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[[Foreskinned]] doctors tend to write papers hostile to circumcision, while [[circumcised doctors]] tend to write papers in favor of circumcision.<ref name="hill2007" /> Consequently, the medical literature regarding male circumcision is highly polarized, argumentative, and [[Bias| biased]]. American doctors do research to find reasons to carry out non-therapeutic circumcision.<ref name="fleiss1999">{{REFbook
|last=Fleiss
|first=Paul M. |author-linkinit=PM |last2= |first2= |author2author-link=Paul M. Fleiss
|year=1999
|title=An Analysis of Bias Regarding Circumcision in American Medical Literature: Medical, Legal, and Ethical Considerations in Pediatric Practice.