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Author: Robert Darby
Publication title: Scientific Advice, Traditional Practices and the Politics of Health-Care : The Australian Debate over Public Funding of Non-Therapeutic Circumcision, 1985
Publication type: Journal Article
Volume: 10
Issue: 2
Article No.: 4
Language: English
Abstract: In 1985 the Australian Government sought to delete circumcision of infants from the benefits payable under its newly established universal health scheme, Medicare. Although the decision had been recommended by the government’s health advisers and was welcomed by medical authorities, it was soon reversed after protests from Jewish community leaders. I present a detailed narrative of this affair and explain why a decision based on sound medical knowledge advice was rescinded after quite mild objections. The answer is found to lie partly in contingent factors, such as the details of the policy change, the personalities of the government figures involved, and problems with implementation and communication; and partly in the sensibilities of the ethnic/religious communities most directly affected. I dispel the misconception that the original decision aroused widespread opposition and show, on the contrary, that it was based on good advice, represented sound public policy, and was widely supported. I conclude that the episode may have useful lessons for other governments seeking to implement or resist policy changes that affect the sensitivities of cultural minorities.
Keywords: Circumcision, Australia, Medicare, health insurance, National Health Service, Medicaid, Jewish, Muslim, traditional practices
PDF
Publisher: Linköping University Electronic Press, Linköpings universitet
Year: 2011
Available: 2011-12-19
No. of pages: 21
Pages: 53-73
Journal: Hygiea Internationalis : An Interdisciplinary Journal for the History of Public Health
ISSN (print): 1403-8668
ISSN (online): 1404-4013
File: http://www.ep.liu.se/ej/hygiea/v10/i2/a04/hygiea11v10i2a04.pdf

REFERENCE TO THIS PAGE
Darby, Robert (2011). Scientific Advice, Traditional Practices and the Politics of Health-Care : The Australian Debate over Public Funding of Non-Therapeutic Circumcision, 1985. http://dx.doi.org/10.3384/hygiea.1403-8668.1110253 ()