Another Example Of How Being PC Hurts The Poor
Circumcision of infants was routine until 1999 when the American Academy of Pediatrics decided it was unnecessary. The political climate, beginning in the 1980’s, was negative towards circumcision for the usual reasons. If you’ve been breathing, you know what I’m talking about. Turns out that circumcision prevents STDs
The decision of whether or not to circumcise an infant can be a difficult one, but new research suggests that having the procedure may reduce the risk of certain infections later in life.
In a study of more than 5,000 uncircumcised adult Ugandan males, researchers found that after circumcision, the rates of infection with the virus that causes herpes
went down by 28 percent, and the transmission of human papillomavirus (HPV) — the virus that can cause cervical cancer and genital warts
– was reduced by 35 percent.In a previous study, the same researchers found that circumcision reduced infection with the HIV virus by 60 percent. Two other research groups — one working in Kenya and the other in South Africa — have also had similar findings.
“We hope these data will ultimately result in policy changes in recommending circumcision for young boys or adult men to decrease the rates of infection with HIV, HPV and herpes,” said the lead author of the Ugandan study, Dr. Thomas Quinn, a senior investigator in infectious diseases at the National Institute for Allergy
and Infectious Diseases (NIAID) and a professor of medicine at Johns Hopkins School of Medicine in Baltimore.
Oh, but it isn’t just a problem in Uganda. Here in the US, as a result of the decision made by the American Academy of Pediatrics, there are seventeen states in which Medicaid will not cover the procedure. And in those states, circumcision rates are down around 31%, compared to over 70% in states where the procedure is covered This means that poor kids in those states will have more STDs, the poor males and all of their partners.
Just over half of male newborns in the U.S. get circumcised, according to research published earlier this year in the American Journal of Public Health. The percentage has declined over the past decade, in part because the American Academy of Pediatrics said in 1999 that the evidence is “not sufficient to recommend routine neonatal circumcision.”
Opponents of circumcision say the procedure isn’t medically essential and causes unnecessary distress to the baby. They add that proper hygiene and safe sex can prevent disease.
The academy’s guidance, issued before the landmark African trials, remains in effect. Partly as a result, Medicaid plans in 16 states don’t pay for circumcision, according to the American Journal of Public Health. Circumcision rates in states with Medicaid coverage for the procedure are nearly 70%, while in the states without such coverage just 31% of male newborns get circumcised, the Journal said. Medicaid is the state-federal insurance program for the needy.
Lack of Medicaid coverage for circumcision — combined with data showing higher incidence of sexually transmitted diseases in uncircumcised men — “may translate into future health disparities for children born to poor families,” says the study in the American Journal of Public Health.
I’m going to issue a quick Ya Think™ Award to the writers of that study. Congratulations. You’ve just discovered something that has been known since the early days of Judaism. Circumcision is healthy, even if it is somewhat icky.
We’re too hip for our own good. We fail to consider the Law of Unintended Consequences.
- Aggie