CULTURAL CIRCUMCISION IN EU PUBLIC HOSPITALS – AN ETHICAL DISCUSSION
Identifieur interne : 001005 ( Istex/Checkpoint ); précédent : 001004; suivant : 001006CULTURAL CIRCUMCISION IN EU PUBLIC HOSPITALS – AN ETHICAL DISCUSSION
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Abstract
The paper explores the ethical aspects of introducing cultural circumcision of children into the EU public health system. We reject commonplace arguments against circumcision: considerations of good medical practice, justice, bodily integrity, autonomy and the analogy from female genital mutilation. From the unique structure of patient‐medicine interaction, we argue that the incorporation of cultural circumcision into EU public health services is a kind of medicalization, which does not fit the ethos of universal healthcare. However, we support a utilitarian argument that finds hospital‐based circumcision safer than non‐medicalized alternatives. The argument concerning medicalization and the utilitarian argument both rely on preliminary empirical data, which depend on future validation.
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DOI: 10.1111/j.1467-8519.2008.00683.x
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MICHAEL BARILAN</name><affiliation><mods:affiliation>Tel Aviv University</mods:affiliation><wicri:noCountry code="no comma">Tel Aviv University</wicri:noCountry></affiliation><affiliation><mods:affiliation>Correspondence: Margherita Brusa, Dept. of Medical Education, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Email: margheritabrusa@hotmail.com</mods:affiliation><wicri:noCountry code="subField">Israel. 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We reject commonplace arguments against circumcision: considerations of good medical practice, justice, bodily integrity, autonomy and the analogy from female genital mutilation. From the unique structure of patient‐medicine interaction, we argue that the incorporation of cultural circumcision into EU public health services is a kind of medicalization, which does not fit the ethos of universal healthcare. However, we support a utilitarian argument that finds hospital‐based circumcision safer than non‐medicalized alternatives. 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Journal compilation © 2008 Blackwell Publishing Ltd.</copyright><eventGroup><event type="firstOnline" date="2008-12-05"></event><event type="publishedOnlineFinalForm" date="2009-08-25"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-07"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-15"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="470">470</numbering><numbering type="pageLast" number="482">482</numbering></numberingGroup><correspondenceTo>Margherita Brusa, Dept. of Medical Education, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. 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Michael Barilan</title><title type="short">Cultural Circumcision in EU Public Hospitals – An Ethical Discussion</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>MARGHERITA</givenNames><familyName>BRUSA</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Y. MICHAEL</givenNames><familyName>BARILAN</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>St. Joseph University Philadelphia</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Tel Aviv University</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">circumcision (male)</keyword><keyword xml:id="k2">public healthcare (EU)</keyword><keyword xml:id="k3">cross‐religious dialogue</keyword><keyword xml:id="k4">bodily integrity</keyword><keyword xml:id="k5">tolerance</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p>The paper explores the ethical aspects of introducing cultural circumcision of children into the EU public health system.</p><p>We reject commonplace arguments against circumcision: considerations of good medical practice, justice, bodily integrity, autonomy and the analogy from female genital mutilation.</p><p>From the unique structure of patient‐medicine interaction, we argue that the incorporation of cultural circumcision into EU public health services is a kind of medicalization, which does not fit the ethos of universal healthcare. However, we support a utilitarian argument that finds hospital‐based circumcision safer than non‐medicalized alternatives.</p><p>The argument concerning medicalization and the utilitarian argument both rely on preliminary empirical data, which depend on future validation.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.5"><titleInfo><title>CULTURAL CIRCUMCISION IN EU PUBLIC HOSPITALS – AN ETHICAL DISCUSSION</title></titleInfo><titleInfo type="abbreviated"><title>Cultural Circumcision in EU Public Hospitals – An Ethical Discussion</title></titleInfo><titleInfo type="alternative"><title></title></titleInfo><name type="personal"><namePart type="given">MARGHERITA</namePart><namePart type="family">BRUSA</namePart><affiliation>St. Joseph University Philadelphia</affiliation><affiliation>Correspondence: Margherita Brusa, Dept. of Medical Education, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Email: margheritabrusa@hotmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Y. MICHAEL</namePart><namePart type="family">BARILAN</namePart><affiliation>Tel Aviv University</affiliation><affiliation>Correspondence: Margherita Brusa, Dept. of Medical Education, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. 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From the unique structure of patient‐medicine interaction, we argue that the incorporation of cultural circumcision into EU public health services is a kind of medicalization, which does not fit the ethos of universal healthcare. However, we support a utilitarian argument that finds hospital‐based circumcision safer than non‐medicalized alternatives. The argument concerning medicalization and the utilitarian argument both rely on preliminary empirical data, which depend on future validation.</abstract><subject lang="eng"><genre>Keywords</genre><topic>circumcision (male)</topic><topic>public healthcare (EU)</topic><topic>cross‐religious dialogue</topic><topic>bodily integrity</topic><topic>tolerance</topic></subject><relatedItem type="host"><titleInfo><title>Bioethics</title></titleInfo><identifier type="ISSN">0269-9702</identifier><identifier type="eISSN">1467-8519</identifier><identifier type="DOI">10.1111/(ISSN)1467-8519</identifier><identifier type="PublisherID">BIOE</identifier><part><date>2009</date><detail type="volume"><caption>vol.</caption><number>23</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail></part></relatedItem><identifier type="istex">812A5AD3040A9AB83A8517E4050499783038E548</identifier><identifier type="DOI">10.1111/j.1467-8519.2008.00683.x</identifier><identifier type="ArticleID">BIOE683</identifier><part><extent unit="pages"><start>470</start><end>482</end><total>13</total></extent><extent unit="words"><total>9757</total></extent></part><recordInfo><recordOrigin>WILEY</recordOrigin><recordContentSource>Blackwell Publishing Ltd</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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