Reasons For The High Cost Of Healthcare: Money, And The Big Business Of Being Born

PoliTalker

Diversity Makes Greatness
Dr. Marsden Wagner was the former Director Of Women's and Children's Health for the World Health Organization.

He wrote an eye-opening book which explains a significant part of why health care costs so much in America. The reason: Medical interventionism with birth care.

His book, Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First First
is a no-holds-barred critical review of how we do birth in the USA, what the problems are, why they hurt us, and how we could do much better.

He doesn't even go into the fact that the for-profit birth industry in the USA is costing us huge amounts of money and the costs are spread out to everybody, not just mothers, because of our for-profit insurance industry. That's why we should all care about this subject, whether we know somebody who is pregnant/trying; or not.

His focus is mostly on the mothers and babies, and how we are not treating them as well as we could.

Here's the problem. ACOG, the American College of Obstetricians and Gynecologists, the very powerful lobbying arm of OB-GYNs, sees midwifery as competition, and has quite successfully suppressed America from even considering a completely natural birth.

Most people think when you're pregnant you have to go to the hospital. This is not true. Pregnant women are pregnant; not sick. The hospital is a place that sick and injured people go for treatment. It is not really the best place to have a baby. It's too expensive, and they have a tendency to use unnecessary medical interventions to induce birth and hurry it along mass production style. Get 'em in and get 'em out and keep that hospital bed turnover rate high for the highest profits.

This does not always produce the best outcome. It is the highest cost method to have a birth, and it is usually not necessary. Most women don't realize they have other options because OB-GYNs won't tell them, and they acquire women as patients long before they get pregnant. So when women do get pregnant, they are already on a track to the highest cost birth experience but not always the safest.

We should use Midwives as the primary provider for birth care in the 70-80% of low-risk pregnancies, and rely on OB-GYNs (high paid surgeons) for the 20-30% of high risk cases and in case of complications. Midwifery Birth Centers should be located in or near hospitals. Being nearby (within 20 minutes) is just as safe as being in the hospital because it takes 20 minutes to prep an OR in the case of a needed emergency C-Section.

Midwives are trained in natural childbirth and know when there is a problem. Amazingly, OB-GYNs are NOT trained in natural childbirth. They are trained in medical intervention birth. The first thing they are going to do is hook up the pregnant woman to a bunch of probes and monitors, and have her stuck in bed in one position. Midwives can and will encourage the woman to get up and walk around naturally as needed and continue having a comfortable life until the moment is at hand. And they are trained to wait for the baby to come naturally, something high dollar surgeons and for-profit hospitals don't always have time for.

But because of ACOG, Midwifery has been made out to be 'unconventional,' and it is shunned by the very people birthing-age women go to for advice. This is wrong, and it costs us all lots of money. A powerful big money industry has been built on this ruse.


The Business Of Being Born
 
The countries that use Midwifery for most births have better outcomes, fewer mothers and babies killed, and IT COSTS THEM LESS.

We are paying more for lower quality.
 
It is really not that hard to understand why healthcare is too expensive in America. Of course, Insurance companies taking tons of money while having no product and deliver no healthcare is a big waste. But the fundamental problem is those on the inside who make the profits, set the prices. That never results in a lower price and more availability.
 
Dr. Marsden Wagner was the former Director Of Women's and Children's Health for the World Health Organization.

The WHO, that's all anybody needs to know about this thread considering all of the lies and rigged misleading horseshit they've authored about America's healthcare system, life expectancy & the phony, untruthful accolades they claim for Europe's single payer systems. If they ever told the truth about the world's healthcare systems, America's would be at the top even with the tragedy of our federal government's meddling in it.
 
It is really not that hard to understand why healthcare is too expensive in America. Of course, Insurance companies taking tons of money while having no product and deliver no healthcare is a big waste. But the fundamental problem is those on the inside who make the profits, set the prices. That never results in a lower price and more availability.

Every added cost I've even noticed to America's healthcare came right along with the fucking federal government's meddling in it!
 
Hello Gonzomin,

It is really not that hard to understand why healthcare is too expensive in America. Of course, Insurance companies taking tons of money while having no product and deliver no healthcare is a big waste. But the fundamental problem is those on the inside who make the profits, set the prices. That never results in a lower price and more availability.

And we also waste a lot of money interfering with the natural process of birth which, in most cases, is better off without such interference.
 
You could save even more by just giving birth at home and hoping there are no complications as was routine a hundred years ago.
Most vaginal births would go fine albeit far more painfully.
Of course should the baby have the umbilical cord wrapped around their neck as my kid's was, we'll, better luck next time as she would be at best brain damaged and at worst dead.
You can go back to the future if you like but I prefer professional care.
 
And we also waste a lot of money interfering with the natural process of birth which, in most cases, is better off without such interference.

I had the first two of my five children in a hospital during a time when "natural childbirth" was all the rage. IOW, no epidurals. Only a local for the episiotomy. We did not have insurance for the first child; we had to give the hospital a $600 deposit in order to be able to have him there. We got back $175 of that. Two-day stay in a ward with three other moms, the standard nursing care, meals, and that was that. The second birth was also uncomplicated and cost only a bit more; we had insurance for her. I had the same OB for both births; his fee was $90 for the first child and had gone up to $150 for the second -- for all eight months of prenatal care.

Moms don't want to bear the pain of childbirth which I can testify is pretty bad. Hence the desire for hospital births, epidurals, etc. In addition, medical malpractice rates for OBs are among the highest in the medical field.
 
You could save even more by just giving birth at home and hoping there are no complications as was routine a hundred years ago.
Most vaginal births would go fine albeit far more painfully.
Of course should the baby have the umbilical cord wrapped around their neck as my kid's was, we'll, better luck next time as she would be at best brain damaged and at worst dead.
You can go back to the future if you like but I prefer professional care.

Most ultrasounds will show if the cord is wrapped; in that case the mom could opt for the safer hospital birth. I'm glad you had a happy outcome.
 
You could save even more by just giving birth at home and hoping there are no complications as was routine a hundred years ago.
Most vaginal births would go fine albeit far more painfully.
Of course should the baby have the umbilical cord wrapped around their neck as my kid's was, we'll, better luck next time as she would be at best brain damaged and at worst dead.
You can go back to the future if you like but I prefer professional care.

Hey - we've got something in common at last! Our third was the only one born at home, and the cord was so wrapped. Fortunately, the midwife saw what was what, the doctor was close at hand, and she manage to end up quite bright. A sweaty few minutes though!
 
Hello ThatOwlWoman,

I had the first two of my five children in a hospital during a time when "natural childbirth" was all the rage. IOW, no epidurals. Only a local for the episiotomy. We did not have insurance for the first child; we had to give the hospital a $600 deposit in order to be able to have him there. We got back $175 of that. Two-day stay in a ward with three other moms, the standard nursing care, meals, and that was that. The second birth was also uncomplicated and cost only a bit more; we had insurance for her. I had the same OB for both births; his fee was $90 for the first child and had gone up to $150 for the second -- for all eight months of prenatal care.

Wow. The OB fee nearly doubled just in the time between the first and second child. Well, if that trend continued for decades it is easily understandable why health care costs so much.

NOW: "The average cost of having a baby in the US is $10,808."

How much it costs to have a baby

Moms don't want to bear the pain of childbirth which I can testify is pretty bad. Hence the desire for hospital births, epidurals, etc. In addition, medical malpractice rates for OBs are among the highest in the medical field.

Nobody ever said it was easy. But those whom have faced it and endured have stated that to complete that experience naturally is a huge accomplishment, a rite of passage, and results in a lifelong feeling of empowerment.

Insurance rates for OBs are high because they get sued so often. Insurance rates for Midwives are far lower, because Midwives rarely get sued. Midwives handle low risk pregnancies. They won't even take a high risk case. Also, they are trained to recognize when a problem has arisen and to transfer those cases to an OB.

If an OB gets sued it is usually because of a problem with the outcome.

If a Midwife gets sued, it is usually because an OB is suing her for 'practicing medicine without a license,' and in many cases, it is a bogus charge.
 
Hey - we've got something in common at last! Our third was the only one born at home, and the cord was so wrapped. Fortunately, the midwife saw what was what, the doctor was close at hand, and she manage to end up quite bright. A sweaty few minutes though!
I'm glad things we're managed for you and your child.
 
Most ultrasounds will show if the cord is wrapped; in that case the mom could opt for the safer hospital birth. I'm glad you had a happy outcome.
We had ultrasounds and it didn't show. These things can happen at any time. It's fortunate we planned to induce if daughter could be turned ( we knew she was headed for breech). Too much at stake to take chances with for me.
 
Hello Celticguy,

You could save even more by just giving birth at home and hoping there are no complications as was routine a hundred years ago.

Or you could use a warm and comfortable birth center (far more relaxing and conducive to natural childbirth than a cold hospital) with licensed and insured Midwives, who are trained to spot problems in a timely manner, and have an OB on call as a back up. This is how it is done in the majority of industrialized nations which have fewer deaths at or around birth than the USA. They get better results and it costs them less. Why are we paying more and getting a poorer outcome?

Most vaginal births would go fine albeit far more painfully.

As is the natural process. The bonus is an unparalleled feeling of empowerment for the mother.

Of course should the baby have the umbilical cord wrapped around their neck as my kid's was, we'll, better luck next time as she would be at best brain damaged and at worst dead.

Not true. Midwives are able to use ultrasound and are fully capable to assess when the cord is wrapped. If it is not resolved they would transfer. 70% to 80% of all births have no complications. The average fee for a Midwife assisted birth is approx half that of a hospital birth.
 
Hello Celticguy,



Or you could use a warm and comfortable birth center (far more relaxing and conducive to natural childbirth than a cold hospital) with licensed and insured Midwives, who are trained to spot problems in a timely manner, and have an OB on call as a back up. This is how it is done in the majority of industrialized nations which have fewer deaths at or around birth than the USA. They get better results and it costs them less. Why are we paying more and getting a poorer outcome?



As is the natural process. The bonus is an unparalleled feeling of empowerment for the mother.



Not true. Midwives are able to use ultrasound and are fully capable to assess when the cord is wrapped. If it is not resolved they would transfer. 70% to 80% of all births have no complications. The average fee for a Midwife assisted birth is approx half that of a hospital birth.
You have obviously never seen a hospital birthing ward.
I would rather have a OB RN with the facilities to manage complications.

First of all, you don't need to have nursing experience in order to become a midwife. You can do a Bachelor of Midwifery (BMid) and become a midwife without studying any other kind of nursing. ... If you live in a rural area you may even be able to study for your midwifery qualification through distance learning.
 
Hello Celticguy,

I would rather have a OB RN with the facilities to manage complications.

That is all on-call for proper midwifery.

First of all, you don't need to have nursing experience in order to become a midwife. You can do a Bachelor of Midwifery (BMid) and become a midwife without studying any other kind of nursing. ... If you live in a rural area you may even be able to study for your midwifery qualification through distance learning.

Qualifications for becoming a Midwife vary from State to State. It makes sense for the USA to study and learn from the experiences of other industrialized nations which spend less on birthing and have better outcomes. The optimal rate of C-Sections is around 10% according to the World Health Organization. The USA is triple that rate. C-Sections cost approx 4 times as much as a Midwife assisted birth.

Also, once a woman gets a C-Section, it causes complications which prevent her from every having a vaginal birth again. This forces every subsequent birth to be an expensive C-Section.

A C-Section is no simple thing. It is major abdominal surgery. Things can and do go wrong during these surgeries.

Most C-Sections in the USA are not needed. When a pregnant woman is admitted to the hospital a clock starts ticking. The hospital wants that bed for the next customer. If a natural birth does not happen quickly, the woman will be pressured to accept a medical intervention such as an inducement or to have a C-Section. Most C-Sections occur just before 5PM - reason? Doctor wants to go home. The next most recorded time of day for a C-Section birth is around 11PM - reason? Doctor doesn't want to be up all night waiting for nature to take course.
 
Hello Celticguy,



That is all on-call for proper midwifery.



Qualifications for becoming a Midwife vary from State to State. It makes sense for the USA to study and learn from the experiences of other industrialized nations which spend less on birthing and have better outcomes. The optimal rate of C-Sections is around 10% according to the World Health Organization. The USA is triple that rate. C-Sections cost approx 4 times as much as a Midwife assisted birth.

Also, once a woman gets a C-Section, it causes complications which prevent her from every having a vaginal birth again. This forces every subsequent birth to be an expensive C-Section.

A C-Section is no simple thing. It is major abdominal surgery. Things can and do go wrong during these surgeries.

Most C-Sections in the USA are not needed. When a pregnant woman is admitted to the hospital a clock starts ticking. The hospital wants that bed for the next customer. If a natural birth does not happen quickly, the woman will be pressured to accept a medical intervention such as an inducement or to have a C-Section. Most C-Sections occur just before 5PM - reason? Doctor wants to go home. The next most recorded time of day for a C-Section birth is around 11PM - reason? Doctor doesn't want to be up all night waiting for nature to take course.

It's been looked into.
Girls can opt for it if they so choose. They can give birth underwater too.
But most want a safe and healthy outcome.
If it were not for having the option of a c section literally next door to our birthing room I might not have my daughter.
 
Hello Celticguy,

It's been looked into.
Girls can opt for it if they so choose. They can give birth underwater too.

Midwives specialize in water-births. There are two reasons most women never consider a Midwife assisted natural birth option. First, they are unaware that is even an option. ACOG has made sure that OB-GYN offices do NOT have this information available. They just act like there is only one option, that being the hospital birth.

But most want a safe and healthy outcome.

And if they were armed with all the information they would want what is done in the majority if industrialized nations which have a better outcome than the USA.

If it were not for having the option of a c section literally next door to our birthing room I might not have my daughter.

It takes 20 minutes to prep the OR for a C-Section. Any location within 20 minutes is just as safe as being in the hospital. Midwife makes the call, OR prep is begun. Mother is transferred to the OR before the OR is even ready. That's how they do it where the outcomes are better.
 
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