LL is EXCITED! Matty got his visa!!

Rant, rave and get it off my chest (id est, post randomly) (read all 56 entries…)
I'm becoming more and more... 5 months ago

disillusioned and pissed off with the Australian Federal Government these days. Whilst governments in other countries seem to be showing signs of concern about the health and well-being of their citizens, the Aussie government (seemingly regardless of the party in power) couldn’t care less. There are a couple of issues in particular, which currently cause me concern.

(I was going to list these separately under two other goals, but decided they fit quite well within a general rant.)

The first is an overall concern, regarding the Government’s ignorance (or general unwillingness to give a damn) about reducing exposure to toxic chemicals. Bisphenol A (BPA) is a classic example. Several countries have banned its use in many products, due to concerns over it being an endocrine disruptor. BPA is used in many plastic products (including food/beverage containers) and in the coating lining many metal food cans. Despite increasing evidence of BPA’s negative impact on health, the chemical industry continues to claim BPA is safe to use. There’s an article here which makes for interesting reading.

It seems that even the US Government (in small steps) is starting to take action over BPA. But the Aussie Government? Well, they’ve done fuck all – and don’t seem to be showing any signs of interest whatsoever.

My second bugbear is more personal, regarding the current draft legislation regarding maternity services. Whilst it offers some real positives – particularly in the form of Medicare prescribing rights for Midwives – there are some awful negatives being proposed. As part of this legislation, it will be a requirement that Midwives be registered and take out professional indemnity insurance.

Now, I can see the sense in registration and even (whilst sad that its increasingly deemed necessary in health) for the insurance. The only problem is that there is currently no insurance provider within Australia offering coverage to private midwives operating independently of the hospital system… so they will no longer be able to practise.

Not a problem if you’re planning to birth your child within the hospital system… in this country, a system with intervention rates well above WHO recommendations. But, if you have a ‘normal’ pregnancy and you’re hoping to give birth at home with a qualified midwife present, as I hope to one day – bad luck. There are currently about three hospital-linked home-birth programmes in Australia – great if you live in (particular regions within) the cities of Adelaide, Perth or Darwin. Nothing on offer for the rest of the country.

Effectively, home-births with the support of a qualified, skilled Midwife will become illegal in most of Australia. There will be no middle ground between hospital and free-birthing. When you consider that countries such as Canada and the UK (to mention just a couple) offer home-birth programmes as part of the public maternity system, it seems that once again (read: as per usual) the Australian Government is way behind the times.

In writing this, I’ve realised the saddest part is that the Government is supposed to act on behalf of its people. Perhaps the lack of interest is simply a reflection of Australian society as a whole. Whilst we’re often proud of our laid-back attitude to life, our unwillingness to get off our collective arse and take action (rather than simply bitching) may end up bringing about our own undoing. Perhaps, instead of pointing my finger and whining about the situation, I need to get off my own butt and take action.



Comments:

smartstuff dear 43ers: thank you for not being awful people

Is there something I'm missing?

that there is currently no insurance provider within Australia offering coverage to private midwives operating independently of the hospital system…

That sounds like a problem that will self-correct itself if the law is passed, no? If midwives are required to have insurance… and they want to continue to be midwives…. I would be surprised if some agency wasn’t willing to take their money, considering that risky cases get referred over to hospitals.

The role of the government in all of this… it would be nice if there was more foresight on the ramifications of their actions. And perhaps this is more kickback to the insurance companies… they’re the ones who stand to benefit the most from the requirement for midwife insurance. But I’m not seeing how they’re making home births illegal… they’re just presupposing that the market will immediately catch up to their mandates.

LL is EXCITED! Matty got his visa!!

I get what you're saying. :-)

It would be nice to think that the commercial insurance companies would simply step in and cover the gap (i.e. take the money), but in Australia they deem Midwives as being both too risky and too few to cover – hence the ongoing unavailability of insurance. If they were to offer cover, it’s estimated it would likely be on par with that for specialist Obstetricians – well out of the average Midwife’s budget, at a guess. It looks as though there will be a scheme available to those working within hospital-based Midwifery care – but outside of that, tough luck.

There’s nothing within the government’s proposal to suggest that they’re going to do anything to remedy this situation, in the form of pushing the commercial insurance companies, capping payouts or offering subsidies. Back around 2002 there was a crisis surrounding indemnity insurance for GPs (etc.) when the costs spiralled out of control. (This was also the point at which insurance for Midwives ceased to be offered.) The Aussie government stepped in and put in place a subsidised scheme to enable medicos to continue practising. No such offer in sight for independent Midwives. (The Maternity Services Review released in February deemed such a scheme to be “too controversial” and “too expensive”.)

You’re exactly right – they’re not making home-births illegal. But, that’s not what I said – although, I may not have said it very well. :-)

As hospital-based home-birth programmes are not available in much of Australia, if a family wants a home-birth with midwife support the only option is to engage the services of a private midwife. If it’s illegal for them to practise without insurance (which is unavailable) then it’s illegal to have a home-birth with the support of a qualified, skilled Midwife. It’s not overt, by any means. Yet, that will be the outcome. Want a Midwife? Go to the hospital.

If a family chooses to free-birth, they can do whatever they want. Personally, I’d prefer to have a Midwife present to offer some guidance – and medical backup should something unexpectedly go wrong. (The Midwives carry resuscitation gear, etc.) But, if this legislation is passed in the current form, that won’t be an option.

There are other issues intertwining this whole debacle, including the potential loss of midwifery skills for home-births and the risk of limiting choices for natural child-birth options.

Medical dominance and the push from Obstetricians to gather maternity services back under their control also springs to mind. When Obs make grandiose statements such as the recent gem, “the fact is, we have to acknowledge that there are some women who aren’t good at giving birth which is why obstetricians have a job” – I can’t help but be cynical. I always thought Obs were there to offer specialist support when complications arose during birth – not because women are crap at it.

(Sorry, I’ve written heaps! This whole situation disappoints and frustrates me, so I’ve got lots to say about it.)

One other thing

is there aren’t enough obstetricians either, because the indemnity insurance is so high that it’s become a less attractive option to specialise in. So it’s not exactly necessary for obstetricians to protect their jobs.

LL is EXCITED! Matty got his visa!!

So true.

And, yet…

Makes me think of a toddler with an armful of toys. They can’t actually play with that many, but they’ll do their best to stop the other kids from getting hold of any – and good luck convincing them to share.

<'))){ is happy

That

pretty much sums up
men in positions of
power with expensive
suits, revolving tie racks,
ever-expanding egos, and
small penises.

))){

mahinui ever more at home

this is the way of things

Where we are, bamboo building. Seems trivial enough, certainly not in the league with midwives and toxic chemicals, but nevertheless, bamboo is the ultimate renewable building material. So, very green, and illegal. That is, a structure built with bamboo cannot be permitted.

And it is the same story. The issue is not about health and safety (like with midwives) but all about the controlling interests.

Solution? Never give up. Plug away. join in.

Good luck LL you’ve got courage and charisma – go get ‘em! as my dad would say.

<'))){ is happy

Wow!

You are upset – you
wrote ‘fuck all’.

I’m impressed!

))){

LL is EXCITED! Matty got his visa!!

I have my moments. ;-)


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