Adventures with Mac

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1 Tortured Bodies, Tortured Doctrines: Informed Consent as a Legal Fiction 23 We have already seen that presenting parents with video or pictorial images of the procedure helped inform parents of what circumcision entails. Yet this is almost never done. In 1980, one physician noted that use of printed educational materials clearly presenting advantages and disadvantages of circumcision led to a 30 % reduction in the neonatal circumcision rate (Gorske 1980). Solomon persuasively argues: parents have the right to see a video of a circumcision, if not at least a picture of a child restrained and being circumcised….

D. Keratinized epithelium is protective. Again, there is no evidence to support this claim. 4. Other methods of preventing HIV are more effective, less costly, and less invasive than circumcision. These include aggressive treatment of sexually transmitted infections (Gilson et al. 1997; Grosskurth et al. 1995), condoms (de Vincenzi 1994), and limiting the number of sexual partners. When compared to condoms, which decrease the risk of infection by 99 % or more (de Vincenzi 1994), the circumcision numbers are anemic.

Moreover, even if it were permissible for physicians to give effect to parental permission for circumcision, physicians would be under a stringent obligation to their infant patients to ensure that any such permission is informed—voluntarily given based upon competent review of all relevant information. Available evidence suggests that physicians today routinely fail to fulfill this duty. In doing so, they discredit their profession and expose themselves to legal liability. Video or at minimum photographs of a procedure should be routinely employed to educate parents as to the reality of the procedure.

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