Thursday, January 26, 2017

Mayo Clinic Proposes Training Neonatal Nurses to Cut Circumcision Costs

According to a recent news article, a new "study" authored by Mayo Clinic suggests that training neonatal nurse practitioners to perform circumcisions instead of having specialists do them could save somewhere between 100 to 200 million dollars every decade.

"If we could get our colleagues across town to do it, (and) if we could get people in New York to do it, this would save a lot of money for society," said author of the study Dr. Dennis Costakos.

There are a few problems with this line of thinking.

First, attention needs to be brought to the fact that cutting costs for a non-medical surgery on healthy, non-consenting individuals is being considered.

Since male infant circumcision is non-medical surgery conducted without any medical indication whatsoever, not to mention that the procedure is not without the risk of complications, one must wonder why money is being spent, even being made on the procedure at all.

Circumcision is performed on 1.3 million babies in the US yearly. At a dollar each, that's already a 1.3 million dollar a year industry. Hospitals can charge as much as $2000.00 for a circumcision. That's as much as 2,600,000,000 dollars a year.

For non-medical surgery.

Second, enough complications due to circumcision already occur as it is with specialists performing this non-medical surgery. The risks include infection, partial or full ablation, hemorrhage and even death.

Different sources cite different complication rates for different reasons. For one, doctors can't seem to agree as what constitutes a "serious complication." For another, complications aren't always reported, as doctors nor hospitals are required to disclose this information, and they have financial incentive, as can be seen above, to minimize, even hide this data.

But even if we were to go with the commonly cited conservative number of 2%, at 1.3 million babies, that's 26,000 babies who will suffer adverse affects.

For non-medical surgery.

And that's with "specialists" on the job.

Now Mayo is suggesting the job should be pawned off on nurse practitioners?

To save 100 to 200 dollars a decade?

That's 10 years.

Circumcision is worth as much as 2.6 trillion.

Thirdly, the only "cost" doctors at Mayo seem to be considering when it comes to male infant circumcision is the procedure itself. Should there be complications, and it happens to at least 2% of males circumcised a year, repair and treatment would also be an added cost.

Because circumcision would not be performed by specialists, wouldn't it be expected for this rate to rise?

Thereby actually increasing costs?

Because repairing circumcisions isn't free?

So hold the phone.

Instead of working to shave off a few mil, why aren't doctors calling to end this practice which is basically a freebie for American doctors?

70% of the world's men aren't circumcised, and there simply isn't an epidemic of all the horrific diseases circumcision advocates try to scare American parents with.

In the industrialized world, the US is the only country still routinely circumcising its male newborns.

The great majority of the circumcised 30% were circumcised out of cultural or religious custom.

Less than 1% of men ever have a medical problem that calls for circumcision.

Any "benefit" circumcision is supposed to afford is already easily afforded by less invasive, more effective means.

So why isn't it a problem that doctors are reaping profit from circumcision at all?

Billions, if not trillions of dollars a year could be saved if doctors simply stopped soliciting this non-medical surgery.

There are millions who need health care resources for medical needs.

Why are we spending millions on this ethically questionable practice with "benefits" already easily affordable without surgery?

It's amazing how disconnected educated medical professionals can be.

Clearly the doctors at Mayo are out of touch with reality.

Related Posts:
Circumcision Botches and the Elephant in the Room


  1. In reality the consumer or the insurance company pays as much for a circumcision whether it is performed by a physicians or a nurse. As far as the overall costs, there is no money that is "saved," but only more profits for the organizations providing the service.

  2. Thanks Joseph for a row of ingteresting postings. It is a true mystery why parents still hand over their newborn perfect baby boys to doctors to perform high risk cosmetic surgery for simply no reason at all. It is surprising that black and colored parents go on with the practice since circumcision in history used to be a slave mark. Today the medical thing is very much downplayed, it´s mostly about conformity, male circumcised doctors and female doctors with circumcised husbands recommend the procedure and parents of low income and low education seem most willing to comply. It is also a mystery why Medicaid and Health Insurance plans pay hospitals for unnessary surgery on healthy infants.