At one point, JayneK suggested "double effect" as the principle to justify circuмcision. This again rests on the presumption that no formal intent could justify it, that it's intrinsically evil. But double effect does not apply here. There's only one actual effect, removal of the foreskin. I believe that she was confusing "end justifies the means" for double effect.
One of the conditions for the principle of double effect is that the action involved not be intrinsically evil. It must be good or neutral. So obviously when I suggested applying the principle, I was not presuming circuмcision was intrinsically evil. (I have also explicitly mentioned that I don't think it's intrinsically evil a couple of times in this thread.)
The"end justifies the means" is a completely unacceptable idea for a Catholic and I am bit miffed that you believe I would suggest such a thing. Actually, you are the one who sounds confused, so maybe a quick review of the principle would be useful.
The principle of double effect is applied when an action has both a good and bad effect under the following conditions:
It seems to me that this could be a useful way to consider circuмcision (as a medical procedure). The principle is regularly used in medical issues, since many treatments and procedures have unintended bad effects. It is a basic part of any medical decision to weigh the good effects and against the bad to determine if there is a proportionate reason for the proposed action.
One of the main sources of controversy in this topic is that people disagree on whether there is a proportionate reason for routine circuмcision of infants. Various people make different claims about its alleged good and bad effects. Personally, I think that if it were really medically justifiable, routine circuмcision would be common throughout the world rather than primarily a US phenomenon.
Another one of the bad effects, is not a medical/ physical one. It creates the appearance that a man would have if he were circuмcised as a religious observance. Since that is a serious sin, we should avoid the scandal or bad example of even the appearance of sin. (This comparable to avoiding having an unrelated man and woman live together even when not in a sɛҳuąƖ relationship. People could nevertheless assume that they were committing fornication.)
I think that adding this moral bad effect to the physical ones means that a "proportionate reason" for circuмcision is going to require a serious situation such as a life-threatening illness that can only be treated by circuмcision.