Changes

Canada has fourteen single-payer health insurance plans (HIPs) — one for each of the ten provinces and three territories and a 14th plan for government employees. The British Columbia HIP stopped paying for non-therapeutic circumcision in the 1980s. Ontario HIP stopped payment for non-therapeutic circumcision in July 1995; Saskatchewan stopped in 1996. One by one, all other HIPs have stopped paying for non-therapeutic circumcision. In 2006, Manitoba HIP was the last to stop, but only after the wrong boy was circumcised at [http://www.sbgh.mb.ca/ St. Boniface Hospital].<ref name="skeldon2008">{{REFnews

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At the beginning of the 21st Century, only the Manitoba Health Insurance Plan (HIP) still paid for non-therapeutic circumcision, however that was ended in 2006.<ref name="skeldon2008" />

In all provinces and territories, only a minority of boys are being [[circumcised]]. The incidence of circumcision in Labrador and Newfoundland is reported to be close to zero.<ref>{{REFweb

* The long-term trend in the incidence of [[circumcision ]] in Canada is down.

* The health insurance plans (HIPs) do not support non-therapeutic circumcision.<ref name="skeldon2008" />

* The ratio of [[intact ]] fathers to [[circumcised ]] fathers is changing toward more [[intact ]] fathers and fewer [[circumcised ]]fathers. Boys who were born after the decline in circumcision started and who are [[intact ]] are now reaching the age at which they start families and become fathers. [[Intact ]] men usually do not want any son to be [[circumcised]], so they will usually not have a son [[circumcised]].<ref name="rediger-muller2013" /> This will cause a further decline in the incidence of [[circumcision]].

* The survey (2006) found that the incidence of circumcision on Prince Edward Island was 38 percent. A recent report indicated that non-therapeutic circumcision of boys is no longer available on P.E.I. because no practitioner will perform the non-therapeutic [[amputation]] of part of a boy's penis.<ref>{{REFnews

As of 2022, [[third-party payment]] for non-therapeutic [[circumcision]] has not been available anywhere in Canada since 2006. <ref name="skeldon2008" /> Moreover, non-therapeutic circumcision is not done in most hospitals,<ref name="jamesloewen2019" /> so parents who want to have a boy circumcised must take the boy to the surgery of a practitioner who specializes in non-therapeutic male circumcision, and furthermore must pay out of pocket. For example, the cost of circumcision of a newborn boy in New Brunswick is C$425 ranging up to C$1500 for a teenager or adult.<ref>{{REFweb

The prevalence of circumcision is higher among older males, but lower among younger males. As older, mostly [[circumcised ]] males die and are replaced in the population by younger, mostly [[intact ]] males, the overall prevalence of circumcised men in Canada is gradually declining. [[Intact ]] males usually do not want any son to be [[circumcised]],<ref name="brown-brown1987" /> <ref name="rediger-muller2013" /> so the demand for [[circumcision ]] in Canada is declining.