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Toward Regulation of Non-Therapeutic Genital Surgeries Upon Minors: A Preliminary Legal Strategy

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Bodily Integrity and the Politics of Circumcision
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References

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  6. A good discussion of the increasingly pointed legal scholarship and rising bioethical concerns may be found within: Waldeck SE. Using male circumcision to understand social norms as multipliers, University of Cincinnati Law Review 2003;72(3):455-526.

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  10. 18 United States Code Part 1, Chap 7, §116; similar laws have been passed in most other First-World countries.

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  16. Washington State’s Medical Quality Assurance Commission (WMQAC) is typical, with 13 physicians, 2 physician assistants, and only 4 members of the public aboard. See: https://fortress.wa.gov/doh/hpqa1/HPS5/Medical/commission.htm.

  17. “Forcing the foreskin to retract before it is ready may severely harm the penis and cause pain, bleeding and tears in the skin. Newborns: care of the uncircumcised penis: Guidelines for parents. Springfield: American Academy of Pediatrics, 1990.

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  18. Doctors Opposing Circumcision is appealing a formal rejection of one such complaint against the hospital, physician and those assisting: “The death of Justin William Rumberger, DOD 12/28/03; Washington State Department of Health, (WSDOH) case: 2004-04-0014MD.”

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  19. Examples include: CPT54150, CPT54160, CPT54163. Unfortunately, mere existence of the codes appears to suggest possibilities of imagined pathology and intervention opportunity. Anesthesia codes 00920 and 64450 are also used to evade Medicaid restrictions on the underlying intervention, whether anesthesia was actually provided or not.

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  20. FDA MedWatch Reports, July 1992 through January 2000. IPM Procedure: Circumcision Clamps, Health Devices 2000 January;29(1):22-3Hazard: Damaged Allied Healthcare Products Gomco circumcision clamp. Health Devices 1993 Mar;22 (3):154-5. Hazard: Incompatibility of different brands of Gomco-Type circumcision clamps. Health Devices 1997 Feb;26(2):76-7.

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  21. In general, HIPAA preempts state law provisions that are contrary to its provisions, but allows exceptions: “(a) to prevent fraud and abuse related to the provision or payment for health care, (b) to ensure appropriate state regulation of insurance and health plans.” Thus HIPAA has some potential to circumvent more restrictive state laws.

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  22. These laws are variously termed public document access, public disclosure, sunshine laws and freedom of information act (FOIA), requests.

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  23. The author received this information pursuant to a demand for disclosure under Washington law, RCW 42.17.260, the Public Documents Access law, after repeat and insistent written requests.

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  26. RCW 26.44.030(1)(a) When any practitioner, … has reasonable cause to believe that a child has suffered abuse or neglect, he or she shall report such incident, or cause a report to be made, to the proper law enforcement agency or to the department as provided in RCW 26.44.040.

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  28. 18 United States Code Part 1, Chap 7, § 116.

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  30. RCW 7.70.065, Informed consent - Persons authorized to provide for patients who are not competent …(3) Before any person authorized to provide informed consent on behalf of a patient not competent to consent exercises that authority, the person must first determine in good faith that that patient, if competent, would consent to the proposed health care. If such a determination cannot be made, the decision to consent to the proposed health care may be made only after determining that the proposed health care is in the patient’s best interests.

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  32. 7 United States Code 54, § 2143.

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Geisheker, J.V. (2006). Toward Regulation of Non-Therapeutic Genital Surgeries Upon Minors: A Preliminary Legal Strategy. In: Denniston, G.C., Gallo, P.G., Hodges, F.M., Milos, M.F., Viviani, F. (eds) Bodily Integrity and the Politics of Circumcision. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-4916-3_18

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  • DOI: https://doi.org/10.1007/978-1-4020-4916-3_18

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