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In Defense of Parental Consent for ‘Metzitzah B’peh’

Not only does it not infringe on the religious liberties of mohelim, it actually protects the religious liberties of parent.
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Neonatal HSV is also underreported for cultural reasons – namely, the sensitivity of certain communities to publicity regarding the dangers of MBP. There is often active resistance to testing and identification from both ritual circumcisers and parents, even after a child has acquired HSV. These cultural hurdles compound the problem of underreporting.

In sum, there is overwhelming scientific data – and an overwhelming consensus in the medical community, including the leading medical organizations I represent – demonstrating that direct oral suction exposes infants to an increased risk of disease transmission, with sometimes fatal consequences.

Finally, the MBP regulation is consistent with many other statutes in New York that impact religion-related activities for the sake of protecting the public health, such as kosher labeling, or require licensure or written consent before individuals engage in First Amendment activity, such as marriage.

The regulation ensures that parents are aware of MBP’s well-documented risks and that they are the ones making the informed decision as to whether the procedure will be performed on their child, consistent with their halachic and religious beliefs, constitutional rights, and medical-ethical obligations as parents.

About the Author: Akiva Shapiro is a litigator at Gibson, Dunn & Crutcher in New York, focusing on constitutional and appellate law.


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3 Responses to “In Defense of Parental Consent for ‘Metzitzah B’peh’”

  1. deliverabe says:

    Shame on the Jewish(?) Press for publishing such a distorted “opinion” piece.  Are you trying to emulate the N.Y. Times?

  2. Ted Stewart says:

    It's hypocritical to use religious tolerance as a justification for having a child to young to consent undergo surgery for religious reasons. Forcing a surgery on someone for religious reasons is not tolerance.

    Judaism is a very practical and grounded faith. Things like kosher foods were intended to standardize food handling practices and reduce incidence of disease. Circumcision was likely a good idea to improve hygiene in an unhygienic environment.

    The problem is that those traditions are now outdated. We understand trichinosis and can treat it, so pork is now safe. We have a better understanding of how to handle food, so kosher is no longer necessary. We have modern hygiene, so circumcision should no longer be practiced.

    Religious beliefs need to change as they come into conflict with our understanding of the world around us.

  3. Ron Low says:

    Medical ethics dictates that proxy (parental) consent for any irreversible intervention is valid only if waiting for the patient's own consent would lead to harm, and when less-destructive options are exhausted. Infant circumcision fails this test decidedly.

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Not only does it not infringe on the religious liberties of mohelim, it actually protects the religious liberties of parent.

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