I think that some of the experts around here would say that the overall rate in the US, including those who are circ'd at home/in a religious ceremony, and those who are circ'd in a doctor's office (versus at the hospital immediately following birth) is more like 60-65%. Higher than I would like it to be for sure, but certainly a substantial drop over 95% in the 1980s. Obviously there are significant variations by geography, ethnicity/religion/culture, and socioeconomic status. But, as states increasingly drop Medicaid funding for RIC, I think we will see the neonatal hospital circ rate (that's the 32% number that's sometimes quoted) drop even further. Whether that means that circ doesn't happen, or whether it moves to a different location, time will tell. While I believe that there are a few pediatricians out there who will provide circ for free (in cases where it is not covered by Medicaid/insurace), I think that will NOT happen very often due to malpractice concerns, etc. Then it's down to ritual circumcisers, whom I believe account for a smaller percentage of the overall puzzle nationally (again, with obvious variations in geography/religion/etc.)
I think the next big issue is going to be how to protect babies who are not circ'd at birth (for many/various reasons) from being referred for circ at 6 months for "medical reasons" -- when it *will* be covered by Medicaid/other insurers. Sigh.
Change is slow on this, in part due to what I call the "why not?" phenomenon -- rather than asking "why?" parents debate "why not?" so babies end up circ'd for reasons that are largely psychological ("looks" and "feelings") rather than facts (real scientific studies). One of my approaches to discouraging circ in families where it's "under discussion" is to consider the question from the "Why?" point of view -- on other words, make a list of real benefits versus real costs. If the parents can get to that level of rational discussion, I think the rate drops substantially. When they never get past the "why not?" argument, it's almost always a sure thing that the baby will be circ'd. SIGH.
It's a frustrating battle to me sometimes. Maybe I'm just having a half-empty morning, though. Someone, please encourage me!
Edited for typos. Sorry.