen's shameless circumcision plug.

"Not only does early circumcision lead to a lifetime of health advantages..."

Fact: There is no disease that a circumcised man, circumcised at any age, will be immune against in his lifetime. Dr. Schoen cannot deny this.

"...but it is the easiest and safest time to perform the procedure."

False; it is harder to circumcise a newborn because of the small size of the penis. The small size of the penis makes it more susceptible to glans amputation, or full ablation of the penis. Many a lawsuit has been won against over-zealous mohels and physicians. It is easier and safer to circumcise an adult male, because there is more penis to work with, and because analgesia can be properly administered, not to mention that advances in technology have spawned new devices that simplify circumcision for adult mails, as we will read about later on.

"After the trauma of birth, a newborn is programmed to deal with distress."

Babies were just born to be tortured! How about that. The same distress a baby girl would have to deal with, right? Oh no! Perish the thought.

"Stress hormones, such as hydrocortisone and adrenaline, are extremely high, as is the pain-relieving compound endorphin. The male hormone, testosterone, is often in the adult range. All these hormone levels fall within the first few weeks of life."

These hormones shoot up high as a result of circumcision. Schoen does not mention this.

"The newborn foreskin is thin..."

Not thin enough. One of the most common complications of circumcision is hemorrhage. This happens when the foreskin is not fully crushed. If an open circumcision wound is not sutured in time, the child can easily bleed to death, as it has already happened in many cases.


"...making the procedure quick and safe..."

Female infant circumcision can be performed "quickly" and "safely" too.

 "...and virtually painless when using local anesthesia."

Now I see where Neil Pollock (also friends with Schoen, also Jewish) gets his propaganda.

Schoen's claims depend on a few dubious premises; a) that analgesia methods are actually used, and b) that if and when used, they are actually effective. Circumcising physicians may use Tylenol, sugar pacifiers, a topical cream, and/or a local anesthetic injection called a dorsal penile ring block. Research shows, however, that most physicians, as much as 96%, do not use analgesia. The topical anesthetic only serves to numb the area to lessen the pain of the injection, but studies have shown that a dorsal penile ring block is not always effective in stopping the pain of circumcision. (See here and here.) In at least one study, data shows that giving sugar to a child doesn't help to reduce the perception of pain in the child. And, of course, none of these do anything for post-operative pain, and for the pain the child must endure during recovery.

Once again, Schoen is living in a dreamworld.

"Healing is rapid, and complications, usually minor, are less than 0.5 percent."

That depends on what Schoen considers a "minor complication." Botched circumcisions occur so often that there are physicians that actually make a living from circumcision botch corrections. Other complications of circumcision include infection, partial or full ablation of the glans, hemorrhaging and even death.

"At older ages the procedure is more difficult..."

Why necessarily so?

"...with a longer recovery time and a tenfold higher complication rate."

It'd be nice to see the research Schoen uses for this claim.

"The need for general anesthesia makes the procedure riskier."

"Riskier?" Dr. Schoen must correct me if I'm wrong. But isn't the use of general anesthesia become LESS risky as a child grows into an adult?

Almost all circumcision deaths have been due to complications from general anesthesia."

Again, I would like to see what medical literature Schoen backs this claim with.

If general anesthesia is Schoen's concern, then he hasn't been paying attention to the latest developments in adult circumcision in Africa. Is he aware of the new PrePex device being marketed to circumcise adult males in Africa as a so-called HIV prevention measure?

If we're to believe PrePex CEO Tzemeret Fuerst (Can you guess her culture of origin?), the new device requires no surgery, no anesthetic, and the complication rate is rather low. As more devices like these are invented, the myth that "circumcision is much more riskier in adult males" becomes less and less true.

"As noted, uncircumcised males, compared with those who are circumcised, are prone to many health dangers from birth through old age..."

Which are not observed in countries where circumcision is rare...

"...and also may have social problems in the United States, where circumcision is the standard."

 At 56% and falling, not anymore...

"In addition, the easier genital hygiene leads to improved and more varied sexual relations."

This one is increasingly laughable to hear. In other words, European and Asian men have much trouble finding a partner. Is this observable behavior in the real world?

The fact is, genital hygiene can be improved without circumcision. And losing part of your penis means LESS varied sexual relations, not MORE. Once again, it is quite self-evident that Edgar Schoen is growing more and more senile.

"Above all, Jewish men with foreskins are abandoning an ancient family tradition and culture."

Note "above all." Here, Schoen's true concerns come to light, which is the gradual, but sure, abandonment of what is probably the most cherished of Jewish customs; NOT disease prevention and public health. It is disingenuous to be feigning an interest in public health and disease prevention, when true intentions and convictions lie elsewhere.

"My advice for anti-circumcision Jewish parents is, 'enough already.'"

 Funny, this is the same advice I have for Schoen.

"Dr. Edgar J. Schoen is the former chief of pediatrics at Kaiser Permanente in Oakland and clinical professor of pediatrics, emeritus, at UCSF. He lives in Richmond."


He is also the most vociferous advocate of male infant circumcision in the United States. He is also Jewish and has a religious conviction to defend and protect this custom, which is falling out of favor, even among Jews themselves. His feigned interest in disease prevention and public health conflict with a conviction to preserve a cherished tradition.

Edgar Schoen: Rejected Circumcision Evangelist
America is not the only place where Schoen has tried to establish his dreamworld. Apparently he is a circumcision evangelist who has tried to (unsuccessfully) spread his vision 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.

(In their latest statement, the AAP continues to abstain from endorsing male infant circumcision, concluding that the benefits, even though they purportedly "outweigh the risks," are still “not enough” to recommend the practice.)

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

Edgar Schoen, the Circumfetishist?
Edgar Schoen has a few peculiar quirks readers may or may not know about. First, he is a collector of large bow ties. In most pictures of him, you will always see him wearing one.


My, he sure prefers black and white pictures of himself, doesn't he.

In addition to his love for bow ties, Edgar Schoen is a poet, and he has written verses exalting the beauty of the circumcised penis. He appeared on the Penn and Teller show "Bullshit" for their episode on circumcision, where he can be quoted saying circumcised penises look and smell better. He can also be seen reciting some of his poetry:  
"It's a great work of art like the statue of Venus
If you're wearing a hat on the head of your penis" 

~Edgar J. Schoen

The "hat" presumably referring to the visible glans?

But what I find to be most disconcerting concerning Schoen is his involvement with known circumfetish groups Circlist and Gilgal Society. Groups such as these openly admit to a morbid fascination with circumcision to the point of sado-masochistic fetish. They advertise that doctors are among their members. There are those on the Internet who discuss the erotic stimulation they experience by watching other males being circumcised, swap fiction about it, and trade in videotapes of actual circumcisions. Some call them "circumfetishists."
Schoen has been seen sending emails to and from the Circlist email list. Circlist is a website and discussion group for men who sexually fantasize about performing and receiving circumcisions, often on small children. Schoen, appears as an author on a pamphlet put out by Gilgal Society (along with the names of many other prominent circumcision "researchers" and people who claim to be "experts" on circumcision, such as Bertran Auvert, Robert BaileyDaniel Halperin, Thomas Wiswell, and Brian Morris.).
Could it be that his obsession with penis cutting extends even further than culture preservation? 
One thing is for sure. Edgar Schoen is a veteran circumcision evangelist whose time has come. It seems after all this time he is stuck in a time warp, still living in a time when being circumcised was the mark of being an affluent American. That time has been slowly fading, and it seems he, and a number of dedicated circumcision advocates, are working hard to try and roll back the clock. He's an old fart whose logic and reasoning are beginning to fail. (Some may argue this may have happened a long time ago.) 
The times have changed, and he is but a living fossil in a world that no longer needs nor wants him. When is he going to finally kick the bucket and sail off to his idealistic dreamworld of the land of the mutilated penis?
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.
Some may argue that I am engaging in ad hominem. However, pointing out conflicts of interest is not ad hominem. The following is an excerpt from Wikipedia's entry on ad hominem (4/22/2012):

Conflict of Interest: Where a source seeks to convince by a claim of authority or by personal observation, identification of conflicts of interest are not
ad hominem – it is generally well accepted that an "authority" 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. Identification of a conflict of interest is appropriate, and concealment of a conflict of interest is a problem.
Related Articles: 

AUSTRALIA: Brian Morris vs. Modern Medicine

Letter to Editors at the Vancouver Sun

Thursday, April 14, 2011

Letter to Editors at the Vancouver Sun

OK, so Neil Pollock, a Jewish mohel and child circumcisor by trade, notorious for plugging his business whenever, wherever he can, takes advantage of  yet another situation. In response to Sharon Kirkey's article "Circumcision best left to prepubescence," he, aided by well-known circumcision czar Edgar Schoen (he goes by "Ed" now, just so you know... ain't it cute?), plugs circumcision and his own business, YET AGAIN. You can read the article, which basically reads like an informercial, right here:

http://www.vancouversun.com/health/skinny+circumcision/4599446/story.html

I took it upon myself to write a letter to the editors at the Vancouver Sun myself. Here it is:

To whom it may concern,

This is in response to Neil Pollock's shameless self promotion, and his support by Edgar (AKA "Ed") Schoen. Before anybody takes what Pollock and Schoen say seriously, there are some conflicts of interest that readers of the Vancouver Sun should know about.

First, Neil Pollock is a surgeon from Vancouver, Canada, whose sole livelihood comes from performing infant circumcision and vasectomy.[1] He charges $455.00 Canadian for circumcising children under 2 months of age,[2] and if his website is correct, he performs 2,500 annually, which means he grosses $1,137,500 Canadian on infant circumcision alone. Pollock is also a mohel by trade,[1][3] which suggests that aside from his livelihood, circumcision is of cultural and religious importance to him. Edgar Schoen also once made a living from circumcision, and has been a long-standing vocal advocate of circumcision for years. Pollock and Schoen are also both Jewish, where circumcision is a religious ritual central to their religious and cultural identities. Mentioning these men's religious affiliation is important, because belonging to a religious group where circumcision is a religious requirement is at odds with presenting anything disparaging about it; it predisposes people to presenting only that which puts circumcision in a positive light.[4]

Neil Pollock dispenses misleading, or outright untrue information. On his website, he sells his circumcision technique as "a new approach" that "has recently been developed."[5] Pollock's website uses language that suggests that he uses state-of-the-art techniques and equipment that no other surgeon possesses, by warning against others who try to "emulate" him.[6] Closer inspection reveals that Pollock isn't doing anything "new"; his website reveals that he uses the Mogen technique, which involves the Mogen clamp. The Mogen clamp was invented in 1954,[7] but it is actually one of many successors to the much older, traditional barzel device.[8]

Here are some things Neil Pollock may not tell parents about Mogen. On his website, and on this article, he insists that without experience, which he boasts for having, the methods and techniques he uses could be "potentially dangerous," however the Mogen clamp has been notorious for glans amputations, even among experienced conductors of circumcision.[9] Mogen went out of business after losing a 10.8 million dollar law suit, after a mohel severed the end of a baby's glans using one of their clamps. Mogen claimed that injury was impossible with its use. The injury behind a prior lawsuit in Fulton County Superior Court had already put Mogen on notice about the danger of the device. In a different case, at South Fulton Medical Center, another law suit was won in 2009. In that case, a child lost a third of his glans, and the plaintiffs were awarded 2.3 million dollars. [10]

Many of the "benefits" that Pollock tries to highlight are dubious, or are based on debunked information. For example, when he talks about the lining of the inside of the foreskin, and how the cells "trap the virus but are unable to destroy it," this was one of the original hypotheses that was used to run the circumcision trials in Africa. The specific name for these cells are the Langerhans cells, and deWitte actually found in his study that the Langerhans cells are not only impossible to eliminate, because they are found all over the body, but they actually secrete a substance called Langerin, which actually destroys the HIV virus.[11]

The langerhans hypothesis has been long forgotten, and researchers have tried to sell the lie that "Circumcision reduces the risk of HIV because it's harder for the virus to get through the keratinized glans." But other studies have found no difference between the keratinization of the inner and outer aspects of the adult male foreskin. Keratin layers alone are unlikely to explain why uncircumcised men are at higher risk for HIV infection. [12] Additionally, "No difference can be clearly visualized between the inner and outer foreskin."[13] As of yet, circumcision "researchers" have yet to explain the mechanism whereby circumcision prevents HIV transmission. The repeated studies are all based on disproven hypotheses, bringing their validity into question.

Pollock and Schoen say that STDs are more likely in uncircumcised men, but this does not reflect reality, where STD transmission rates are higher in North America, where the majority of the men are circumcised (approx. 80% according to Edgar Schoen), than they are in countries in Europe, where circumcision is rare. They also fail to mention studies that show circumcision makes no difference in HIV transmission [14] or that it actually has the opposite effect, increasing infection, especially to female partners [15]. They mention HPV transmission, but not that there are already vaccines for them. They say that penile cancer is "almost exclusive" to uncircumcised men, but they do not talk about the rate, which is something like 1 in 100,000 of men who smoke with poor hygiene practices.[16] Prostate cancer is more common in men; 1 in 6 North Americans will develop prostate cancer. [17] Using Pollock and Schoen's logic, removing prostates at birth is more urgent than male circumcision.

They briefly mention that "Sexual pleasure and power are not significantly affected by circumcision," but they will not mention that the foreskin is more sensitive than the most sensitive part of the circumcised penis. Sorrells shows that circumcision reduces sensitivity by a factor of 4. [18]

Regarding UTIs, it is common knowledge that whether boys are circumcised or not, girls are 10 times more likely to develop UTIs. UTIs are already quite rare in boys, and are as easily treatable with antibiotics in boys, as they are in girls. It makes no sense to amputate part of a child's genitals to prevent a disease that is already quite rare, and already easily treated. Neil Pollock and Edgar Schoen point out Tom Wiswell's work, but they will not mention that all of it has been thoroughly discredited.[19][20]

Neil Pollock talks about phimosis, but nothing is mentioned about the frequency of occurence of this condition, much less about how often circumcision is actually indicated, even when the condition develops. He talks about circumcision promoting hygiene, but surgery is not needed to promote hygiene. An uncircumcised male child needs no more care than an uncircumcised female child. It is true that men in old age are often unable to clean themselves, and somebody else must do it for them, but the same applies to women in old age.

The rest of the article is basically self promotion. Unless it is medically or clinically indicated, doctors have no business performing elective, non-medical surgery on healthy, non-consenting minors, much less pander to a parent's sense of entitlement.

Neil Pollock is a professional mohel and child circumcisor and in this article, he is merely promoting his trade. Schoen did his share of circumcisions as well, and he is a very vocal advocate for circumcision. According to a MEDLINE search, Edgar Schoen has been published 20 times in the medical literature on the subject of circumcision. In addition to reaping, or having reaped profit from the procedure they are promoting, Neil Pollock and Edgar Schoen are both Jewish. I feel this is important to mention, because circumcision is an important ritual and religious commandment. Although physicians may act with what they consider to be sound medical judgement, some physicians may be influenced also by nonmedical consideration. The cultural background of many Jewish circumcision advocates predisposes them to view circumcision in a positive light, to welcome evidence that the most particular and problematic religious custom of their people is medically beneficial, and to dismiss arguments to the contrary.[21] Please do not conflate my assessment of potential bias and conflicts of interest with anti-Semitism. These are conflicts of interest that put the objectivity of the information presented in question, and it is the responsibility of the Vancouver Sun to publish them so that the public can make a better assessment of the information presented by these men.

In closing, it needs to be mentioned that Edgar Schoen is a well-known circumcision evangelist that has been rejected wherever he goes.[22]

Yours truly,

Joseph Lewis


References:
1."About Dr. Pollock". http://www.pollockclinics.com/circumcision/circumcision-drpollock.html. Retrieved 2011-04-08.
2. "Arranging a Circumcision". http://www.pollockclinics.com/circumcision/circumcision-arrange.html. Retrieved 2011-04-08.
3. Owens, Anne Marie (2001-01-22). "Like father, like son". National Post, The. http://www.pollockclinics.com/circumcision/npost.htm. Retrieved 2011-04-08.
4. Siegfried et al. "Male circumcision for prevention of heterosexual acquisition of HIV in men." Cochrane Library 3 (2003)
5. "Parents' Guide to Circumcision". http://www.pollockclinics.com/circumcision/circumcision-guide.html. Retrieved 2011-04-08.
6. "Pollock Clinics Infant Circumcision". 2011-04-08. http://www.pollockclinics.com/circumcision/circumcision-index.html. Retrieved 2011-04-08.
7. "Use of the Mogen clamp for neonatal circumcision". http://www.circumcisionquotes.com/rdr5.html. Retrieved 2011-04-08.
8. "Methods of circumcision". circumstitions.com. 2011-04-08. http://www.circumstitions.com/methods.html#barzel. Retrieved 2011-04-08.
9. (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.
10. Tagami, Ty (2010-07-19). "Atlanta lawyer wins $11 million lawsuit for family in botched circumcision". The Atlanta Journal-Constitution. http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html. Retrieved 2011-04-08.
11. deWitte et al. "Langerin is a natural barrier to HIV-1 transmission by Langerhans cells". Nature Medicine http://www.circumcisionandhiv.com/files/de_Witte_2007.pdf Retrieved 2011-4-14
12. Dinh et al. "HIV-1 Interactions and Infection in Adult Male Foreskin Explant Cultures". http://retroconference.org/2009/PDFs/502.pdf Retreived 2011-4-14
13. Dinh et al. "Keratinization of the adult male foreskin and implications for male circumcision." http://www.ncbi.nlm.nih.gov/pubmed/20098294 Retreived 2011-4-14
14. Westercamp, M; Bailey RC, Bukusi EA, Montandon M, Kwena Z, et al. (2010). "Male Circumcision in the General Population of Kisumu, Kenya: Beliefs about Protection, Risk Behaviors, HIV, and STIs". PLoS ONE 5 (12). Template:Hide in print. http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0015552.
15. Wawer MJ, Makumbi F, Kigozi G, et al. Circumcision in HIV-infected men and its effect on HIV transmission to female partners in Rakai, Uganda: a randomised controlled trial. Lancet 2009;374:229 ?37.
16. Wallerstein E (February 1985). "Circumcision. The uniquely American medical enigma". Urol. Clin. North Am. 12 (1): 123?32. PMID 3883617
17. ACS "What are the key statistics about prostate cancer?" http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics Retreived 2011-4-14
18. Sorrels et. al "Fine-touch pressure thresholds in the adult penis" http://www.nocirc.org/touch-test/bju_6685.pdf Retreived 2011-4-14
19. AAP Task Force on Circumcision. Circumcision Policy Statement. Pediatrics 1999;103(3):686-693.
20. Van Howe RS. Effect of confounding in the association between circumcision status and urinary tract infection. J Infect 2005;51(1):59-68.
21. Glick, Leonard (2005). ""This Little Operation", Jewish American Physicians and Twentieth-Century Circumcisoin Advocacy". Marked in Your Flesh. New York, New York: Oxford University Press. pp. 183-184. ISBN 0-19-517674-X.
22 .G Hill, J V Geisheker (2006) "Edgar Schoen does not represent the North American view of male circumcision". Retrieved 2011-04-08. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2083089/

Afterthought...
I was in a hurry, otherwise I would have also included the following:

Pollock promises a "virtually painless" circumcision,[1] but this claim assumes the methods he boasts in using are actually effective. On his website, it says that the pain control methods used are Tylenol, sugar,[2][3] a topical cream, and a local anaesthetic injection called a dorsal penile ring block. The topical anaesthetic only serves to numb the area to lessen the pain of the injection, but studies have shown that a dorsal penile ring block is not always effective in stopping the pain of circumcision.[4][5] During the circumcision, the child is given sugar pacifiers to "reduce his pain perceptions", but in at least one study, data shows that giving sugar to a child doesn't help to reduce the perception of pain in the child.[6] Post-operative pain and the pain the child must endure during recovery is hardly, if ever, addressed.

Pollock advertizes that it takes him "only 30 seconds" to perform circumcision, but this doesn't take into account the fact that the child must first have topical anaesthetic applied, and then be given the dorsal penile ring block for which there is a 10 minute waiting period for the injection to take effect. In the FAQ page, it is admitted that "although the circumcision takes under 30 seconds, we require you to be in our office for one hour and fifteen minutes in total so that we can carefully review with you all post procedure care and answer any of your questions."

In closing, Neil Pollock is just doing what any other merchant does to promote his business. It must be emphasized that Neil Pollock was first and foremost a mohel, and that he, Edgar Schoen and other circumcision advocates were circumcising children long before the current HIV hype. Pollock is not interested in facts, he is interested in promoting his own trade and absolving his own religious practices. Pollock will never admit the truths about circumcision because it would be devastating to his livelihood, devastating to his faith, and devastating to his own personal identity. The fact that he is a Jewish mohel, and that his livelihood depends on the circumcision of children bring this man's objectivity into question.

"It's hard to get a man to understand something when his livelihood depends on his not understanding..."
~Upton Sinclair

References:
1. "Pollock Clinics Infant Circumcision". 2011-04-08. http://www.pollockclinics.com/circumcision/circumcision-index.html. Retrieved 2011-04-08.
2. "Parents' Guide to Circumcision". http://www.pollockclinics.com/circumcision/circumcision-guide.html. Retrieved 2011-04-08.
3. "Before the Circumcision". 2011-04-08. http://www.pollockclinics.com/circumcision/circumcision-before.html. Retrieved 2011-04-08.
4. 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.
5. 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.
6. 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/ Retrieved 2011-04-08.