Kacker et al1 present an economic model to justify Medicaid covering newborn male circumcision (MC) in the United States. However, their model uses highly flawed assumptions and projections. About 79% of their savings are MC-attributed reductions in human immunodeficiency virus (HIV) sexual transmission (only beginning about 12 years after enhanced MC coverage), but their base case lifetime cost of treating HIV/AIDS ($388 754) derives from estimates with highly active antiretroviral therapy (HAART) using brand name prices. In 12 years, most of these HAART medications will be generic.
Hay JW. Costs and Benefits of Male Circumcision. JAMA Pediatr. 2013;167(2):198. doi:10.1001/jamapediatrics.2013.829
Customize your JAMA Network experience by selecting one or more topics from the list below.