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Foreskins and Forefathers: A Constitutional Case Against Circumcision

a constitutional case against circumcision

In Western democracies, circumcision stands at the crossroads of tradition, misinformation, and human rights, bringing forth pressing ethical dilemmas. As we peel back the layers of this painful practice, we are compelled to confront a profound question: Does circumcision, mainly when performed on those unable to provide informed consent, stand in contravention of our constitutional rights? This article seeks to probe deeper into the constitutional veracity of a practice that, to this day, is still heavily pushed by the medical establishment, societal and cultural pressures, and other medical institutions. 

A Constitutional Case Against Circumcision

Exploring the intricacies of the circumcision debate, this article delves into the constitutional concerns surrounding the practice. Sitting at the intersection of personal liberty, child rights, and medical ethics, we need a renewed dialogue on this age-old tradition based on modern legal frameworks.

The Medical Debate: Necessity vs. Ethics

At the heart of the circumcision discussion lies a contentious medical debate over the benefits of circumcision. But the claims of the pro-circumcision crowd, which includes many in the health field, have been debunked by modern science. Proponents of circumcision frequently cite supposed health benefits that include reduced risks of urinary tract infections, sexually transmitted infections, and penile cancer. These claims have been proven to be wholly untrue

Conversely, intactivists and organizations like ours raise concerns about the vastly underreported circumcision risks and consequences, ranging from infections and pain to more severe implications like hemorrhage, tissue damage, loss of function, decreased sensitivity, partial or complete amputation, and, in rare cases, death, nullifying the supposed advantages.

But beyond the tug-of-war on its medical merits, the practice raises profound ethical dilemmas. The most prominent revolves around consent and the right to bodily autonomy. Infants subjected to circumcision are incapable of providing informed consent for a procedure that permanently alters a part of their body. Without a pressing and immediate medical reason, making such an irreversible decision for another person encroaches upon their constitutional right to personal autonomy and self-determination.

Constitutional Rights and Bodily Integrity

The U.S. Constitution, while not explicitly detailing every right, is grounded in protecting certain inalienable liberties. Among these is the Fourteenth Amendment’s protection of personal liberty, which the courts have repeatedly interpreted to encompass a range of personal choices and bodily decisions. A cornerstone of this liberty is the concept of bodily integrity—the right of individuals to exercise control over their bodies without interference from the state.

Bodily integrity is seen as a fundamental extension of our constitutional rights, emphasizing the importance of personal autonomy and self-determination. The principle suggests that barring compelling interests, the state should not have the authority to force, prohibit, or dictate actions that intimately and irreversibly affect an individual’s body.

The U.S. legal system has set several precedents to emphasize the importance of bodily integrity. For instance, this principle is rooted in the right to refuse medical treatment, even life-saving treatment. In another context, the landmark case of Roe v. Wade underscored a woman’s right to decide about her body. While these cases don’t specifically address circumcision, they bolster the overarching theme of bodily autonomy protected under the Constitution.

In addition, 41 states have criminalized Female Genital Mutilation (FGM), which refers to the partial or total removal of external female genitalia or other injury to the female genital organs. This also sets a precedent for protecting boys from Male Genital Mutilation (MGM), any permanent modification of the external genitalia, i.e., the surgical removal of the foreskin, a normal body part with several beneficial functions.  

As Marilyn Milos points out in her book Please Don’t Cut the Baby!:

“Even though no bills protecting the bodily integrity and genital autonomy right of male minors have been passed, our Constitution, state laws, and several international documents, including the UN Declaration on Human Rights and the UN Convention on the Rights of the Child make it clear that every person has a right to safety of their person.”

Given these legal touchstones, non-consensual circumcision is an infringement upon the child’s constitutional right to bodily integrity. Therefore, the practice raises fundamental questions about the limits of parental decision-making and the state’s role in safeguarding individual rights from birth.

The European Perspective

“Circumcision rates in Europe are generally much lower than in the United States, often below 20%. For example, in the UK, the circumcision rate is estimated to be about 8.5%.” — British Medical Journal

Europe has been at the forefront of many legal challenges concerning circumcision, especially in the context of non-medical, ritualistic procedures on minors. While the practice spans various cultures and religions, its intersection with European human rights law offers a window into the issue’s evolving legal and ethical stances.

Many European countries have ratified the European Convention on Human Rights (ECHR), which, among other rights, protects the right to respect for private and family life (Article 8). Several cases challenging circumcision have been brought forth, arguing that the procedure, when performed on minors, infringes on this right. Moreover, the Charter of Fundamental Rights of the European Union underscores the principle of the child’s best interests. Intactivists and opponents of circumcision argue that the non-consensual removal of a part of a child’s body, especially in the absence of immediate medical need, conflicts with this principle.

Germany notably grappled with this issue in 2012, when a regional court in Cologne ruled that circumcising young boys on religious grounds amounted to grievous bodily harm. This decision momentarily made the procedure illegal. Though the ruling was later superseded by national legislation specifically allowing religious circumcision, the case sparked intense debates about children’s rights, religious freedoms, and national sovereignty.

In contrast, Nordic countries like Denmark, Finland, Iceland, Norway, and Sweden have been more consistent in advocating for strict regulations or outright bans on non-medical circumcision of minors. Their arguments often hinge on human rights perspectives and concerns about the child’s well-being.

The European trajectory on this issue suggests a growing discomfort with non-consensual, non-medical circumcision of minors. As these challenges play out in European courts, they set a precedent and offer legal and moral arguments that reverberate far beyond the continent’s borders.

Conclusion: Protecting Rights and Fostering Dialogue

As societies evolve and our understanding of rights and ethics deepens, it becomes imperative to approach age-old practices with a fresh, multidimensional lens. The debate surrounding circumcision now finds itself at the crossroads of constitutional rights, mainly when it concerns the vulnerable—our children. Their rights and protection should be at the forefront of this conversation. Our hope—and one of the things we fight for—is informed consent. We envision a future where the voiceless are no longer subjected to this barbaric, irreversible surgery.

Marilyn

Marilyn Fayre Milos, multiple award winner for her humanitarian work to end routine infant circumcision in the United States and advocating for the rights of infants and children to genital autonomy, has written a warm and compelling memoir of her path to becoming “the founding mother of the intactivist movement.” Needing to support her family as a single mother in the early sixties, Milos taught banjo—having learned to play from Jerry Garcia (later of The Grateful Dead)—and worked as an assistant to comedian and social critic Lenny Bruce, typing out the content of his shows and transcribing court proceedings of his trials for obscenity. After Lenny’s death, she found her voice as an activist as part of the counterculture revolution, living in Haight Ashbury in San Francisco during the 1967 Summer of Love, and honed her organizational skills by creating an alternative education open classroom (still operating) in Marin County. 

After witnessing the pain and trauma of the circumcision of a newborn baby boy when she was a nursing student at Marin College, Milos learned everything she could about why infants were subjected to such brutal surgery. The more she read and discovered, the more convinced she became that circumcision had no medical benefits. As a nurse on the obstetrical unit at Marin General Hospital, she committed to making sure parents understood what circumcision entailed before signing a consent form. Considered an agitator and forced to resign in 1985, she co-founded NOCIRC (National Organization of Circumcision Information Resource Centers) and began organizing international symposia on circumcision, genital autonomy, and human rights. Milos edited and published the proceedings from the above-mentioned symposia and has written numerous articles in her quest to end circumcision and protect children’s bodily integrity. She currently serves on the board of directors of Intact America.

Georganne

Georganne Chapin is a healthcare expert, attorney, social justice advocate, and founding executive director of Intact America, the nation’s most influential organization opposing the U.S. medical industry’s penchant for surgically altering the genitals of male children (“circumcision”). Under her leadership, Intact America has definitively documented tactics used by U.S. doctors and healthcare facilities to pathologize the male foreskin, pressure parents into circumcising their sons, and forcibly retract the foreskins of intact boys, creating potentially lifelong, iatrogenic harm. 

Chapin holds a BA in Anthropology from Barnard College, and a Master’s degree in Sociomedical Sciences from Columbia University. For 25 years, she served as president and chief executive officer of Hudson Health Plan, a nonprofit Medicaid insurer in New York’s Hudson Valley. Mid-career, she enrolled in an evening law program, where she explored the legal and ethical issues underlying routine male circumcision, a subject that had interested her since witnessing the aftermath of the surgery conducted on her younger brother. She received her Juris Doctor degree from Pace University School of Law in 2003, and was subsequently admitted to the New York Bar. As an adjunct professor, she taught Bioethics and Medicaid and Disability Law at Pace, and Bioethics in Dominican College’s doctoral program for advanced practice nurses.

In 2004, Chapin founded the nonprofit Hudson Center for Health Equity and Quality, a company that designs software and provides consulting services designed to reduce administrative complexities, streamline and integrate data collection and reporting, and enhance access to care for those in need. In 2008, she co-founded Intact America.

Chapin has published many articles and op-ed essays, and has been interviewed on local, national and international television, radio and podcasts about ways the U.S. healthcare system prioritizes profits over people’s basic needs. She cites routine (nontherapeutic) infant circumcision as a prime example of a practice that wastes money and harms boys and the men they will become. This Penis Business: A Memoir is her first book.