There is an interesting post on the Unnecesarean about a Utah Lawmaker who may propose cutting the use of epidurals to save money. It is creating some interesting comments.
Here is the basic idea from the Daily Herald:
Under the theory that perhaps thousands of Utah college students are having babies paid for by Medicaid that they could pay for themselves, one lawmaker has a plan: cut all elective epidurals and elective C-sections.
I think that in some ways this is a horrible idea, but in some ways it could change the birth climate! I would prefer it was for ALL moms (instead of punishing the poor). That even moms with insurance had to pay for their epidurals out of pocket.
What are some changes we may see if epidurals were not a paid option?
- More Moms would prepare for an un-medicated birth.
- Moms would educate themselves about their choices, which would lead to induction rates going down and then cesarean rates would drop.
- Hospital staff would be educated on how to support un-medicated moms. This would lead to moms getting more support.
- More moms may choose homebirths.
What else could the legislators/insurance companies/hospitals look at to save money?
- Cover midwifery care.
- Cover the cost of independent childbirth classes
- Cover the cost of doulas.
- Provide nitrous oxide as a comfort measure.
It is Cruel, unless they give them Tools!
In the comment section from Unnecessarean I read this:
Include me in the group of people who believe passionately that to deny pain medication to people in pain is grotesque. Imagine if your dentist said, you don’t really need novacaine for that filling! You don’t get to have it! I mean, there’s nothing *life-saving* about the use of anesthetic in many cases, including procedures like biopsies.
This is a great comment. If you don’t give people tools to handle the pain, then it can be cruel. However, what if people were given an alternative tool to stay comfortable, such as hypnosis? This can help people with dental work AND birth!