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Another approach to ending RIC?

post #1 of 9
Thread Starter 
When we told our pediatrician we wouldn't be circumcising our son, she mentioned the fact that she never liked doing circs and was actually quite relieved that her malpractice insurance no longer covered her performing them (because they were now considered in-office surgery, and she's not a surgeon.)

That got me thinking: Most peds aren't surgeons. Most OBs, while surgeons, are specialists in female anatomy, not male. Is there any merit to the idea of sending information to companies that provide malpractice insurance to most doctors who do routine circs about the potential legal pitfalls of a technically unqualified physician performing them? Is it possible to persuade these companies to drop coverage for routine circs performed by these doctors, or those performed by anything other than verifiable a medical condition?

It wouldn't solve all the issues overnight, but most doctors aren't going to be willing to pay through the nose to find malpractice insurance that covers circs, because it wouldn't be cost effective. They'll simply stop doing them. I also suspect that - although some parents will - there are plenty of parents who won't take the extra steps necessary to find a provider who will do a circ and/or seek out the necessary "diagnosis" for one.

Thoughts? I'll admit I have no idea how feasible is, but I still think it would be a huge step in the process of normalizing intactness and helping routine circumcision fall out of favor.
post #2 of 9
It's a step in the right direction. We already have insurance companies and medicaid programs that refuse to cover circ. But people will still pay out of pocket, so eliminating performers of circ is also an important step.
post #3 of 9
I think this is an awesome idea. Money talks. And it's also part of the reason doctors keep performing them - it pays. When it stops paying (and especially if it starts costing) they'll stop doing them!
post #4 of 9
This is very good thinking!
post #5 of 9
On a semi-on topic note, does anybody's insurance not cover circ? I know that Medicare in several states won't cover it, but I thought most private insurance companies still did? It makes me so mad, I went on my insurance company's website (tricare) to see if they covered chiropractic care, and nope...but guess what was right below it, fully covered?
post #6 of 9
That is an excellent idea. It would be great to have someone gather data on lawsuits, incidence of serious complications (i.e. those that might trigger malpractice suits), etc. to lay out the risks in terms insurance companies understand.

Dave2GA here on MDC is an attorney who has brought malpractice suits, and ARCLAW might be another group to contact.
post #7 of 9
I think the missing element in this picture is the understand AND admission of circ complications. We have to have those who see circumcision complications admit the the origin of the problem. Pediatric urologists who repair circumcision complications would have to publicize the cause of the nature of the work they do. Call me skeptical, but there is no financial advantage to them to have such info mainstream. I'm curious to know the percentage of cases they see that have a circumcision as the cause. If it's a large parr of their patients...it's a large part of their income.
post #8 of 9
http://www.examiner.com/x-26184-DC-F...re-information

This article talks about rates of complications and money made from them.

Dr Gibbons saw >275 infants in a 2 year period for complications. Thats a lot of complications for one doctor to see.
post #9 of 9
Thanks for the link to Ryan McAllister's article ... very interesting!
http://www.examiner.com/x-26184-DC-F...re-information

I also really appreciate the work attorney David Lewellen is doing
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