This “flexible and compassionate” is misdirected.

This article appeared in the Boston Globe last week. It’s a discussion of efforts to train new mohels in Massachusetts. Two particular passages are relevant to my focus. First:

Be flexible and compassionate, [Dr. Bob] Levenson told the doctors. … Gently tell the truth when a tearful, post-partum mother asks if babies can feel pain. (The answer is “yes, but I’ll be as quick as possible”). And it is perfectly OK – recommended, even – to anesthetize the infant with a little kosher wine dabbed on the lips.

Beyond wanting to see evidence that wine dabbed on the lips of an infant male will anesthetize him from the pain of surgery, this issue raises a large ethical red flag. There must be an objective reason to inflict pain on another, particularly a child who can’t offer (his) consent. And does the infant male’s soon-to-be-removed foreskin serve a purpose? The answer is “yes,” no parenthesis necessary or appropriate.

Second:

But for doctors, the work is not considered particularly lucrative. Mohels must secure their own malpractice insurance, spend significant time counseling families, travel, perform the ceremony on the eighth day of a child’s [sic – male] life, all for a fee of $350 or $400.

If a religious observation requires medical malpractice insurance, it is only legitimate to perform on consenting adults. The individual right of minors to be free from (medically unnecessary) harm must remain the exclusive standard, superior to any religious requirements, because risk is objectively inherent. The evaluation of that medically unnecessary risk against unverifiable religious benefits is subjective. The conclusion is only legitimate from the individual giving up his foreskin.

Housing cents in Congress is not housing sense.

Any punditry on government tinkering on the path to a mortgagee bailout that includes this sentence in the opening paragraph probably shouldn’t be taken seriously:

First Congress produced a timely and well-crafted stimulus.

Sebastian Mallaby wrote that in today’s Washington Post. It’s wrong, even if it miraculously results in actual spending on the part of recipients who understand that it’s a loan against future tax increases. Welfare is hardly a stimulus. However, that’s not the most egregious statement. Instead, this:

Of course, some fall in house prices is necessary. But absent federal action, market failure will cause real estate to fall further than the basics of supply and demand would justify. …

Naturally the market failed, because if supply and demand don’t match, the market clearly failed. Buyers aren’t able to prefer a lower price than sellers will accept. Sellers aren’t able to prefer a higher price than buyers will pay. The value each places on her preferred price can’t possibly rule out a short-term willingness to agree. Can’t we all just get along?

It doesn’t get better.

… In a healthy market, foreclosure would be rare, because it pays for a lender to forgive, say, 20 percent of a loan rather than booting the homeowner out and seeing 30 percent of the property value evaporate in the process of eviction. But because mortgages have been sliced up and distributed among far-flung investors, it’s difficult to get their consent for partial forgiveness. Homeowners get dumped on the street, and more value than necessary is destroyed.

Perhaps this is true. I’d like to read a source for this. But how does Mallaby know what specific resolution would be appropriate? Is a 20 percent forgiveness wise for the lender? Do they get the chance to work out these details with the borrower? Would the borrower be able to pay the remaining 80% of the loan? And how much financial gain resulted from the slicing and distribution of mortgages? Does that gain offset the value destroyed by the current crisis? These questions matter. We should have answers before we jump to a federal bailout of anyone.

So, although Congress would be wrong to launch a broad attempt to prop up home prices, it would be right to address the market failure that produces excessive foreclosures. The Senate is working on a smart reform that would begin to do this: It would give service companies that collect mortgage payments on behalf of creditors a legal safe harbor, allowing them to forgive part of a loan without having to fear that a few opportunistic creditors will sue them for being soft. Lenders as a whole would benefit, because the measure would reduce wasteful foreclosures. The flow of capital to future home buyers would not be compromised.

Again with the “market failure”, but more useful is Mallaby’s endorsement of Congress rewriting contracts it no longer deems acceptable under its subjective, uninformed economic analysis. How might that affect the loan market – housing and beyond – in the future if borrowers and lenders know that the key to limiting their own risk is to fail big? The last sentence demands proof more compelling than Mallaby’s wishful thinking.

I’ll take the minor tax victory where I can get it.

I’ve made it a very minor hobby to question the advice in Michelle Singletary’s The Color of Money personal finance column in the Washington Post. Yet, I can find only one quibble in yesterday’s column. The rest is very good, sensible advice. But, still, this is just strange.

I’ll confess: I filed my tax return on April 15. This year the time just seemed to come up so fast.

That shouldn’t be a confession. That’s a sign of intelligence. Barring the unexpected large refund due to a life change, no one should file taxes before the deadline. I say, regardless of the payment or refund involved, overwhelm the system at the last minute.

As a practical matter, I owed a minor penalty on the tax due when I mailed my forms on Tuesday. Even though IRS rules incorrectly considered the penalty legitimate, in spite of the unusual timings of my income and estimated tax payments for the year, I was happy to pay it in light of what I received in its place. I earned all of the interest on that not-inconsiderable sum over the course of 2007. After factoring in the taxes owed on that interest, I still came out ahead. And I got the bonus of sticking with the principle.

I won’t advance this argument, but perhaps the IRS should charge a higher penalty. Since it doesn’t, paying early would’ve been irrational. When choosing between irrational and selfish, choose selfish.

Did they need to provide permission slips?

I think this would’ve been an interesting field trip, although I can’t imagine taking such a class:

Nicki Amouri hands her camera to a friend, throws her arm over another and smiles wide as she leans in for a shot with the monument her class came to visit.

It’s a typical field trip memento — except that Amouri is visiting a brothel. The monument is a fluffy, queen-sized bed in a Western-themed party room reserved for VIPs and big spenders.

Amouri was one of a dozen Randolph College students who took a tour last week of the Chicken Ranch, a legal bordello in the desert 60 miles outside Las Vegas. The class trip, which included seminars from the working girls, capped a course on American consumption and “the ideas that consume us.”

That’s fascinating enough, I guess. The closest I ever approached such an experience, I heard second-hand about a trip to a strip club while in Slovenia for an international business consulting class during graduate school. But college class is “wacky” doesn’t intrigue me. The entire curriculum shouldn’t be that, but throwing in a diverse experience is probably useful. Instead, this is the part that frustrates me:

“We gave them all the option to either opt out or express reservations privately. No one did,” said [American Culture Program director Julio] Rodriguez, adding that he received no objections from parents or administrators.

Is there a single segment in America that hasn’t been infantilized in deference to some supposedly higher authority? Politicians, maybe?

College “kids” – adults, almost every one – are thought to still be under the direction of their parents. Financial aid is regimented around this idea, with impossible obstacles to navigate for any student who dares to assert that she is independent and supporting herself without assistance from her parents. And don’t forget the inevitable article focusing on college students and credit card debt. They’re smart, but they shouldn’t be allowed to risk making mistakes. They’ll wake up one day, lacking experience, miraculously capable of making the “right” decision.

That last sentence is snark, of course. When society releases people to their own decisions, and when they (not) inevitably make mistakes, say with a bad mortgage, Congress will be there to rescue them from their mistakes and protect them from future mistakes.

The First Amendment still protects talking points.

Senator Obama had some interesting comments the other day. Oh, not those comments. No, he shared a thought or two on public financing for political campaigns.

Senator Barack Obama said today that the public financing system for presidential campaigns, which has been in place since 1976, is antiquated and should be overhauled in the era of Internet-driven fundraising.

“I think that it is creaky and needs to be reformed if it’s going to work,” Mr. Obama told reporters at a morning news conference. “We know that the check-off system has been declining in participation and as a consequence, the amount of money raised through the public financing system may be substantially lower than the amount of money that can be raised through small donations over the Internet.”

The check-off system is a tax on those of us who are smart enough to ignore that $3 box by those of us who are not. But there’s a better point buried in there. Senator Obama has found a new, better way to finance a campaign than big, moneyed interests. (I’m correcting the ridiculous hyphen placement used in the article.) Isn’t this the same new, better way to finance a campaign advocated by Jerry Brown in 1992, with the Internet being the only difference? What Sen. Obama is ultimately saying is that the Internet is an equalizer. But that would mean that the system is no longer necessary, not that it should be swept into an updated First Amendment infringement campaign finance regulation. His campaign is showing that government can never keep up with efforts to avoid the letter of the law. His political spidey sense tells him we should still try, subjecting ourselves to a permanent game of public catch-up that “we” can never win.

Of course, it’s not about the power of the voice of the small donor, is it?

… “I would like to see a system preserved. And I intend, if I am the nominee, to have conversations with Senator McCain about how to move forward in a way that doesn’t allow third parties to overwhelm the system.”

I don’t believe that Sen. Obama is stupid enough to think that a third-party candidate is going to overwhelm the system in 2008. At the current pace of legalized incumbent entrenchment in Washington, I’ll be amazed if a third-party candidate can win in 2108, to say nothing of overwhelming “the system”. But what if some third party’s candidate did make noise? Is that bad, or do the voices of those parties not matter because we already have our two deserving parties to balance each other?

This is just a useful, if unsurprising, reminder that Senator Obama likes the outside role until he’s an insider. Just like every other politician.

Kenyan government to roll out human rights violations.

The Kenyan government is rolling out a plan that overlooks a few key issues.

The Kenyan government has embarked on an ambitious national programme to fast track the national rollout of male circumcision as a means of preventing HIV.

According to the new policy document, circumcision will be rolled out for males of all ages in a culturally sensitive way and in a clinically safe setting.

I searched for the policy document but haven’t been able to find it. Still, this says everything. Males of all ages. And they’re more worried about culturally sensitive ways than they are about human rights or common sense. These children aren’t having sex. And there are other, more important (the only?) reasons for the HIV epidemic in Kenya (italics added):

Why is there more AIDS in some parts of the country than in others?

Infection levels are generally higher in urban areas than in nearby rural areas, and some parts of western Kenya have the highest recorded rates in the country. HIV is still spreading in Kenya, so that many rural and urban areas that had low infection levels in the past are now experiencing higher infection rates. Many factors may contribute to these differences, such as high population density, more movement of people because of trading and migration routes, non-practice of circumcision, sexual networks within communities, and cultural practices such as wife-sharing and widow inheritance.

Fixing the “non-practice” of circumcision will solve nothing as long as the last two remain in practice. If, at the very least, the last two are properly compensated for with condoms, fixing the “non-practice” of circumcision will be unnecessary.

Worse, this mentality:

“Our pilot is a free mobile outreach, where a team of five members – a doctor, clinical officer, care assistant, nurse and driver – goes into various communities and sets up camp in a room at a local medical centre or in a tent, and invites people to come or bring their children for circumcision,” said George Obhai, monitoring and evaluation manager at Marie Stopes Kenya.

Before the mobile team arrives, the local hospital or clinic is contacted to conduct community mobilisation, and on the day every man getting circumcised receives counselling from a trained member of staff before the procedure is carried out.

“Interestingly, many of the ideas people have about male circumcision work in our favour, even among the Luo; for example, people believe that it improves the sexual experience and that ladies prefer circumcised men,” he added.

I respect the idea that moving from traditional circumcision to clinical circumcision will improve the situation for boys, however small the improvement. But to willingly embrace subjective nonsense because it works in your favor is absurd. Medical procedures on children must be based in science alone. There is medical need or there is not. Everything else is irrelevant and should be explained and disregarded as such when it appears.

This plan – as will all similar efforts around the world – will be properly seen as worthless failures when we analyze the long-term results many years from now.

**********

In somewhat related news, this bit of genius (link via by way of Male Circumcision and HIV:

It is now illegal to encourage the use of condoms in southeast Nigeria’s Anambra State. The state government has also banned the advocacy and distribution of other forms of contraceptives including IUDs (intrauterine device) and any other “un-natural” birth control.

“Instead of teaching children how to use condoms to enjoy sex they should be taught total abstinence,” the state commissioner for health, Amobi Ilika said when announcing the measures in late March at the state capital, Awka. “The use of condoms has greatly encouraged immorality,” he said.

The question of proper governmental role aside and an understanding that condoms are still available, what could possibly go wrong?

Failure is not a sin to be prevented at everyone’s expense.

I’m slowly beginning to figure out that politics is a test of wills. Whoever has the most endurance will win. My resolve is based on strength of ideas. Unfortunately, politicians are supported by power to be used as freely and stupidly as possible. Eventually, they’ll win because everyone with sense will go insane.

I’m not quite at insane, so today, this:

The Senate on Thursday passed a bipartisan package of tax breaks and other steps designed to help businesses and homeowners weather the housing crisis.

The measure passed by an impressive 84-12 vote, but even supporters of it acknowledge it’s tilted too much in favor of businesses like home builders and does little to help borrowers at risk of losing their homes.

The plan combines large tax breaks for homebuilders and a $7,000 tax credit for people who buy foreclosed properties, as well as $4 billion in grants for communities to buy and fix up abandoned homes.

And what about those of us who, while stupid enough to buy in the bubble, were smart enough to finance at a fixed-rate on a loan properly proportioned to our income? We get nothing? Mind you, I don’t want anything because I’m not interested in sending money to the Treasury so that it can then be returned to me masked as a constituent service. I’m already paying indirectly for the mistakes of others, as everyone is and must in a free market. I’m content with that because I know it works. This is just part of the process. But why should I also pay directly for the mistakes of others?

Specifically, the last thing homebuilders need right now are tax breaks that will inevitably encourage more speculation. There is an existing inventory of homes that may be purchased. Perhaps those aren’t the homes people want. I don’t claim to know, nor do I need to know. But expecting willing buyers to find a willing builder to produce the correct new home in the correct location without incentive from the government is the only reasonable position. A tax break just covers up the risk of speculation and the reality of failure. Dumb.

That’s not to say the proposed $7,000 tax break for buying a foreclosed home is any better. That incentivizes buyers into a foreclosed home over a non-foreclosed home. If they prefer the foreclosed home over a non-foreclosed home, they’ll be willing to negotiate a price without the incentive. If they prefer the non-foreclosed home over a foreclosed home, the incentive may skew their decision away. Sure, the owner(s) of the non-foreclosed home could lower their price by $7,000, but that just demonstrates the perversion Congress is imposing on them to benefit another party. It’s the same game of picking winners and losers outside of the marketplace.

Remember, though, that the actual marketplace is not a zero-sum game. Both parties gain from their transaction, or they wouldn’t enter into it. If they would agree without an external incentive, the incentive is unnecessary. If they would not agree without an incentive, the incentive skews the market away from its optimal point. Buyers have a required range of acceptable terms and sellers have a required range of acceptable terms. If the two do not overlap, that is not a failure of the market. The market is working as expected.

The housing market needs to stabilize. Unfortunately for me it will stabilize below what I owe. However, I want that to happen sooner rather than later because that is better for me, as it would be for any homeowner, whatever their equity status. More information is better than less information. But the market will not stabilize correctly, or as quickly, as long as Congress forgets that its job description does not include “Do something”.

I wouldn’t use the word “debate”.

Following on today’s earlier entry, how many pro-circumcision myths does this short essay, “The Debate Over Circumcision,” inadvertently expose as flawed?

My first son had what can only be described as a bad circumcision. While he was still in diapers, the skin at the tip of his penis started to get sticky and when we changed him, we were unable to pull the skin back to do an adequate cleaning. “It’s a problem,” the pediatric urologist explained. I am sure there is some medical term for the condition, but all I can remember is that it required a trip to Boston’s Children’s Hospital where, in the office, my little boy had to get “re-snipped.”

This was very, very difficult to for me watch. Despite receiving a local anesthetic, my son cried a lot. So did I. When I found out I was expecting another boy, I did more research on circumcision and stumbled across countless websites arguing both for and against the procedure. Given that my husband and I are not of the Jewish or Islamic faith, where circumcision is customary, there was no real reason to choose circumcision other than family tradition. The medical arguments don’t really hold all that much weight, in my opinion.

The complications the author’s son experienced are easily explained. At birth, the foreskin adheres to the glans thanks to synechia. The inner foreskin is mucosal tissue, just like the nose, mouth, and female genitals. It doesn’t magically stop being mucosal tissue after circumcision. It only stops acting like mucosal tissue through years of keratinization. Until that occurs, any loose foreskin will tend to re-adhere because it is moist mucosal tissue. As the author discovered, this can require further surgical intervention. It can also lead to complications (NSFW – graphic images).

This is objective harm. Even when parents understand some of the risks – through the experience of their previously healthy sons – from medically unnecessary infant circumcision, they’re willing to proceed again. The risk of it becoming reality for the boy is inherent in every infant circumcision. No one has the right to impose this risk on him without medical need. No one should have the legal option to impose this risk on him, either.

A libertarian argument for a new law.

Mark, who writes the excellent Publius Endures, left an excellent (and appreciated) comment over the weekend. Normally I would reply there, as I do with most comments. But Mark included one point that I’d like to discuss (emphasis added).

I must say that the circumcision debate (to the extent it can even be called that) has made me feel relieved that my wife and I are having a girl since we don’t even have to consider the issue. Circumcision is frequently done almost without thought, essentially as a ritual. Until Andrew Sullivan started blogging about it in the last few years, it was an issue that I didn’t even consider – I thought it was something that was just what was done. People like you and Sully are starting to open eyes that the practice largely lacks any kind of basis other than as a cultural norm.
The main reason to perform circumcision, as far as I can tell, is that it may create some awkwardness when the child becomes a sexually active adult. The thing is that by the time that becomes an issue, the child will be more than capable of making the decision on his own.
If we had our child a year ago (and it was a boy), I think I would have opted for circumcision just based on the fact that it is a social norm and that there is little publicity about the arguments against circumcision. Were the decision to come up now, I would almost certainly not circumcize.
I’m not sure the procedure should be made illegal, though, but only because I’m generally opposed to adding new laws. However, parents need to be better informed about the risks and generally nonexistent benefits of circumcision.

Before I respond, allow me to clarify that this is in no way meant to condescend on this (or any) point. Although I’m certain that I’m right in all facets of my approach, I’ve thought about this every day for many years. I’ve read a lot of bad arguments on both sides. Reading through them can be tiresome, and without self-monitoring, my response can fall into frustration. (I try to avoid outright disdain, even though there are places where it’s richly deserved.) Mark’s comment is none of that. He shows an open mind that demonstrates genuine intellectual curiousity. He grasps the fundamental argument against male infant circumcision and is willing to act based on that new knowledge. Or to not act, based on that new knowledge. I wish more people had that kind of integrity.

Nor am I suggesting that he does not understand any of the libertarian approach I advocate here. Allow me to reiterate, if you’re not reading Mark’s blog, add it to your RSS feed today. His libertarian credentials are well written in his entries. Here, I’m only offering how I think a libertarian approach must be applied. I’ve read that libertarian arguments don’t apply to children. I find that strange, so this is at least tangentially a refutation of that.

To his comment, though, I think there’s an easy libertarian argument that demands legal prohibition. The Female Genital Mutilation Act of 1995 exists. As long as it is valid law, restricting all medically unnecessary genital cutting on female minors, even at the request of parents, the 14th Amendment demands that the government treat citizens equally. The only choices are to repeal the FGM Act or make the law gender neutral. Since we all agree that the former is unacceptable, we’re left with the latter. (Take a look at the work Matthew Hess is doing to achieve an MGM Bill.)

Beyond that, viewing government through a libertarian goal of maximizing liberty, I’m against any law that would restrict people from making that decision for himself (or herself). I can form whatever opinion I want about someone’s decision, but it’s irrelevant to what he should be able to do to himself. Weigh the benefits against the harm with whatever consideration makes sense. But the issue at hand is that medically unnecessary surgery is objectively identifiable as harm. There is cutting. There is an inherent risk of complications, both minor and severe. And infants do not have their choice. Objective harm is forced on them without their consent with no medical need or objective benefit.

Statistics demonstrate that, when left with their choice, males almost never choose or need circumcision. Any reasonable person standard must side with not removing healthy body parts from children. They have the same individual rights that every adult has to the extent that a right is inherent and inalienable. For minors, those rights should be viewed as held in trust rather than created upon reaching the age of majority. Since the first legitimate purpose of government is to protect the rights of each citizen against infringement by other citizens, there is no reason to overlook that just because the person imposing the harm is a parent who views the imposition as beneficial in some (subjective) manner.

Again, I don’t think Mark’s comment indicates that he’s willing to overlook anything. He’s not rejecting a law. But as he points out there is a societal norm in the United States that male circumcision is just an inconsequential snip. As I’ve demonstrated throughout my circumcision category, it’s not true that it’s inconsequential. Even though most American men are content to be circumcised, we are a nation of individuals before any other examination. Adding a new law to include boys protects them as individuals in the same we already protect girls. It is a law that actively advances individual liberty, while actively rejecting an incoherent narrative of liberty dressed in parental “rights”.

We shouldn’t need a law to protect against infant circumcision. But in a perfect world, parents wouldn’t remove healthy body parts from their children out of fear, superstition and conformity. We must legislate for the world we have, with the foundation of individual rights that we know is valid. I could make an argument that existing assault laws cover unnecessary infant circumcision, but no prosecutor is going to pursue that in the common circumstances of male infant circumcision in America. So, barring a sudden shift to rational action by parents, this is an area where the government must legitimately exercise its authority in defense of rights.

Post Script: There’s a little more to Mark’s comment than what I posted here. I left an additional response there, but it was more anecdotal.