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In South Florida, a Mother’s Quest to Protect her Child. In the Nation’s Capital, a Demand for Basic Human Rights

Note: The following essay appeared on the op-ed page of the (Palm Beach, Florida) Sun-Sentinel on March 28, 2015. This version has been edited slightly for timeliness and for the audience of this blog.

The headlines have subsided, but Florida mother Heather Hironimus is in now in her seventh week of hiding to protect her son from his father, who wants to cut off the boy’s foreskin. A Palm Beach County judge has ordered her arrest. As Heather sat in captivity, just recently scores of intactivists gathered in Washington, DC to protest the removal of boys’ normal, healthy foreskins by U.S. physicians. A practice for decades accepted as the regular American thing to do has emerged as a landmark human rights concern.

Widely decried by physicians and ethicists throughout European and Commonwealth countries, circumcision is falling out of favor here as parents learn the facts. Meanwhile, as Denmark and other Scandinavian countries are considering whether to outlaw the surgery on minors altogether, U.S. physician organizations are redoubling their efforts to get the government to pay for it.

Adding to the mix are the ever-more-vehement voices of American men expressing outrage at having been robbed of their normal sexual anatomy – and their freedom of choice – when they were too young to consent.

Incongruously, the judge who ordered Heather’s arrest has said that, once jailed, she will stay there until she signs a consent form for her son’s unnecessary surgery.

The human rights movement against infant and child circumcision relies largely on the principle of informed consent. Arising from revelations of horrific medical experiments inflicted by Nazi doctors on concentration camp prisoners during World War II, this principle requires that before any medical procedure can be administered, the patient must understand its risks and benefits, be told of less invasive alternatives (including doing nothing), and freely agree to it. For children, parents may give “proxy” consent – but only if treatment is medically necessary.

In addition to the fact that “consent” cannot be compelled, “routine” circumcision fails these tests. The foreskin is not a birth defect; it’s a normal body part, and it plays protective and pleasure-enhancing roles. Most of the world’s men are intact, and suffer no ill effects. In fact, despite fear-mongering by a medical establishment that peddles this infant surgery to two million American parents a year, European nations, with circumcision rates near zero, have the same or lower rates of urinary tract infections and sexually transmitted diseases (including HIV) as the United States, where most men have been circumcised.

Heather Hironimus became informed and declined to consent to her son’s surgery, because it’s not needed, it’s painful, and it will put him at risk for bleeding, infection and other complications. Her reasons are backed up by the opinion of a respected urologist who examined the boy and testified that there’s nothing wrong with him.

If Heather’s child were a girl, she would be protected by federal and state law from anybody tampering with her genitals. Heather in Florida and those who come back to Washington to demonstrate every year are asking for the same justice for American boys.

Georganne Chapin

April  5, 2015

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17 Comments

  • Bryan Johnson

    April 5, 2015 8:40 pm

    Thank you very much Georganne, and thanks also to the Sun-Sentinel in Palm Beach, Florida for printing it. Excellent, let’s hope that more papers across the U.S. and Canada will get on board.

  • Karl Hegbloom

    April 5, 2015 10:08 pm

    I bet that if you search the Florida statutes for the words “Ram Truck”, “Volkswagon”, “Buick”, or “Cheverolet”, you’ll find no laws mentioning them. Can you thereby conclude that it’s not illegal to steal an automobile in Florida? Obviously there are general purpose laws that prohibit the theft of anyone’s high value property. Lawmakers can not list every possible item that could get stolen. Likewise, the laws that prohibit assault, battery, or mayhem — defined as deliberate infliction of injury causing permanent disfigurement or permanent loss of normal function — could not possibly list every part of the body that could be injured, nor every possible weapon or mode of injury that might cause mayhem. A general purpose law is in place that covers it.

    So a search of the statutes for the word “circumcision” will probably not lead to a specific or private law that prohibits that particular form of mayhem caused by sexual battery. But certainly there must be at least one general purpose law in the statutes that can be applied to prosecute perpetrators of infant genital mutilation surgery. I think that Intact America needs to stop giving the impression that it’s not a crime to amputate the prepuce from male children. There should be no congressional debates concerning whether or not to fund it because clearly Medicaide must not fund illegal malum in se mutilations of childrens genitals.

    By this reasoning, I think that the federal FGM law should be repealed. It actually weakens the penalty that would apply under laws that preexisted it’s entry onto the statutes. In every state there are laws against sexual battery. The penalty that applies under those laws is more severe, rightfully and properly — don’t change them — than the penalty prescribed by the federal FGM law. I also believe that the principle of “strict liability” must be applied to these crimes; that is, it is not necessary to prove intent or mens rea, but only that the perpetrator committed the primary features of the actus reus. Torturing children and inflicting permanent harm is clearly unlawful and rightfully so. Who can argue with that? No judge has any legitimate authority to order that such a thing be done to a child.

    I also suspect that this is the real reason why the AMA does not want any new laws passed to “outlaw circumcision”. It’s already illegal under existing laws and it’s not righteous to weaken the penalty that applies under those existing laws by passing new laws that more specifically address circumcision. Nor is it acceptible to provide past perpetrators with an ex post facto defense strategy. They deserve to go to prison for what they did to us.

    • Gianluca

      April 6, 2015 4:09 pm

      “I also suspect that this is the real reason why the AMA does not want any new laws passed to “outlaw circumcision”. It’s already illegal under existing laws …”

      I doubt that this is the real reason. Arizona explicitly banned FGM last year. The reason is more likely to be that circumcision is deeply entrenched in American culture. Politicians rarely have the guts to change things in society. This is because they fear of not being elected or re-elected. See for example Bill de Blasio’s repeal of the consent form to practice MBP. You simply cannot rely on politicians. Big social changes come from within society.

      • Karl Hegbloom

        April 6, 2015 4:29 pm

        But politicians become popular by selecting good ideas to champion that a lot of people are aligned with. I think that it’s pretty obvious that a lot of people are going to be aligned with protecting the human rights of children. Like I said the reason that they’re passing laws to outlaw FGM is to weaken the sentence that would’ve applied under existing laws. We should not let them sneak that past us and defraud even more people. There is no valid consent for things that harm a child like that anyway, so why make there be a consent form? Poise.

    • Gianluca

      April 6, 2015 7:21 pm

      The problem is that there are also a lot of people who are aligned with protecting the parental wish to cut the genitals of their (male) newborns. I hear it all too often “it’s a parental choice”. I think that education is the very first step. But it’s hard, because I feel that it’s a taboo topic in America.

  • Karl Hegbloom

    April 5, 2015 10:45 pm

    PS: The right to bodily integrity is an inalienable right that is certainly high amoung the unenumerated rights reserved to the people by the constitution. It is such a fundamental right that they did not think to list it. No judge has any legitimate business ordering that such a thing be done to a child.

    Keep me, O LORD, from the hands of the wicked; preserve me from the violent men; who have purposed to overthrow my goings. (Psalm 140:4)

  • Karl Hegbloom

    April 5, 2015 11:49 pm

    Homework assignment: Learn about Title 18 U.S.C. S241 and S242, then Title 42 U.S.C. S14141. Then think about the idea that the right to bodily integrity is a fundamental and inalienable right, and how the above laws can be applied. The federal prosecutor in your area might be someone to write a letter to about this. Also, the FBI has a task force for sex crimes involving children. It’s their duty.

  • Marilyn Milos, RN

    April 6, 2015 12:59 pm

    Thank you, Georganne, for protecting the rights of all infants and children to genital autonomy. Thank you, too, for sending nearly a thousand letters to Floria pediatric urologists, explaining Chase’s right to be protected from amputation of a normal body part, his foreskin, which he would prefer to keep. Your updates on various legal cases and the work of Intactivists are very informative and helpful!

  • Bryan

    April 6, 2015 10:08 pm

    I accidentally came across another Florida case, back in late January or early February of this year, where an uncle, Larry Leroy Floyd, tried to amputate his 20-month old nephew’s foreskin with a kitchen knife. I don’t know if he was successful or not. My guess is that they probably finished the job at the hospital. I am concerned that they will argue that the boy didn’t suffer any long-term harm and will let the uncle off with only a slap on the wrist. Are there any intactivists putting pressure on this case to see that justice is done?

    • Gianluca

      April 6, 2015 11:40 pm

      There is a big difference between the case that you mention and Heather’s. Floyd (who also has a troubled history) was arrested for attempting to amputate his nephew’s foreskin. In Heather’s case it’s the reverse. The mother is threatened with arrest for trying to protect her son whereas it’s the father who should be arrested for attempting to hire a surgeon to amputate his son’s foreskin.

      • Karl Hegbloom

        April 7, 2015 12:02 am

        “Attempting to hire a surgeon…” == “soliciting for conspiracy to commit aggravated sexual battery”. It is not about the parents rights, but about the child’s, and those of the man he will grow up to be. It’s his body and the choice is obvious. Nature’s design is perfect.

  • Tom Arnold

    June 29, 2015 3:03 am

    So, if one reason why you’re against circumcision is the baby doesn’t want it, what are your thoughts on abortion? After all, shouldn’t the baby be able to choose if it lives or dies?

    • Gianluca

      August 25, 2015 4:31 pm

      The mother’s life needs to be protected, too. She needs to be able to carry the baby inside her body. It’s about the body of the mother. Circumcision has nothing to do with the body of the mother but only with the body of the child. Circumcision is not a decision that needs to be taken. For the parents, it’s just a cosmetic choice.

    • Gianluca

      August 25, 2015 7:35 pm

      I meant to say that most parents perform it for cosmetic reasons. It’s definitely not cosmetic for the child.

  • Gianluca

    August 25, 2015 7:39 pm

    I know it’s delicate. I noticed that the facebook accounts “ChasesGuardians” and “SavingChase” and the website savingchase.org have been blocked. I hope that this to Heather’s and Chase’s advantage. A lot of us are now in the dark but we keep praying.

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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.