It seems that between the wars it was fashionable for upper class families in the UK to have their boys circumcised. Though the practise has alway been rare in other class groups.
After WW2 with the advent of the health service the practise virtually ceased. It could still be done privately but it was not recommended or performed by the service except for medical necessity.
To day that position has changed only slightly, in that some local health services that have high numbers of Muslims will fund circumcisions. This is to prevent the need for corrective surgery and the permanent injury caused by inexperienced unlicensed practitioners.
It seems the health providers in the USA find circumcision significantly lucrative. with corrections to botched jobs even more so. In that light they are unlikely to recommend its cessation.
The level of circumcision in the USA has reached the point where the pressure to conform now seems irresistible.
The greater unemployment amongst white collar and industrial workers may have a growing economic influence in the other direction, as the corresponding health benefits are so controversial.
As an American citizen who has given birth in an American hospital and has been provided the opportunity twice to work with American obstretricians, I beg to differ. The contempletation of choice is part of the pregnancy and childbirth experience. American parents are encouraged to make educated decisions. Much emphasis is placed on childbirth plans and what this entails. We're encouraged to select our own pediatricians prior to birth and to establish relationships with them. Whether we know the sex of our baby prior to birth or not, we can discuss topics such as circumcision, breastfeeding and immunizations before birth.
And if we do not opt to select a pediatrician prior to childbirth, hospitals usually provide their own pediatricians who can answer questions. Parents must OPT IN to any surgical procedure or immunization and the hospital and attending physician is responsible for educating. Parents provide release and consent. Circumcision is not routine procedure - it is presented as choice.
As circumcision is elective, it's a cost that I'm sure parents are willing to absorb, if insurance doesn't cover it. Statistics do not support the degree of "botches" and failures that you and others claim. As with any surgical procedure, there are risks involved, but the majority of infants heal from the procedure without complication within 7-10 days. This is fact. Perhaps unlike you and others, I've experienced or have known enough men who can attest to this fact.
The AAP and CDC, which are reputable sources for those within the medical community in the US, do not advocate the procedure at all. They recommend balanced decision making.
Whatever pressure to conform you speak of, isn't anything that I've seen as an American. It isn't anything that my family has seen, as professionals working in American hospitals.
Circumcision is presented as choice and statistically, people are choosing the procedure, less, which is fine.
No one is pushing the procedure on anyone. What people are doing is defending the right to have the procedure done from an educated, perspective.