Financial incentive: Difference between revisions
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|quote=As they saying goes, follow the money. Now you know why neither the [[American Academy of Pediatrics]], American Medical Association, [[American Academy of Family Physicians]], or the [[American Congress of Obstetricians and Gynecologists| American College of Obstetricians and Gynecologists]] haven’t condemned this unnecessary surgery, and why their physician members are quick to recommend the procedure to expectant parents. | |quote=As they saying goes, follow the money. Now you know why neither the [[American Academy of Pediatrics]], American Medical Association, [[American Academy of Family Physicians]], or the [[American Congress of Obstetricians and Gynecologists| American College of Obstetricians and Gynecologists]] haven’t condemned this unnecessary surgery, and why their physician members are quick to recommend the procedure to expectant parents. | ||
}}</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 | |||
|last= | |||
|first= | |||
|date=2012-08-27 | |||
|title=Circumcision Policy Statement | |||
|url=http://pediatrics.aappublications.org/content/130/3/585 | |||
|publisher=''Pediatrics'' | |||
|accessdate=2012-11-24 | |||
}}</ref> Many new born circumcisions are performed by obstetricians. | |||
==Government support == | ==Government support == | ||
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===Medicaid=== | ===Medicaid=== | ||
[https://www.medicaid.gov/ Medicaid] is a 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 costs are 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 costs are 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 | ||
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|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. | }}</ref> Circumcision is frequently included as part of the birth package of covered expenses, so third-party payment is provided. | ||
While 18 states have stopped paying for it, 32 states still pay for non-therapeutic [[circumcision]]. 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 it, 32 states still pay for non-therapeutic [[circumcision]]. 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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|accessdate=2020-08-05 | |accessdate=2020-08-05 | ||
}}</ref> | }}</ref> | ||
===Indian Health Service=== | ===Indian Health Service=== | ||
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===Medicare=== | ===Medicare=== | ||
The [https://www.medicare.gov/ United States Medicare Program] provides health insurance for persons who have reached the age of 65 years. It assumes that any man with a [[foreskin]] needs a [[circumcision]]. It does not require proof of medical necessity. | The [https://www.medicare.gov/ United States Medicare Program] provides health insurance for persons who have reached the age of 65 years. It assumes that any man with a [[foreskin]] needs a [[circumcision]]. It does not require proof of medical necessity to provide third-party payment. | ||
===State and local government=== | ===State and local government=== | ||
There are approximately 7,000,000 employees of state and local government. The great majority of these have health insurance that | 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. | ||
== Auxiliary tools == | == Auxiliary tools == | ||