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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsCircumcision Coverage Comes Into Focus
(snip)
Like a dozen other states, Florida ended Medicaid coverage of routine circumcisions for newborns after the American Academy of Pediatrics issued a lukewarm statement on the practice in 1999. While the organization concluded that removing the penis's foreskin has potential benefits, it found the data more insufficient to recommend it as a routine procedure. So Florida lawmakers justified their decision in part as a way to save money on what the AAP had deemed an unnecessary procedure.
Now, a revised policy statement by the AAP that takes a more favorable stance toward circumcision, along with a series of academic studies examining the impact of reduced coverage of the procedure, has cast a new spotlight on the decision by Florida and other states not to cover it under Medicaid. In 2012, the AAP concluded that the benefits of circumcision outweigh the risks and justify "access to this procedure for families who choose it." The organization stopped short of recommending routine circumcision, however. Public funding of routine circumcisions for newborns has been hotly debated in recent years. Supporters of the practice say it helps prevent urinary tract infections in babies and sexually transmitted infections, including HIV, later in life. But groups opposed to circumcision say the procedure is medically unnecessary and an unnatural, antiquated practice.
(snip)
Ending Medicaid coverage of routine circumcisions may have stuck the state with a bigger bill instead, according to a group of University of Florida Health researchers. Costs for circumcisions more than doubled in the five years after the 2003 policy change, the study asserts. That was largely because families were opting to have the procedure done when boys were oldera more costly operation that Medicaid still covers if it is deemed medically necessary.
(snip)
Of the 18 states that no longer cover routine circumcisions, 12 made the decision in the wake of the AAP's 1999 policy statement. When the AAP came out with its revised position in 2012, some states weighed changing their policies. Medicaid officials in Utah recommended restoring circumcision coverage in 2013, but the legislature hasn't acted. Another effort by Colorado lawmakers to reinstate such funding failed last year, though the issue is likely to come up again this year... Around the same time, a team of Johns Hopkins University researchers published a study estimating that a 20-year decline in U.S. circumcision rates had resulted in $2 billion in health care costs to treat sexually transmitted infections and other illnesses in uncircumcised men and their female partners.
(snip)
http://online.wsj.com/news/articles/SB10001424052702304419104579327013566659736
(If you cannot open by clicking, try copy and paste the title onto google)
frazzled
(18,402 posts)The cost is pretty minimal: $200-$400 for a newborn in a hospital procedure. (Which means it probably really costs about $25.)
It discriminates against low-income parents, and now that studies have changed the tide on the benefit vs risk of this procedure,* they should have the choice, especially since spread of HIV-AIDS, transmission of HPV to females, etc. is probably higher in this group. It's not a smart public health decision to end funding (not to mention that it discriminates against some ethnic and religious groups).
* See further studies mentioned in this article. http://www.nytimes.com/2011/08/23/health/23consumer.html
But I'm sure the anti-circumcision crazies will be all over this like white on rice. Whatever.
Jesus Malverde
(10,274 posts)are the "crazies"...
subterranean
(3,427 posts)that do not involve removing body parts. For example, there is an HPV vaccine now.
Also, from the article you posted:
But critics say the AIDS epidemic in Africa is very different from the one in the United States. A majority of American men with H.I.V. or AIDS were infected through sexual contact with other men, not women, and circumcision does not appear to reduce infection risk for men who have sex with men.
In any case, newborn babies are not at high risk of transmitting STDs.
Jesus Malverde
(10,274 posts)Even those that mutilate babies as cultural rituals are rethinking the practice.
Jewish parents in US begin to question the need for circumcision
Several factors are fuelling the trend, including growing secular discomfort with the practice, mixed data on medical necessity and an American culture increasingly open to reinterpreting religious practices. The percentage of circumcision procedures among the general population is also dropping.
American Jews, on the whole, are now more immersed in secular culture and thus more apt to look askance at the idea of a tribal scarification ceremony. High education levels and a natural aesthetic are also prompting questioning among younger Jews.
"Because the American Jewish community is significantly educated, they're more likely to do organic and wanting everything to be natural, and a bris is sort of primal and ancient," said Julie Pelc Adler, director of the circumcision programme for Reform Judaism, the largest US denomination of Jews. "It's really different than the aesthetic of, 'Oh, let's bring this perfect new baby and swaddle him in perfection.' It's looking at this perfect baby and saying, 'He's not perfect, we need to do this one thing.'"
http://www.theguardian.com/world/2014/jan/17/us-jewish-parents-question-circumcision
question everything
(47,479 posts)and... the Jews that you cite will probably have to wait a generation or two to realize whether eliminating this practice ends up with less healthy adults.
And.. please, do not compare to foot binding. I am not familiar with circumcised men hobble but, I suppose..
subterranean
(3,427 posts)Of course, in most countries the practice never caught on to begin with.
Fumesucker
(45,851 posts)Jamastiene
(38,187 posts)See my post below. Not only were there lots of snips in the OP, but it even started with (snip). I could not help myself and literally Lol'ed.
gordianot
(15,238 posts)They wanted a Constitutional Amendment to ban the practice. Guess we took the school trip on the wrong day there were plenty of questions by students on the bus. Best answer I could give that is the 1st Amendment, years later a few students told me their primary memory of the trip was the penis posters.
Jesus Malverde
(10,274 posts)Jamastiene
(38,187 posts)I could not help but laugh my ass off at the fact that an article about circumcision started with (snip) and had tons of snips while reading the parts quoted here.
All joking aside, I personally would not circumcise a son if I ever had one. I just wouldn't want to chop things off my son if I ever got lucky enough to have one.
Still, knowing that circumcision has been shown to protect more against STDs than uncircumcised, and other benefits to health, I have to wonder why it wouldn't be covered for those who do want to chop off part of their son after he is born.
I will go now because I'm gonna get it. I just know it.
question everything
(47,479 posts)four paragraphs - more or less - of copyright material.
And I usually remove quotes by individuals preferring, instead, to just the post the facts.
Never thought of the double meaning...
Sorry.
snooper2
(30,151 posts)pnwmom
(108,978 posts)are medical procedures done by M.D.'s and backed up by plenty of research.
Right?
Atman
(31,464 posts)Oh, perhaps I should have read the article first.
tavernier
(12,388 posts)it's no skin off...
O.k. That was way too cheap and easy and I am deeply ashamed.