US DOCTORS TIPTOE AROUND FEMALE GENITAL MUTILATION
BABETTE FRANCIS, JUNE 26, 2010
I am going to be really brave and say it: all cultures
are not equal. There, I have said it. And if some equal opportunity activist
wants to report me to the Australian Human Rights Commission, go ahead.
Ill start with my own country of birth first. In India, prior to
British conquest, Hindus had the quaint custom of burning widows alive
on the funeral pyres of their dead husbands; the practice was known as
suttee.
In the 1840s, British army General Charles Napier enforced a ban on suttee,
and a delegation of Hindu leaders approached him to complain that their
ancient traditions were being violated. The general is said to have replied:
You say that it is your custom to burn widows. Very well. We also
have a custom: when men burn a woman alive, we tie a rope around their
necks and we hang them.... You may follow your custom. And then we will
follow ours.
Illegally practised
I am reminded of suttee when I hear about the shocking practice of female
genital mutilation (FGM) which involves ritual cutting and circumcision
of young girls. It is a brutal procedure which causes pain, bleeding,
infection and life-long sexual dysfunction. The practice, which was widespread
in Africa, is now banned on that benighted continent, and is illegal in
Western democracies, but is still allegedly practised secretly in Africa and by some immigrants in the US, Europe and Australia.
FGM became illegal in the US in 1996. Appallingly, the American Academy
of Pediatrics (AAP) this year was considering a compromise
on the legal prohibition that would allow physicians to perform a ceremonial
nick on the genitalia of baby girls whose parents request the procedure.
Janice Shaw Crouse, PhD, of Concerned Women for America, and author of
Children at Risk (2009), commented: Clearly, the AAP capitulated
their principles for political expediency. They excused their nuanced
and culturally sensitive decision on the basis that some
families might take their daughters to other countries for the entire
circumcision, so their compromise is meant to
avoid greater harm. (American Spectator, May 25, 2010).
The AAP intended the ceremonial nick for baby girls born into
families among the 10 million Muslims in the US. As Mark Steyn put it,
FGM is a key pillar of institutional misogyny in Islam: Its entire
purpose is to deny women sexual pleasure. (Washington Times, May
17, 2010).
FGM is not a medical procedure but a cultural, religious or social practice.
It was common in Egypt, Sudan, Somalia and Mali. The African Protocol
on the Rights of Women prohibits in all states all forms of
female genital mutilation, scarification, medicalisation and para-medicalisation
in order to eradicate them.
The World Health Organization estimates that about 140 million girls and
women have endured clitoridectomies (typically performed between infancy
and 15 years old) and live with the consequences which, in addition
to the immediate dangers of infection and severe bleeding, can include
long-term problems such as repeated urinary-tract infections and childbirth
complications. The procedures are sometimes done under less than ideal
circumstances and with crude implements without anaesthesia and
without sterilised instruments.
Crouse comments that today AAP members no longer use the acronym, FGM,
choosing instead to use female genital cutting (FGC) or ritual
genital cutting. These terms are meant to be neutral
and descriptive rather than culturally insensitive. Ironically,
they oppose only those forms of FGM which pose the risk of physical
or psychological harm as if ritual nicks have
no such risks. One writer described the harm reduction as
similar to the difference between amputation and laceration.
Instead of protecting infants, children and young girls, the AAP has employed
a philosophical equivocation to accommodate an inhumane Islamic
practice that disfigures and subjugates women and denies them normal lives
as wives and mothers. Worse, the AAPs accommodation gives legitimacy
to a barbaric and illegal practice and ensures its continuation as a cultural
rite of passage. Appallingly, the AAPs compromise was
picked up for consideration by the Royal Australian New Zealand College
of Obstetricians and Gynaecologists (RANZCOG).
Storm of criticism
Fortunately, responding to a storm of criticism, the American Academy
of Pediatrics reversed its decision that doctors be given permission to
perform a ceremonial nick on girls to keep their families from sending
them overseas for the full circumcision. It is to be hoped that RANZCOG
also abandons this foolish and harmful idea. The compromise of a ceremonial
nick ensures its continuation as a cultural rite of passage. Medical
organisations should not tip-toe around cultural practices that are abhorrent
and cruel.
All cultures are not equal.
Babette Francis, B.Sc. (Hons) is co-ordinator of Endeavour Forum Inc.
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