Considering the Cost

Paying for maternity care out-of-pocket is a concept outside the comfort zone of many Americans. More than half of all births in Indiana for example, are covered by Medicaid. Our money pursepractice has discontinued our participation within the Medicaid program, however, and have ceased filing insurance claims with third party payers. Homebirth is certainly not mainstream, so as couples explore their options, considering the cost of homebirth is high on the list of discussion points.

The number one reason couples choose to birth at home is because they believe it to be the safest option (Boucher, Bennett, McFarlin, & Freeze, 2009). Unfortunately we live in a society in which our healthcare infrastructure demands the movement of patients through clinic visits with the efficiently of an assembly line and providers thrive best by securing those procedures which will return the highest dollar. Maternal and child health, however, suffers under these terms. Midwifery is the answer, but its model is juxtapose against the medical model and therefore, struggles to get a foothold within the current infrastructure. If the childbearing family seeks care that is time-intensive, education-rich, and intervention-free, they will need to personally invest.

Consider the cost one pays when they purchase their teenage child their first dependable car, or pay for the insurance to cover their young driver a single year. These expenses are both likely greater than the expense of securing the care of a nurse-midwife for the entire child-bearing year. Our maternity fee is a mere fraction of what parents pay for a single term at a private college, and one-fourth of what the average young couple pays for their wedding in the United States, not including the honeymoon or engagement ring.

A wedding is a single day. A term of college is but a few short months. A car may last ten years if one is lucky. The care of your midwife will last an entire lifetime. We do not apologize for our fees or not accepting insurance and Medicaid. In fact, we believe are fees are far too low for the standards of our society. Our nurse-midwife earns less than bedside nurses, and none of our staff have medical insurance. However, we each live within our means and we appreciate the autonomy to practice our passion. As expenses increase through the years, so will our fees. We challenge you to find a better investment for mom and baby, than midwifery care for the childbearing year.

Be Sociable, Share!
FacebookTwitterGoogle+Pinterest 

2 responses to “Considering the Cost”

  1. Sarah

    The births of my second two children were both attended by midwives and were both outside of hospital systems. The experiences and the memories I have of them were truly priceless. Its so true that a midwife cares for women through the entire childbearing year.

  2. Dads: This Is For You! | Believe Midwifery Services | Central And Northern Indiana Homebirth Midwife

    […] always an issue with your employer so speak next to your human resource center. Keep in mind, this is worth every effort and is not nearly as difficult as you might imagine. Our website offers a number of resources. Some […]

Food For Thought

Food for Thought

"It is much more important to know what sort of patient has a disease than what sort of disease a patient has."

Sir William Osler

 

Food for Thought

"Happiness is underrated and critically important to health. Seriously! Unfortunately, many people just have no idea how to be happy."

Aviva Romm

Food for Thought

"Physicians simply do not have time to be what patients want them to be: open-minded, knowledgeable teachers and caregivers who can hear and understand their needs."

Snyderman and Weil

Food for Thought #1

"They say that time changes things. But you actually have to change them yourselves."

Andy Warhol

Food for Thought

"To think is easy. To act is hard. But the hardest thing in the world is to act in accordance with your thinking."

Johann Wolfgang von Goether

Food for Thought

"Birth isn’t about avoiding one set of realities in favor of another. It’s about embracing all facets of birth--contradictory, messy, or unpleasant as some might be--as vital to the whole."

Rixa Freeze PhD

Food for Thought

"Why I appreciate being a certified nurse-midwife, as opposed to choosing another route for midwifery: I feel learning the science is vital so the art of midwifery is safe and effective."

Dr. Penny Lane, nurse-midwife

Food for Thought

"When the debate is lost, slander becomes the tool of the loser."

Socrates

Food for Thought

"To accomplish great things, we must not only act but also dream; not only plan, but also believe."

Anatole France

Food for Thought

"Science and uncertainty are inseparable companions. Beware of those who are very certain about things. There are no absolute truths in biological sciences - only hypotheses... 'We need to train medical students and residents more in the art of uncertainty and less in the spirit that everything can be known or that it even needs to be known.'"

Grimes (1986)

Food for Thought

"American physicians are rewarded for doing things to patients, not for keeping them well."

Grimes, 1986

Food for Thought

"The false idol of technology. 'Having a widget screwed into one's scalp has become an American birthright.'"

Grimes, 1986

Food for Thought

"Between 1985 and 1987, a hospital instituted a successful program to reduce its cesarean rate. The rate fell from 18% to 12%, losing the hospital $1 million in revenues - no small sum in those days."

Goer & Romano, 2012, p 37

Food for Thought

"Obstetricians are much more likely to perform a cesarean when they wrongly believe the baby weighs 4000 g or more based on sonographic estimates than when the baby actually weighs this much but the obstetrician did not suspect it."

Goer & Romaro, 2012, p 35

Food for Thought

"If you play God, you will be blamed for natural disasters."

Marsden Wagner (2006)

Food for Thought

"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you know and what you don't."

Anatole France

Food for Thought #3

"Birth is not only about making babies. Birth also is about making mothers - strong, competent, capable mothers, who trust themselves and know their inner strength."

Barbara Katz Rothman PhD (1996)

Food for Thought #4

"Believe there is always, always, always a way. When you have exhausted all possibilities, remember this: you haven't."

Thomas Edison

Food for Thought #5

"All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident."

Arthur Schopenhauer

Food for Thought #2

"Yet you brought me safely from my mother’s womb and led me to trust you at my mother’s breast."

Psalm 22:9