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Re: The 'Infamous' Ina May GaskinFrom: Anna Meenan, MD (annam@uic.edu)Mon Sep 25 13:31:45 2000
At Sat, 23 Sep 2000, Zach Newton wrote: > >How about some dimension in all this. > >Breckenridge, Gaskins, and, contemporaneously, many of the midwives on >this list, provide, or have provided, service in remote, destitute, >geographical areas where practical access to more orthodox care was/is >simply not available. For Gaskins to enter the arena on a peer basis >with any of us makes her a Christian of ultimate faith in a lion's den. >Why she would do that is beyond me. But, she is the refuge for those >with no alternative other than sheer nature. Those who seek her care at >whatever The Farm might be are magnitudes of order better off than >behind the bushes. Some form of deselection, transport, public funding >must be available. But, it seems, she must be a Mother Teresa type in >doing what we do in a place that we could not make a living that meets >our requirements. > >Her world and her statistiics are no doubt valid in her assessment. I >put no credence in them. I am most willing to give her a lot of slack. >She is deluded if she thinks she is an equal alternative in terms of >resources and options available to the patient with an open checkbook. >She is a supreme business person if she thinks she can spit out numbers >without challenge to critique of the derivation of her numbers. > >Regardless of the political, she deserves credit for doing what she does >where we do not live and work. > >-- >Zach Newton >Z.B. Newton, III, M.D. >Atlanta/Gyn > Zach, you have hit the nail pretty much on the head (except for not putting any credence in her statistics---see my response to Luis). Ina May began her midwifery practice out of necessity, caring for her friends who had no money for doctors and would not accept welfare. She cares for Amish women who would not see a traditional MD, women who have been denied care by the medical mainstream, and even people with "open checkbooks" (some of them physicians and physicians' wives) who want a type of birth they cannot get at the centers they come from. She has cared for women that many of you would discharge from your practices, but she does it with patience and concern, and always with the utmost care for the health of the mother and baby. She has taught me a lot, and probably saved the lives (or at least the brachial plexi) of at least two of the babies I have delivered.
-- Anna Meenan, MD, FAAFP
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