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Voices — Kent Leatham

(image copyright Kent Leatham, 2020)

I’ve been writing public articles about — and against — routine infant circumcision in America for several years now. I primarily tend to focus on my own experiences — questions, regrets, and trauma, along with the more basic physical reductions of having half of my penis suddenly degloved in infancy — but I try to corroborate those personal reflections with plenty of supporting data and collaborative anecdotes from other folks with whom I’ve conversed about this issue.

After chatting recently with Intact America’s executive director, Georganne Chapin, she emphasized that although these sorts of firsthand stories and interpersonal connections will always be essential to the intactivist cause and community, we also need to dramatically increase our emphasis on dismantling the medical for-profit corporate campaign that is at the heart of promoting this ongoing national tragedy against our children. Until we stop the harm where it starts — in the disinformation machine and “pressure-cooker” solicitations that train doctors to view foreskins as malignant and overwhelm parents with the authoritative demand to purchase their removal from newborn children — all we’ll have left are personal stories of loss, like mine.

With this new orientation in mind, therefore, it didn’t take me long to realize a curious coincidence. It is common knowledge (at least among intactivists, who seek out this kind of information) that the average adult foreskin measures approximately fifteen square inches when fully extended. This is precisely the same size as a standard 3×5-inch index card, which is why many intactivist groups often use index cards at rallies and conferences as simple, tangible handouts for educational outreach.

Ironically, however, there’s another common, household item that can provide the same parallel measurements with a more “loaded” message: credit cards. If you line up two typical credit cards side-by-side, you’ll end up with those same fifteen square inches, only this time the emphasis will be on cost as well as size. What is the physiological cost to a penis of being permanently skinned of its most protective part? What is the financial cost to exhausted and distracted parents of paying for this non-medically required violation of their offspring? What is the emotional cost of losing trust in your body, parents, partners, or medical experts because of an Adverse Childhood Experience (ACE)? What is the ethical cost of legally prohibiting female genital mutilation while allowing male genital mutilation to continue thriving as a billion-dollar industry?

Yes, you heard that right. As explained on IA’s website, “One million circumcisions are performed on boys every year in U.S. hospitals and medical office…. Circumcision today is a $1 billion industry; the cost of repairing complications — both short and long-term — more than doubles that figure.” When you dig deeper to discover that the average price-tag for an infant circumcision ranges from $100-1,000, based on the provider and what the government or insurer (if applicable) will pay, suddenly this number doesn’t seem shocking at all; in fact, it seems low. We all smiled at the unlikely fantasy nightmare of “human batteries” being harvested by hungry machines in 1999’s blockbuster film The Matrix, but why are we ignoring the daily reality of hospitals harvesting major parts of infant penises to keep turning a profit?

Not only that, but routine infant circumcision works on much the same principles as the rest of our unequal economy: the average person loses [capitalists would say “invests”] for an intangible and unverifiable future, while the rich folks make immediate fiscal gains [“profit”]. Did my Penis Reduction Surgery as an infant prevent illness or impairment later in life? I’ll never know. But someone definitely got paid for doing it, and that money, like my healthy stolen foreskin, is never coming back to me.

Nothing happens in fee-for-service medicine unless it ultimately puts money in doctors’ or hospitals’ or drug companies’ coffers. If somebody’s paying, someone else is collecting. So, the next time you pull out a credit card for a purchase, take a moment to remember: you’re holding the physical equivalent of half of someone’s foreskin, and the systemic enabler of its theft.

How much is integrity worth to you?

Kent Leatham

Interested in lending your voice? Send us an email, giving us a brief summary of what you would like to write about, and we will get back to you.

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.