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The Problem with a Religious Exemption to an Anti-Circumcision Ban

As I discussed in a previous post, events that occurred earlier this year in San Francisco made me question whether I would support a legal ban on the medically unnecessary circumcision of male infants and children. The answer is yes, though I think a great deal of public opinion-changing will need to occur before any legislative ban has a chance of passing.

The backlash against the ballot measure brought together an interesting coalition of doctors and religious rights organizations. The former claimed the measure would interfere with their right to practice medicine (actually, there was a state preemption issue which alone would have probably killed the municipal law). The latter claimed that the proposed bill was the equivalent of “hate speech,” driven by anti-Semitism, and so deeply divisive that to allow San Franciscans to vote on it would be “dangerous.” They also claimed that interfering with infant circumcision would interfere with the religious freedom of Muslims and Jews.

As a result of the backlash, some intactivists expressed the opinion that perhaps any future proposed legislation should contain a “religious exemption.” I could not disagree more.

For one thing, nobody arguing for their religious freedom to cut babies is saying that they would support a ban on medical circumcision of minors so long as it provided a religious exemption.

Additionally, there are practical considerations. Who, exactly, would be entitled to the religious exemption? Only Jews and Muslims? How “Jewish” would parents have to be?  Would they have to observe Jewish dietary laws? Attend synagogue regularly? Or just say – as a Jewish friend of mine, married to a Greek Orthodox man, did – “If I had a son, I would have to circumcise him, because otherwise my mother would freak out when she changed his diaper.” Would Christians also be allowed the religious exemption if they took the position, as I have heard often from callers when I do radio interviews, “It’s in the Bible”?

The real issue, dwarfing the practical and legal problems of defining and setting the boundaries of a religious exemption, is that we cannot bargain away the rights of a child – any child.  If we believe – as I do – that to circumcise a child is to violate his most fundamental personal right to autonomy and to an open future, if we believe that circumcision is an assault and battery when conducted on a person who did not and cannot consent, then how can “we” through legal means or a policy statement, grant an exemption allowing certain children to be assaulted?  How can we say, “Circumcision is a brutal violation on a child who cannot consent,” and then say, “but it’s ok to cut some babies, if their parents’ religion recommends it”?

For those who accuse intactivists of anti-Semitism, I have this to say. Roughly two percent of the U.S. population is Jewish, and the birth rate among American Jews is reportedly low. Increasing numbers of Jews are choosing not to circumcise, and among those who do, many have their sons circumcised by doctors in hospitals, a practice that carries no religious significance. So the number of ritual circumcisions carried out in this country is no more than a few thousand each year. Isn’t it rather absurd to suggest that an entire movement to protect children’s rights is based on the hatred of a religious group responsible for a fraction of one percent of the one million infant circumcisions performed in the United States each year? The intactivist movement has nothing to do with religion, and everything to do with protecting children – all children –  from harm.

The real issue is, whose rights – to autonomy, to religious freedom, to bodily integrity, to safety and security of person – does child circumcision violate? The baby’s rights, of course.

Babies have no religious opinions, and to allow somebody else – parent, mohel, doctor – to remove part of their genitals, to mark their bodies with a permanent scar where that normal, natural body part used to be, precludes their own rights to make a choice in the future.

Georganne Chapin

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.