Financial incentive: Difference between revisions
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'''Financial incentive''' in the [[United States]] to perform medically-unnecessary, non-therapeutic [[circumcision]] is very large. Non-therapeutic [[circumcision]] is a multi-billion dollar industry. Profit is reaped not only from the practice of circumcision itself, and associated hospital charges, but also from the sale of harvested [[Foreskin| foreskins]], the sale of products derived from harvested foreskins, the sale of circumcision specific tools and utensils, and the treatment of [[Complication| complications]] and botched circumcisions. | '''Financial incentive''' in the [[United States]] to perform medically-unnecessary, harmful, non-therapeutic [[circumcision]] is very large. Non-therapeutic [[circumcision]] is a multi-billion dollar industry. Morgan (1967) termed it "<i>chronic remunerative surgery</i>", since physicians are paid over and over again for performing harmful unnecessary circumcision.<ref name="morgan1967">{{REFjournal | ||
|last=Morgan | |||
|first= | |||
|init=WKC | |||
|author-link=William Keith Campbell Morgan | |||
|etal=NO | |||
|title=Penile plunder | |||
|trans-title= | |||
|language= | |||
|journal=Med J Aust | |||
|location= | |||
|date=1967-05-27 | |||
|volume=1 | |||
|issue=21 | |||
|article= | |||
|page= | |||
|pages=1102-3 | |||
|url=https://www.cirp.org/library/general/morgan2/ | |||
|archived= | |||
|quote= | |||
|pubmedID=4226264 | |||
|pubmedCID= | |||
|DOI=10.5694/j.1326-5377.1967.tb20892.x | |||
|doi= | |||
|accessdate=2024-05-22 | |||
}}</ref> Profit is reaped not only from the practice of [[circumcision]] itself, and associated hospital charges, but also from the sale of harvested [[Foreskin| foreskins]], the sale of products derived from harvested foreskins, the sale of circumcision specific tools and utensils, and the treatment of [[Complication| complications]] and botched circumcisions. | |||
== The procedure itself == | == The procedure itself == | ||
| Line 40: | Line 65: | ||
}}</ref> | }}</ref> | ||
1.2 million baby boys are circumcised a year in the [[United States]] alone. At a dollar per procedure, that is already $1,200,000 a year. The going rate for a circumcision procedure is approximately $1,700 when hospital charges are included, multiplied by 1.2 million, that is approximately $2,040,000,000 a year that circumcision brings in based on the procedure alone. | 1.2 million baby boys are [[circumcised]] a year in the [[United States]] alone. At a dollar per procedure, that is already $1,200,000 a year. The going rate for a circumcision procedure is approximately $1,700 when hospital charges are included, multiplied by 1.2 million, that is approximately $2,040,000,000 a year that circumcision brings in based on the procedure alone. | ||
When a baby boy is to be [[circumcised]], mother and baby remain in hospital for about one-fourth of a day longer,<ref name="mansfield1995" /> so that increases the profit to the hospital. | When a baby boy is to be [[circumcised]], mother and baby remain in hospital for about one-fourth of a day longer,<ref name="mansfield1995" /> so that increases the profit to the hospital. Early in hospital [[circumcision]] permits obstetricians to make more money. | ||
Bollinger (2012) estimates that the total cost of non-therapeutic male circumcision, including hospital costs, repair of botched circumcisions, treatment of complications, and so on is more than $3 billion per year.<ref name="bollinger2012">{{REFweb | Bollinger (2012) estimates that the total cost of non-therapeutic male circumcision, including hospital costs, repair of botched circumcisions, treatment of complications, and so on is more than $3 billion per year.<ref name="bollinger2012">{{REFweb | ||
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}}</ref> [[Third-party payment]] is a major support to the performance of this medically-unnecessary surgery. | }}</ref> [[Third-party payment]] is a major support to the performance of this medically-unnecessary surgery. | ||
The now expired and discredited AAP 2012 ''Circumcision Policy Statement'' stated that "Although health benefits are not great enough to recommend routine (i.e. non-therapeutic) circumcision for all male newborns, the benefits of circumcision are sufficient to justify access to this procedure for families choosing it and to '''warrant [[third-party payment]]''' for [[circumcision]] of male newborns. It is important that clinicians routinely inform parents of the health benefits and risks of male newborn [[circumcision]] in an unbiased and accurate manner." and "The American College of Obstetricians and Gynecologists has endorsed this statement."<ref>{{REFweb | <!--The now expired and discredited AAP 2012 ''Circumcision Policy Statement'' stated that "Although health benefits are not great enough to recommend routine (i.e. non-therapeutic) circumcision for all male newborns, the benefits of circumcision are sufficient to justify access to this procedure for families choosing it and to '''warrant [[third-party payment]]''' for [[circumcision]] of male newborns. It is important that clinicians routinely inform parents of the health benefits and risks of male newborn [[circumcision]] in an unbiased and accurate manner." and "The American College of Obstetricians and Gynecologists has endorsed this statement."<ref>{{REFweb | ||
|last= | |last= | ||
|first= | |first= | ||
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|accessdate=2012-11-24 | |accessdate=2012-11-24 | ||
}}</ref> Many new born circumcisions are performed by obstetricians. | }}</ref> Many new born circumcisions are performed by obstetricians. | ||
--> | |||
==Solicitation for circumcision surgery== | ==Solicitation for circumcision surgery== | ||
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==Government support == | ==Government support == | ||
Although the [[foreskin]] has [[Immunological and protective function of the foreskin| immunological and protective functions]], Government medical insurance in the [[United States]] still holds the notion, which originated in the late 19th century, that the [[foreskin]] is a cesspool of disease, and circumcision improves hygiene and prevents sexually transmitted diseases (STDs), therefore it is best cut off and insurance should pay for it without any proof of [[medical indication]] or necessity, so there are no effective controls in force to see that only medically necessary services are covered.<ref name="hodges1997">{{REFbook | Although the [[foreskin]] has [[Immunological and protective function of the foreskin| immunological and protective functions]], Government medical insurance in the [[United States]] still holds the antique notion, which originated in the late 19th century, that the [[foreskin]] is a cesspool of disease, and [[circumcision]] improves hygiene and prevents sexually transmitted diseases (STDs), therefore it is best cut off and insurance should pay for it without any proof of [[medical indication]] or necessity, so there are no effective controls in force to see that only medically necessary services are covered.<ref name="hodges1997">{{REFbook | ||
|last=Hodges | |last=Hodges | ||
|first=Frederick M. | |first=Frederick M. | ||
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|accessdate=2020-08-04 | |accessdate=2020-08-04 | ||
|note= | |note= | ||
}}</ref> This view is not supported by current medical evidence. | }}</ref> This view is not supported by current medical evidence. In reality, the opposite is true. The [[Immunological and protective function of the foreskin| immunological functions of the foreskin]] help to prevent disease, so [[intact]] boys are healthier. | ||
===Medicaid=== | ===Medicaid=== | ||
[https://www.medicaid.gov/ Medicaid] is a medical insurance program for people whose income is below the federal poverty level (FPL}. However, in most states, pregnant women are covered to a variable amount above the FPL. | [https://www.medicaid.gov/ Medicaid] is a medical insurance program for people whose income is below the federal poverty level (FPL}. However, in most states, pregnant women are covered to a variable amount above the FPL. | ||
The medical expenses of many births are borne by Medicaid. The percentage of births covered by Medicaid varies by state. It ranges from a low of 20 percent in Vermont to 71 percent in New Mexico.<ref>{{REFweb | The medical expenses of many births are borne by Medicaid.<ref name="jones2022">{{REFdocument | ||
|title=FOIA Request sheds new light on AAP's motivations | |||
|url=https://www.circumcisionharm.org/images-circharm.org/2022%20FOIA%20Report%20on%20Circumcision%20Ryan%20Jones%20CIAF.pdf | |||
|contribution= | |||
|last=Jones | |||
|first=Ryan | |||
|publisher=Circumcision is a Fraud | |||
|format=PDF | |||
|date=2022-02 | |||
|accessdate=2025-05-24 | |||
}}</ref> The percentage of births covered by Medicaid varies by state. It ranges from a low of 20 percent in Vermont to 71 percent in New Mexico.<ref>{{REFweb | |||
|url=https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D | |url=https://www.kff.org/medicaid/state-indicator/births-financed-by-medicaid/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D | ||
|title=Births financed by Medicaid | |title=Births financed by Medicaid | ||
| Line 129: | Line 165: | ||
|date=2013-09-05 | |date=2013-09-05 | ||
|accessdate=2020-08-05 | |accessdate=2020-08-05 | ||
}}</ref> Circumcision is frequently included as part of the birth package of covered expenses, so third-party payment is provided. | }}</ref> Circumcision is frequently included as part of the birth package of covered expenses, so [[third-party payment]] is provided. Ryan Jones filed a freedom of information act request and learned that Medicaid paid for 6,260,830 circumcisions at a cost of $537,176,694.<ref name="jones2022" /> | ||
While 18 states have stopped paying for non-therapeutic [[circumcision]], 32 states still pay for it. Doctors may be driven to promote non-therapeutic circumcision if they get a free stipend from the state. Adler (2011) has argued that such payments are contrary to law.<ref>{{REFjournal | While 18 states have stopped paying for non-therapeutic [[circumcision]], 32 states still pay for it. Doctors may be driven to promote non-therapeutic circumcision if they get a free stipend from the state. Adler (2011) has argued that such payments are contrary to law.<ref>{{REFjournal | ||
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There are approximately 7,000,000 employees of state and local government. The great majority of these have health insurance that provides [[third-party payment]] for non-therapeutic circumcision. | There are approximately 7,000,000 employees of state and local government. The great majority of these have health insurance that provides [[third-party payment]] for non-therapeutic circumcision. | ||
Money provided from the above described sources to support the practice of non-therapeutic circumcision nourishes the [[circumcision industry]]. | |||
==Private insurance== | ==Private insurance== | ||
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== Auxiliary tools == | == Auxiliary tools == | ||
Industries that depend on the practice of circumcision, particularly infant circumcision include makers of the [[circumstraint]] (the board to which a baby is strapped down to for the procedure), makers of circumcision clamps, manufacturers of circumcision kits, and other utensils used for circumcision. | Industries that depend on the practice of circumcision, particularly infant [[circumcision]] include makers of the [[circumstraint]] (the board to which a baby is strapped down to for the procedure), makers of circumcision clamps, manufacturers of circumcision kits, and other utensils used for circumcision. | ||
Clamp manufacturers: | Clamp manufacturers: | ||
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== Profit from harvested foreskins == | == Profit from harvested foreskins == | ||
Foreskins are sold to pharmaceutical companies for stem-cell research, the creation of synthetic [[skin]], and the creation of consumer products. Since the 1980s, private hospitals have been involved in the business of supplying discarded foreskins to private bio-research laboratories and pharmaceutical companies who require human flesh as raw research material.<ref name="hodges1997" /> They also supply foreskins to transnational corporations. Dr. Tania Phillips, professor of dermatology at {{UNI|Boston University|BU}} [http://www.bumc.bu.edu/ School of Medicine], insisting foreskin gathering and cultivating is scientifically and technologically "very promising. | Foreskins are sold to pharmaceutical companies for stem-cell research, the creation of synthetic [[skin]], and the creation of consumer products. Since the 1980s, private hospitals have been involved in the business of supplying discarded foreskins to private bio-research laboratories and pharmaceutical companies who require human flesh as raw research material.<ref name="hodges1997" /> They also supply foreskins to transnational corporations. Dr. Tania Phillips, professor of dermatology at {{UNI|Boston University|BU}} [http://www.bumc.bu.edu/ School of Medicine], insisting [[foreskin]] gathering and cultivating is scientifically and technologically "very promising".<ref>Ronald Rosenberg. 19 October 1992: 22-23.</ref> | ||
=== Corporate benefactors === | === Corporate benefactors === | ||
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* [[LifeCell Corporation]] (Nasdaq:LIFC) | * [[LifeCell Corporation]] (Nasdaq:LIFC) | ||
* [[SkinMedica]] | * [[SkinMedica]] | ||
* [[Vavelta]] | |||
=== FDA approved products === | === FDA approved products === | ||
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==Total annual costs of American circumcision== | ==Total annual costs of American circumcision== | ||
Bollinger (2012) estimated that the total annual cost of non-therapeutic [[circumcision]] to Americans is $3,647,000,000.<ref name="bollinger2012"/> | Bollinger (2012) estimated that the total annual cost of non-therapeutic [[circumcision]] to Americans is $3,647,000,000.<ref name="bollinger2012"/> He has since updated his estimate of total annual cost in 2020 to be $5,685,000,000 or nearly six billion dollars per year. | ||
==Video== | |||
===This should be a crime.=== | |||
<youtube>v=ob4OADNIidc</youtube> | |||
===Part Four: The Effects on the Male Soul and Spirit=== | |||
<youtube>?v=Fo9zBKUNVH0</youtube> | |||
{{SEEALSO}} | {{SEEALSO}} | ||
* [[Circumcision industry]] | |||
* [[Third-party payment]] | * [[Third-party payment]] | ||
* [[PEPFAR]] | * [[PEPFAR]] | ||
* [[United States of America]] | |||
{{LINKS}} | {{LINKS}} | ||
| Line 249: | Line 294: | ||
|title=How Much Does a Circumcision Cost? Detailed Analysis! | |title=How Much Does a Circumcision Cost? Detailed Analysis! | ||
|publisher=Happy Hospitalist | |publisher=Happy Hospitalist | ||
|accessdate= | |accessdate=2023-11-12 | ||
}} | |||
* {{REFweb | |||
|url=https://intactamerica.org/economics-of-circumcision/ | |||
|title=The Economics of Circumcision: A Full Breakdown of This Penis Business | |||
|last=Garrett | |||
|first=Connor | |||
|publisher=Intact America | |||
|date=2023-12-21 | |||
|accessdate=2023-12-31 | |||
}} | |||
* {{REFweb | |||
|url=https://intactamerica.org/adult-circumcision-cost/ | |||
|title=Adult Circumcision Cost: The Profit Motives and Hidden Toll | |||
|last=Garrett | |||
|first=Connor | |||
|init= | |||
|publisher=Intact America | |||
|date=2024-03-07 | |||
|accessdate=2024-05-09 | |||
}} | }} | ||