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Lisa Braver Moss

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Metzitzah B'peh Circumcision Ritual Inconsistent With Jewish Principles

Posted: 06/14/2012 5:53 pm

In recent weeks, a controversial Jewish circumcision practice gained the national spotlight after the Centers for Disease Control and Prevention reported that between 2000 and 2011, at least 11 New York infants contracted genital herpes following ritual circumcision. Two of the babies died. This is distressing news to all who are concerned about the health and welfare of children.

The practice, called metzitzah b'peh, or oral suction, is used by a small number of Orthodox mohels (Jewish ritual circumcisers). Many assume this practice is a hallmark of strict religious observance -- for better or worse, the ultimate in adherence to Jewish tradition. What's rarely considered is the way in which metzitzah b'peh conflicts with basic Jewish principles.

Metzitzah b'peh is uncommon even among those Jews who opt for religious circumcision of their sons. Following the circumcision, the mohel takes a sip of wine and quickly removes the blood from the penis through the wine, using his mouth. He then spits the mixture out. Instituted in Talmudic times, long before the germ theory of disease was understood, metzitzah b'peh was once thought to disinfect the wound.

Now that we understand that metzitzah b'peh violates basic sanitary precautions, we must question it from the point of view of Jewish principles. It is a basic tenet of Judaism that human life is infinitely valuable, to be preserved at all costs, even if that means failing to fulfill some aspects of religious observance. Additionally, hazardous medical procedures are strictly forbidden in Judaism unless necessary for preservation of life.

Metzitzah b'peh is clearly hazardous and has no life-saving purpose. And herpes is only one of many diseases that we know can be transmitted orally.

Jewish law is constantly evolving. Our practices change as we learn. If we discover that a previously accepted Jewish tradition is dangerous -- or if we simply learn that there's a more compassionate way to act, one that is more consistent with Jewish principles than the previous interpretation -- it's incumbent on us to modify or discontinue the tradition.

There is ample precedent in Jewish law for change based on new insights. In Talmudic times, for example, the rabbis prohibited deaf Jews from participating fully in Jewish life. Today, deaf people are considered completely equal even among the most observant Jews. That is, Talmudic laws about the deaf are no longer honored even by the Orthodox. Our understanding increased, and our traditions changed.

The practice of Jewish circumcision has evolved over time. Most observant Jews have adopted a modified version of metzitzah, in which blood is removed from the circumcision site with a sterile pipette rather than through oral contact. Another example is the fact that over the last 25 years, many mohels who are also physicians have started administering local anesthesia. This is in response to current data establishing that infants feel pain acutely, as measured by heart rate, respiratory rate and cortisol levels. In both examples, circumcision practice has been modified to accommodate what we've learned.

The last few decades have brought revelations about the drawbacks of circumcision in general. Researchers are beginning to understand the physiological purpose and erogenous nature of foreskin tissue; many argue that the foreskin is a valuable and functioning part of normal male anatomy. Additionally, even without metzitzah b'peh, circumcision carries the risk of complications and death from sepsis, hemorrhage and other causes. All this has led a small number of Jews to question not only how circumcisions are performed, but the very act itself.

It may be tempting for some to defend metzitzah b'peh. Recently, an editorial appeared in EmaxHealth.com suggesting that anti-viral medicine should be considered for the infant as a prophylactic measure. This proposed solution, involving a risky and unnecessary intervention on a newborn, is no substitute for an honest reappraisal of metzitzah b'peh.

To suggest that we should never make changes based on new information is to imply that Judaism cannot withstand inquiry, that it cannot grow. Judaism has evolved and thrived over thousands of years. May it continue to do so.

 
 
 
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10:37 AM on 07/30/2012
Here's what a couple of eminent Jewish philosophers from the past had to say regarding circumcision (emphasis added in caps).

Philo of Alexandria (20 BCE –50 CE) , Of the Special Laws:

To these [reasons for circumcision] I would add that I consider circumcision to be a symbol of two things necessary to our well being. One is the EXCISION OF PLEASURES which bewitch the mind. For since among the love-lures of pleasure the prize is held by the mating of man and woman, the legislators thought good to dock the organ which ministers to such intercourse...

The other reason is that a man should know himself and banish from the soul the grievous malady of conceit.

Moses Maimonides (1135 CE - 1204 CE), Guide for the Perplexed:

With regard to circumcision, one of the reasons for it is, in my opinion, the wish to bring about a DECREASE IN SEXUAL INTERCOURSE AND A WEAKENING OF THE ORGAN IN QUESTION, so that this activity be diminished and the organ be in as quiet a state as possible....

The sages, may their memory be blessed, have explicitly stated: "It is hard for a woman with whom an uncircumcised man has had sexual intercourse to separate from him." In my opinion this is the strongest of the reasons for circumcision.
11:27 AM on 06/27/2012
Jews circumcised their kids before your ancestors climbed down from the trees, and we will continue doing that. Do not lecture us about culture / progress / humanity.
02:15 AM on 07/01/2012
Um, that's kinda offensive.

Jews are people who question everything, right? There it is in the Torah, humans arguing with God. Why is this one thing, circumcision, off limits for questioning?
11:38 AM on 07/05/2012
When you harm another human being, other human beings will respond and try to correct the injustice, whether you practice a religion or not carries no merit.
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06:19 AM on 06/27/2012
Proudly circumcised, trauma free. If you call it mutilated I'd be pretty offended as would my girlfriend as we both get a lot out of it. You don't want you child circumcised? That is 100% A-okay no ones forcing you. That doesn't give you the right to force your judgement on my parents for the choice they made for me (Yes parents make choices for their children) and in my opinion it was definitely the right one. If you don't agree I fail to see where you fit in the decision making process =D
06:35 PM on 06/28/2012
Why would you be offended? I don't think amputees or wounded, or scarred people are bad. I think it's odd to think wounded people are cute though. They bring to mind things that happened after birth, and not natural. I thought was horrible other day that little boy was on Drew show, and had elf like ears, sorta cute really. Drew said to his mother, "Why haven't you had his ears "fixed." I thought that was sick. That's the way he was born, they weren't deformed, more sideways stick than against the head , but perfectly symmetrical. Why risk surgery to fix the way he "looks." The thing that needs "fixed" is that attitude. Infant circumcisers, are the only one's forcing anyone to do anything. I'd say the stance of parents having the choice to impose their choice will go same as rest of world. Unless it's religious or medical, they'll not let a parent have that choice. BTW, how do you know you like being cut? 3 mixed reasons you wheeled up...you're happy but don't know why, your gf likes it, and it's a parents choice. Which is the reason you' want it done to your child? None of those will be relevant to your child.
07:47 PM on 06/28/2012
I honestly don't mean to offend you over your aesthetics. They are chosen aesthetics though. It's not like am making fun of the way you were born. Do you make fun of the way normal males look down there, like me? I would find that offensive. Some parents do find it offensive so offensive they make them like you with no medical or religious reasons. Just because they think you'd look cute like that for the rest of your life. Do your parents still choose your clothes too? You say your parents made the right choice. How do you know? I have every right to judge, and hopefully, someday there will be a law that a judge will uphold by arresting parents like yours that do it. Until that day...you're right is parents "choice" however, I don't think that's quite true in Europe, where you'd have to claim medical necessity or religious grounds and prove that you were a practicing Jew or Muslim at the time to request it. I don't get how your gf or your happiness with your lack of choice is relevant to the decision process. You especially, you were deliberately left out of it.
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06:47 PM on 06/29/2012
How do I know I like being cut? GOOD Question! My answer is that I truthfully love the little guy to death and we've grown super close growing up. I don't see him as "scarred", "deformed", "mutilated". I see it as a thing of beauty, aesthetic or not. It's like a haircut for a penis. It looks the same as yours when erected as much as penises look alike anyway. I mean that's like asking you "If you don't remember being cut and you grew up with it how do you know you wouldn't like it?" You wouldn't and considering your response I don't think your guy to go out and get the procedure now. I'm sure your just as satisfied with your dicks ability to remove toxins from your body and performing a crucial role in a your sex life. I'm not going to go have some plastic surgeon try to make my penis look "normal". I didn't get a say in a lot of choices as a baby because I didn't hold the capacity to do so, such as what school I'd go to what town I was raised in whether or not I get boob milk or not. So my parents made the calls for me, they acted their best in raising a child the same way their parents did them. If having routine procedure that's been done for thousands of years justifies them being thrown in jail, I'd see it as a sad victimless crime.
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Hugh7
02:58 AM on 06/24/2012
Meanwhile, in London:

Brent & Kilburn Times (London)
June 22, 2012
Queen's Park baby bled to death two days after being circumcised

Inquest hears 28-day-old tot lost three-quarters of his total blood volume

A one-month-old baby from Queen’s Park bled to death less than two days after he was circumcised, an inquest heard.

Angelo Ofori-Mintah’s operation went according to plan, but a few hours later the incision began to bleed.

Westminster Coroner’s Court heard it eventually stopped and his mother Maame Abrafi, who lives in Ashmore Road, thought he was fine.

However the following day he became cold and pale and was rushed to hospital with dangerously low oxygen levels.

He suffered a cardiac arrest and died in the early hours of February 17.

Tests revealed he had lost about three-quarters of his total blood volume and died as a result of an acute haemorrhage due to circumcision.

... Deputy Coroner Shirley Radcliffe [said]...
Rabbi Cohen was entirely blameless for the tragedy.

Directing her comments to Mrs Abrafi, Mrs Radcliffe said: “This is simply a tragic accident, an unforeseen consequence of the surgical procedure that this baby undertook.

[What's unforseen? "If you cut me, do I not bleed?" The baby didn't "undertake" anything.]

Verdict: Accidental death.
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NorthernBorder
02:55 AM on 06/24/2012
HEY JESUS WAS CIRCUMSIZED!
ramp613
My micro-bio is no longer empty.
12:33 AM on 06/26/2012
Hey, there's this neat little key called the "Caps Lock" on your keyboard. You need to turn it off.

(And, so what. There's slavery in the bible, too. But modern humans realize that slavery is a human rights violation. And so is cutting off healthy, normal parts of other people.)
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NorthernBorder
09:55 AM on 06/26/2012
If saving hundreds of thousands of Africans from AIDS (see WHO site UNAIDS) is a violation of human rights then so shall it be.
(60% less chance of male being infected - 12 test programs. 80% males agreed and more of women for their men and children. Both concerned only of costs. WHO sponsers now and there is a map on site showing which countries have been done. Clinton was one of the instigators of the plan.
Women genital disfiguration is a Crime Against Humanity - stipulated. See WHO.
11:19 AM on 06/27/2012
Actually the Torah does not advocate or command slavery. Slavery was a common practice and the Torah regulated it in order to ensure that slaves would be treated fairly. And there are different kind of slaves.
07:09 PM on 06/21/2012
I don't see how putting lipstick on a pig doesn't make it pork. Making it not painful, more sterile, less complicated are just excuses to keep doing it. Over thousands of years, it's only become more severe in nature. How many babies have to die for Judaism to evolve?
11:23 AM on 06/27/2012
Circumcision is healthy.
You guys have to faces; you do not mind parents letting their kids do tattoos, piercings, having sex, undergo apportions and much more. But it bugs you that Jews circumcise their kids.
Do we need to evolve? You need to evolve with the “modern” degenerate western society of people with no values.
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Artamentous
Workplace Democracy!
09:49 AM on 06/28/2012
Piercings heal, and who gives infants tattoos? Get a grip. You are removing a piece of a man's sexual gentalia, for what? A religious purpose? That is insane, would you be okay with female circumcision? Let's not forget all the complications that spring up from circumcision.
06:02 PM on 06/28/2012
You must not have read the article. The author places talks about Judaism "evolving" and how this was a dangerous way to perform a circumcision. If it's so "healthy" why doesn't any medical society in the world recommend it? You have half the skin I do, so less to get infected. Why do I want to cut off half my junk to avoid catching HIV? My chances are less than 1 in 1.5 billion right now with my wife, (actually lower)
You are right about two faced though, I and other Americans, GIVE Israel billions of dollars each year, then criticize you. We should stop giving you the cash and not be hypocrites, and let you defend yourself If we need a base in the mid east we have Iraq, and it's got oil, plus you guys have ticked off so much of the world is starting to become unsafe. Circumcision doesn't protect from bombs.
12:25 AM on 06/19/2012
Well how timely is this article from Haaretz "In fact, we learned that uncircumcised boys have no problems at all, certainly not social ones, so their parents are not in need of support.”

http://www.haaretz.com/weekend/magazine/even-in-israel-more-and-more-parents-choose-not-to-circumcise-their-sons.premium-1.436421#
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NorthernBorder
02:20 AM on 06/23/2012
Push UNAID then circumsion then send apology
08:37 PM on 06/18/2012
The Israeli newspaper, Haaretz, is reporting that more Israelis are refusing to have their sons circumcised.

This is a wise and compassionate choice.
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NorthernBorder
06:35 AM on 06/21/2012
Hey - these may not be Jewish Israelis We have here many ethnic groups apart from Jewish
10:31 PM on 06/22/2012
The article was discussing Jews.
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Hugh7
04:22 AM on 06/23/2012
From the article:
"An informal online survey conducted in 2006 by the Israeli parenting portal Mamy found that of 1,418 parents of boys, 4.8 percent did not have them circumcised. The reasons given: 1.6 percent were not Jews; 2 percent objected to disfiguring the body; and 1.2 percent refrained because the act is painful.
The survey also found that nearly a third of the parents would prefer to forgo circumcision but nevertheless have it done for social reasons ‏(16.6 percent‏), health reasons ‏(10.4 percent‏) and because it is important for the grandparents ‏(2.1 percent‏)."
06:27 PM on 06/18/2012
Glick's "Marked in Your Flesh": "that the Lord's covenant and his two definitive promises (prodigious reproduction success and a lavish land grant (all of Canaanite land) appears first in Genesis 15, an earlier J text but with one crucial difference, there is no mention of circumcision." "To seal this covenant the only requirement is that Abram offer several sacrificial animals- a heifer, goat, ram, dove, and one other bird. Here we find no mention of circumcision, no change of name, no mention of Isaac or Ishmael." "Like a number of their neighbors, the ancient Israelites had practiced circumcision, but not as a mandatory rite and probable seldom on infants; nor did they associate it with the idea of covenant."
Judean Priests who wrote Genesis 17 (P text) 13 centuries after Abraham's putative lifetime that called for male circumcision of infants. A initiation rite not so much for the infant but of the father who must circumcise his son himself for he is cognizant of the event whereas the infant is not. These type of circ.s were the cutting off the acroposthion (the part that hangs past the glans). No damage of tearing the foreskin from the glans (thus results scarring from the cut up to the tip of the glans) and no amputating the part covering the glans. The radical circ.,medically penile reduction, as we do happens centuries later. The Torah says not to mark the body, the original Covenant jives with the earliest Judea.
10:43 AM on 06/18/2012
The most compassionate thing to do would be to leave the genitals of non-consenting infants intact.
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04:05 AM on 06/18/2012
Thank you Ms Moss for writing this.

Nowhere in the Torah is there any mention that brit milah requires that the freshly circumcised penis be in contact with anyone's mouth. Metzitzah B'peh is a weird human custom, and not a divine commandment by any stretch of the imagination. It can be outlawed, and in light of what has been happening among the haredim in greater New York, it MUST be banned.

Turning brit milah into a free adult choice, and convincing Reform and Conservative rabbis to completely accept uncircumcised male congregants, are goals that we can work towards over the balance of this century.
03:10 AM on 06/18/2012
"if we simply learn that there's a more compassionate way to act, one that is more consistent with Jewish principles than the previous interpretation -- it's incumbent on us to modify or discontinue the tradition."

I'm glad you feel this way. So then let's stop the very uncompassionate slicing of human penises which belong to babies who cannot consent, and for whom this ritual has no meaning other than brutal pain.

" It is a basic tenet of Judaism that human life is infinitely valuable, to be preserved at all costs, even if that means failing to fulfill some aspects of religious observance. "

Some babies die from circumcision. Some babies lose their penises (and sometimes raised as girls). Some are permanently maimed. Many have problems from being circumcised, often ones they don't even know are from circumcision. If we are to follow the precautionary principle, it follows that we should ditch circumcision altogether. After all, how much risk to a baby's life is acceptable, in the name of tradition?
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Lisa Braver Moss
12:59 PM on 06/18/2012
Thanks for writing. Some Jewish parents feel exactly as you describe, and are choosing to leave their babies intact, welcoming them into the community with ceremonies that do not involve cutting. As these non-cutting ceremonies becomes more common, and more openly spoken about, I predict that increasing numbers of parents will choose them.
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NorthernBorder
02:36 AM on 06/23/2012
MS MOSS did you read UNAID from WHO before writing article. (BTW know one here is for insane ultra-orthodox - also they dont innoculate and many diseases that had gone are coming back!)
I f dont get a reponse this means you are a little biased and maybe with another agenda. I little apology would suffice.
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NorthernBorder
05:29 AM on 06/19/2012
We will never forget the Germans pulling down childrens pants then sending them to their deaths. Notwitstanding the occasional problems, that should maybe fixed by the use of modern medical methods, should never never be stopped for these reason only - plus the need to belong to our people.PLUS the protection from AIDS. Being performed on tribes in Africa to day.
I havent personally heard of anyone in my family , friends or in the IDF but accept that it could happen. ( I guess some Christian babies are drowned.)
More important is the genital (clitoris or much more) disfirgamentation of Arab Muslim or Arab women or Muslim women , mainly at a late age (11) held down by family, against will, using stones for cutting and without anaesthetics. NOT religous act. There are today 69million who have gone trough this . The WHO calls this a Crime against humanity.
Nobody seems to object and I believe there is one org. working on this but have no funds and I couldnt google it.
07:36 PM on 06/20/2012
Every baby boy that is circumcised is having it done against his will. Is that not the same as females having it done against their will?
10:43 PM on 06/23/2012
Egypt at least has a law against female circumcision. Israel does not. And I believe for a very good reason. They foresaw the legal issues arising if they did regarding the bedouin tribes in Israel, who practiced the mildest form of "female circumcision" that barely even qualifies as anything more than a pin prick or cut, with no excision or removal of tissue from their genitalia. However, the WHO, which you misquote defines it as a violation of physical integrity. There's nothing you have said that would justify circumcision of infants in Africa or the rest of the world. And it would only be useful theoretically in Africa if you believe HIV will not have a cure within the next 15 years.
11:10 PM on 06/17/2012
Lisa, thank you for posting this informative article. I have been following your ideas on circumcision for years. I know that you are not trying to BAN circumcision. Your efforts to start a national discussion are so often met with such emotional, illogical comments. Thank you for having the perseverance to keep the issue front and center in our consciousness. Please continue to give courage to those of us who, often acting under pressure, go against our better judgement (that circumcision may be the wrong and harmful thing to do).
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NorthernBorder
02:40 AM on 06/23/2012
PLEASE read UNAID on WHO site (google)
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Hugh7
02:37 AM on 06/24/2012
The WHO is a fallible, human organisation, and in the case of male circumcision it seems to have been hijacked by circumcision advocates. They held a closed-door meeting in Montreux, Switzerland in April 2007 whose membership has never been revealed but seems likely to have been stacked by people with a thing about circumcision, such as Daniel Halperin who thinks his descent from a ritual circumciser "destined" him to promote circumcision.

Suspiciously soon after that, the whole circumcision campaign was a done deal, complete with handbooks laying out the smallest details. Somehow VOLUNTARY ADULT circumcision has morphed into mass infant circumcision without the slightest smidgin of evidence that cutting babies has ever had the slightest effect on HIV/AIDS.

So it is no use to wave the WHO or UNAIDS at us as if they had just down from a mountain with tablets of stone.
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04:01 PM on 06/17/2012
The circumcision of babies should be banned by law.
10:51 PM on 06/17/2012
agreed