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America is predominantly an English-speaking nation. As in other English-speaking nations, non-therapeutic [[circumcision]] of boys was popularized in the late nineteenth century, however, the practice of non-therapeutic circumcision of boys is now in decline. The decline of the unnecessary practice has been slowed by continual encouragement and promotion of circumcision by the medical industry. The United States is unique in having a medical industry that aggressively promotes the practice of medically-unnecessary infant circumcision.
Despite the financially self-serving promotional efforts of the circumcision industry, The the incidence of non-therapeutic circumcision of infant boys was reported to have continued its decline to 52.1 percent in 2016.<ref name="jacobson2021">{{REFjournal
|last=Jacobson
|first=Deborah L.