Spot the error.

Ronald A. Williams, Aetna’s chairman and CEO, and Troyen A. Brennan, Aetna’s chief medical officer, have an op-ed in today’s Washington Post regarding health-care reform. See if you can spot the flaw here:

…we do not pay for care that is unnecessary according to the best evidence-based guidelines produced by medicine.

Now, journey over to the Aetna’s list of eligible health care expenses and scroll down to the blurb on circumcision, where you’ll find an “X” under “Covered”:

Amounts paid for infant circumcision are qualified medical expenses, even when performed by a rabbi in the home.

According to Aetna, performing unnecessary surgery on children is somehow “evidence-based”. The absence of medical need is somehow “evidence-based”. Parental preference because the foreskin is “icky” or “ugly” or any other irrational opinion parents may have about the body of their child, the patient, it’s still “evidence-based”.

Medically unnecessary genital cutting of infants is not evidence-based, no matter how many potential benefits Mr. Williams and Mr. Brennan can name. (Or how many potential complications and actual results they can ignore.) If they believe there’s evidence to support routine infant circumcision, it’s clear that their medical incompetence extends to ethical incompetence. It’s irrational to place the lack of medical need to the patient (i.e. the one having his genitals cut unnecessarily) below the desire to accommodate parental whims.

3 thoughts on “Spot the error.”

  1. Amounts paid for infant circumcision are qualified medical expenses, even when performed by a rabbi in the home.
    Translation: Amounts paid for infant circumcision are qualified medical expenses, even when performed for admittedly non-medical religious reasons.
    It’s always comforting to know that private insurers are working hard to provide “medical” services to those who don’t need them (newborn infants) while denying them to those who do (sick people), isn’t it?

  2. Duplicate comments deleted. I was monkeying around with the code today and left an error in the individual entry template by mistake. I apologize for any frustration.

  3. It’s always comforting to know that private insurers are working hard to provide “medical” services to those who don’t need them (newborn infants) while denying them to those who do (sick people), isn’t it?
    On this, we’re in complete agreement.

Comments are closed.