West Virginia

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West Virginia is a small, mountaineous U.S. state in the Appalachian Mountains of the eastern United States. West Virginia is contiguous with Ohio, which is part of the "circumcision belt of America" that runs through the midwestern United States. West Virginia is an extension of that belt.

West Virginia has a population of about 1,770,000.

Coal mining is an important industry in West Virginia.


Popularity of male circumcision in West Virginia

It is very likely that third-party payment is freely available for the medically not indicated, non-therapeutic, harmful, surgical amputation of the normal foreskin.

West Virginia has long enjoyed the dubious distinction of having the highest incidence (87%) in 2009 of harmful, painful, traumatic, non-medically-indicated child circumcision in the United States.

American circumcision rates by state.
American circumcision rates by state.























Circumcision has long been falsely promoted as a prophylactic procedure that would prevent future disease, but contemporary research indicates that non-therapeutic male circumcision is very harmful.

Health care in West Virginia

The emphasis on child circumcision in West Virginia consumes medical resources (funding and time of health care providers} that would otherwise be available to treat actual diseases and improve health.

According to Wikipedia, health care in West Virginia is generally substandard:

"United Health Foundation's "America's Health Rankings" for 2013 found that Americans are making considerable progress in key health measures. West Virginia, however, ranked either last or second-to-last in twenty categories, including cancer, child immunization, diabetes, disabilities, drug deaths, teeth loss, low birth weight, missed work days due to health, prescription drug overdose, preventable hospitalizations, and senior clinical care."

"The residents of West Virginia have a lower life expectancy than the national average. In 2014 life expectancy for both sexes in the state was 76.0 years compared to 79.1 years for the United States as a whole. In 2014, males in West Virginia lived an average of 73.6 years compared to a national average of 76.7 years and females lived an average of 77.5 years compared to a national average of 81.5 years. Male life expectancy in West Virginia between 1980 and 2014 increased by 4.7 years, compared to a national average of a 6.7-year increase. Life expectancy for females in West Virginia between 1980 and 2014 increased by 1.7 years, compared to a national average of a 4.0-year increase. Life expectancy for both sexes is among the lowest of all states."[5]

West Virginia may have the poorest health care of any U.S. state.

Physicians

According to Wikipedia, 10 to 15 percent of physicians practicing in West Virginia are Doctors of Osteopathy (DO).[6]

Physicians in the United States are paid on a fee-for-service basis. Circumcision is an additional service for which physicians collect an additional fee. A typical child circumcision can be done in only a few minutes, so the financial incentive is highly attractive. The actual health value or lack thereof of circumcision is seldom considered.

Conclusion

References

  1. REFjournal Van Howe RS. Incidence of meatal stenosis following neonatal circumcision in a primary care setting. Clin Pediatr (Phila). January 2006; 45(1): 49-54. PMID. PMC. Retrieved 8 April 2026.
  2. REFjournal Fendereski K, Horns JJ, Driggs N, Lau G, Shaeffer AJ. Comparing Penile Problems in Circumcised vs. Uncircumcised Boys: Insights From a Large Commercial Claims Database With a Focus on Provider Type Performing Circumcision. J Pediatr Surg. November 2024; 59(11): [161614]. PMID. PMC. DOI. Retrieved 8 April 2026.
  3. REFjournal Tye MC, Sardi LM. Psychological, psychosocial, and psychosexual aspects of penile circumcision PDF. Int J Impot Res. May 2023; 35(3): 242-8. PMID. DOI. Retrieved 8 April 2026.
  4. REFjournal Andersen-Giberson D. Circumcision and forced disability: Routine male neonatal circumcision and the consequences of amputation within a critical disability studies framework PDF. Critical Disability Discourses. December 2025; 10(2): 1-37. DOI. Retrieved 8 April 2026.
    Quote: In a critical disability studies framework, it is argued that the act of amputating healthy erogenous tissue and the consequences of that amputation cause disability, particularly from a counter-hegemonic lens.
  5. REFweb Wikipedia article: West Virginia
  6. REFweb Wikipedia article: Osteopathic medicine in the United States