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→U.S. Government policy on circumcision
|url=https://jamanetwork.com/journals/jama/article-abstract/453164
|accessdate=2025-01-19
}}</ref> The purpose of the paper was to defend [[Brit Milah| ritual circumcision]], which was under attack for transmitting tuberculosis to newborn infants.<ref name="holt1913">{{REFjournal
|last=Holt
|first=L. Emmett
|url=http://www.cirp.org/library/complications/holt1/
|accessdate=2025-01-19
}}</ref> The article seems to have influenced the medical officers of the United States military service who were seeking to keep military personnel free of venereal disease.<ref name="skeldon2008">{{REFconference
|last=Skeldon
|first=Sean
|accessdate=2025-01-19
}}</ref>
The unspoken and unwritten official U.S. Government policy seems to be that it is clear every male needs a circumcision, so support for free circumcision is provided without any questions being asked. This had been the policy of the military services since about 1917 when the United States intervened in the World War. When the Congress created the Medicare and Medicaid programs in 1965, the ''every male needs a circumcision'' policy was adopted. About 45 percent of births in the [[United States ]] are covered by Medicaid and in most states free harmful and unnecessary coverage of infant circumcisions are provided. United States Medicaid is one of the largest third-party payers for medically-unnecessary, non-therapeutic circumcision.<ref name="adler2011>{{REFjournal
|last=Adler
|first=Peter W.
|accessdate=2019-11-08
}}</ref>
The [[United States]] has numerous medical programs through which free harmful and unnecessary non-therapeutic circumcisions are provided. They include:
* Medicare (For men 65 and over).
* Medicaid (For less prosperous Americans and now illegal immigrants).
* Indian Health Service (for indigenous people although circumcision is not part of their culture.)
* Children's Health Insurance Program (CHIP) (For children who do not qualify for Medicaid).
* Military Medical Services (For active duty personnel.)
* Tristar (for military dependents.)
* Federal employee's health insurance (For federal employees and their dependents.)
* President's Emergency Plan For AIDS Relief (PEPFAR) (For every male who lives in Africa.)
The [[American Academy of Pediatrics]] created its failed 2012 policy statement (expired in 2017) specifically to preserve and protect third party payment to medical doctors.