Extortion for birth. 

When we talk about the healthcare crisis or legislation and its potential impact, we must remember faces and stories of people. Real people, people with real needs. 

I hear the stories all the time. Women with a Medicaid plan that doesn’t cover prenatal care, only the birth. Women who are told they can’t get care unless they can pay a deposit bigger than a week’s income. Women who are told they can’t pick up records to change care unless they pay hundreds of dollars. Women who are told that their birth will be $20,000 cash. Women told they can’t be discharged from the hospital until they pay five or $10,000.

I could go on. These are just stories that I’ve heard this month. Legal? Yes. And no. But common, nonetheless. 

As a healthcare provider in this community in this time in history, how do I show up?

Showing up has to look like bold justice, gift wrapped in creativity.  


For me, it looks like a radical sliding scale, with births from $500 to 4000 depending on income. It looks like forgetting about what I’m “supposed” to be doing in my practice, and wrapping women around with the kinds of services I think they deserve. It looks like finding ways to nurture them, bringing in Wise and caring birthworkers who support Lactation, encapsulate placentas, give massages, do acupuncture. It looks like providing birth supplies and pools. It looks like five or six postpartum visits, maybe in the home if that’s what’s needed. It looks like herbs, lovingly crafted into teas and baths. 

I’m not saying this to promote my practice. I’m saying this is what every single one of us needs to do in some manner. Call the legislators yes. Yes and….

And come up with creative solutions within our sphere of influence, solutions that empower women. Solutions that treat them with dignity. Solutions that create safe spaces for their babies to be born. Solutions that hold space for trauma to be healed, for redemption to occur. 

Maybe that’s what’s required. To do justice. To love mercy. To walk humbly.

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