Physician practices in the United States now spend $82,975 per physician per year interacting with payers, according to the Commonwealth Fund. Health insurance is bankrupting America through hidden costs, while doctors refusing to participate enter concierge medicine in dramatically increasing numbers. Here's one physicians proposal to make medical services more affordable and personal. But we would insert here that midwives have been a historically affordable alternative for healthy mothers, with their charges reflecting realistic costs for services. This cannot remain the case if we begin interacting with health insurers. We, too, will have to pass on to families the costs of interacting and collecting from the bloated bureaucracy of "payers," and it will cost families more, much more.
Sheryl Shafer CPM-TN
I have been a part of the midwifery community as it has developed from independent, pioneering practitioners to today's certified, regulated professionals. Both have had their place. Both have their advantages and disadvantages. We, as a society, wish to make the advances in science and medicine available to all – protecting lives and preventing many of the disabilities and sorrows of years not too far past.