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Re: Breech dilemmaFrom: Marguerite H Epstein (mgtepstein@juno.com)Tue Mar 3 11:06:57 1998
Dan, clinics like this are all over the place. In all of Miami Beach there is one clinic that provides family care and ap care for all indigent people and they recieve some federal funding. Their staff does not provide IP care. Women are given a choice of two hospitals where they may deliver, one private, the other public. In fact the hospitals send representatives to little "seminars" with the the moms and give away goodies hoping the mom will chose their institution. Everybody wants the medicaid bucks. Women unable to obtain medicaid are put on a payment plan....the hospitals give package deals, for example, $2700 for delivery including physician and hospital costs and occasionally they throw in free anesthesia. The private hospital does send OBs from their staff to see the moms who choose their institution for one AP visit at 36 weeks.....the public institution does not. Women unable to pay a fee or obtain medicaid only get to go to the public institution. Copies of charts are sent to the hospitals at 36 weeks awaiting the delivery. Private docs don't want to tie up their staffs and offices for the few bucks they can get for AP care. They would much rather spend an hour or two giving IP care and collect the delivery fee. More often than not the moms have no idea who is going to do their delivery. Continuity of care is a joke. Marguerite Epstein L.M. Licensed MIdwife Ft. Lauderdale, FL
On Tue, 3 Mar 1998 08:22:27 -0600 "Deborah J. Wage FNP, CNM"
<wagedj@ctrvax.Vanderbilt.Edu> writes:
>Dan,
Or call Juno at (800) 654-JUNO [654-5866]
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