American Academy of Family Physicians: Difference between revisions
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Family physicians is one of three medical specialties who substantially profit from carrying out medically-uncessary, non therapeutic child circumcisions, so it should be no surprise that they promote non-therapeutic child [[circumcision]] with a very positive policy statement. The AAFP joined with the ACOG and the [[American Academy of Pediatrics]] in 2008 to produce a pro-circumcision policy statement that would promote [[circumcision]] and [[third-party payment]] for non-therapeutic circumcision of children. The statement was finally published by the AAP in 2012, but it expired in 2017 | Family physicians is one of three medical specialties who substantially profit from carrying out medically-uncessary, non-therapeutic child circumcisions, so it should be no surprise that they promote non-therapeutic child [[circumcision]] with a very positive policy statement. | ||
The corrupt [[World Health Organization]] (WHO) published a statement in 2007, based on now discredited African randomized controlled trials, that falsely claimed that male circumcision would prevent or reduce infection with HIV.<ref name="who2007">{{REFweb | |||
|quote= | |||
|url=http://www.who.int/hiv/topics/malecircumcision/en/ | |||
|title=Male circumcision for HIV prevention | |||
|last= | |||
|first= | |||
|publisher=World Health Organization | |||
|work= | |||
|date=2007 | |||
|accessdate=2020-04-16 | |||
}}</ref> | |||
The AAFP then joined with the [[American Congress of Obstetricians and Gynecologists| American College of Obstetricians and Gynecologists]] (ACOG) and the [[American Academy of Pediatrics]] in 2008 to produce a pro-circumcision policy statement that would promote [[circumcision]] and [[third-party payment]] for non-therapeutic circumcision of children. Lesley Atwood, MD, was assigned to represent AAFP in the development of the pro-circumcision statement. | |||
The statement was finally published by the AAP in 2012, but attracted overwhelming criticism from many sources. | |||
==Criticism of the AAP statement== | |||
p>After the release of the position statement, a debate appeared in the journal ''Pediatrics'' and the ''Journal of Medical Ethics'' between the AAP and an ad-hoc group of Western doctors, ethicists and lawyers, who questioned the evidence and ethics of the AAP position statement, and accused the AAP of "cultural bias". | |||
* {{REFjournal | |||
|last=Svoboda | |||
|first=J. Steven | |||
|author-link=J. Steven Svoboda | |||
|last2=Van Howe | |||
|first2=Robert S. | |||
|author2-link=Robert S. Van Howe | |||
|etal=no | |||
|title=Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision | |||
|trans-title= | |||
|language= | |||
|journal=J Med Eth | |||
|location=Published online first | |||
|date=2013-03-13 | |||
|volume=39 | |||
|issue=7 | |||
|pages=434-41 | |||
|url=https://arclaw.org.customers.tigertech.net/wp-content/uploads/Svoboda-Van-Howe-Out-of-Step-Fatal-Flaws-in-AAP...-JME-2013.pdf | |||
|archived= | |||
|quote= | |||
|pubmedID=23508208 | |||
|pubmedCID= | |||
|DOI=10.1136/medethics-2013-101346 | |||
|accessdate=2020-04-16 | |||
}} | |||
* {{REFdocument | |||
|title=Commentary on American Academy of Pediatrics 2012 Circumcision Policy Statemeni | |||
|url=https://www.doctorsopposingcircumcision.org/wp-content/uploads/2016/08/commentary-on-american-academy-of-pediatrics-2012-circumcision-policy-statement.pdf | |||
|contribution= | |||
|last= | |||
|first= | |||
|publisher=Doctors Opposing Circumcision | |||
|format=PDF | |||
|date=2013-04-01 | |||
|accessdate=2020-04-16 | |||
}} | |||
* In 2013, international physicians protested against American Academy of Pediatrics’ policy on infant male circumcision. This protest was organized by [[Morten Frisch]] and led to an article in ''Pediatics''<ref name="frisch2013">{{REFjournal | |||
|last=Frisch | |||
|first=Morten | |||
|author-link=Morten Frisch | |||
|last2=Aigrain | |||
|first2=Yves | |||
|author2-link= | |||
|last3=Barauskas | |||
|first3=Vidmontas | |||
|author3-link= | |||
|etal=yes | |||
|title=Cultural Bias in the AAP’s 2012 Technical Report and Policy Statement on Male Circumcision | |||
|journal=Pediatrics | |||
|location= | |||
|date=2013-04-01 | |||
|volume=131 | |||
|issue=4 | |||
|pages= | |||
|url=https://pediatrics.aappublications.org/content/131/4/796.long | |||
|quote= | |||
|pubmedID=23509170 | |||
|pubmedCID= | |||
|DOI=10.1542/peds.2012-2896 | |||
|accessdate=2020-04-04 | |||
}}</ref>, signed by an international group of 38 physicians from 16 European countries. | |||
The AAP received further criticism from activist groups that oppose [[circumcision]]."<ref>{{URLwikipedia|American_Academy_of_Pediatrics|American Academy of Pediatrics|2020-03-31}}</ref></p> | |||
* {{REFjournal | |||
|last=Darby | |||
|first=Robert | |||
|author-link=Robert Darby | |||
|etal=no | |||
|title=Risks, Benefits, Complications and Harms: Neglected Factors in the Current Debate on Non-Therapeutic Circumcision | |||
|trans-title= | |||
|language= | |||
|journal=Kennedy Institute of Ethics Journal | |||
|location= | |||
|date=2015-04 | |||
|volume=25 | |||
|issue=1 | |||
|pages=1-34 | |||
|url=https://kiej.georgetown.edu/wordpress/wp-content/uploads/2015/03/03_25.1darby.pdf | |||
|archived= | |||
|quote= | |||
|pubmedID=25843118 | |||
|pubmedCID= | |||
|DOI=10.1353/ken.2015.0004 | |||
|accessdate=2020-04-16 | |||
}} | |||
Under AAP, a statement expires after five years unless it is reaffirmed, but the AAP did not reaffirm its flawed 2012 statement, so it expired in 2017. | |||
==2012 AAFP circumcision position statement== | |||
The AAFP issued a circumcision position statement in 2012 that was based on the 2012 AAP position statement.<ref>{{REFweb | |||
|url=https://www.aafp.org/about/policies/all/neonatal-circumcision.html | |||
|title=Neonatal Circumcision | |||
|last= | |||
|first= | |||
|accessdate=2019-12-10</ref> | |||
The statement claims that non-therapeutic infant male circumcision has "''potential'' benefits". ''Potential'' means to exist in possibility but not in actuality,<ref>{{REFweb | |||
|url=https://medical-dictionary.thefreedictionary.com/potential | |||
|archived= | |||
|title=Potential | |||
|trans-title= | |||
|language= | |||
|last= | |||
|first= | |||
|author-link= | |||
|publisher=Farley | |||
|website=Medical Dictionary | |||
|date= | |||
|accessdate=2020-04-18 | |||
|format= | |||
|quote=Capable of doing or being, although not yet in course of doing or being; possible, but not actual. | |||
}}</ref> | |||
{{LINKS}} | {{LINKS}} | ||