Everywhere around here are smaller towns, so the job market isn't that big, and the jobs we do have don't pay very much, so it is really hard to find affordable health insurance for families, and Medicaid is always there as a fall back, especially if they are pregnant since it covers basically everything without a copay or denial.
I was on Medicaid with my daughter, and in our first appointment they told us what was covered and what wasn't so we would know. The one thing that didn't really shock me was circumcision. This was also back when I thought it was the better thing to do, and when they said that they would not cover it since it is considered a cosmetic surgery, I didn't bat an eye. If we had a son, we would figure out how to pay for it out of pocket.
Medicaid also doesn't cover out of hospital birth except for one Birthing Center in Northern Utah, but that is the only insurance they are allowed to accept and they have a very tight licensing agreement to keep their Medicaid agreement.
Working with my midwife, I am always shocked at how many people talk about not affording a homebirth, but considering if they birth in the hospital with Medicaid, they pay absolutely nothing except a circumcision if that is what they choose to do to their son.
This last weekend I found out how much a circumcision costs a family on Medicaid.
As a bit of back story, the midwife I work with charges $900-$1500 for all of pregnancy, the birth, and postpartum. We have all the instruments needed to give you the same care you would have in the hospital, and an amazing back-up OB in case more tests are needed or if they want an ultrasound. Women on Medicaid get a discount, and she barters, so you are getting a steal for everything she covers for so little.
A circumcision if you are on Medicaid and pay out of pocket is $800-$1500 depending on your pediatrician, what anesthetics are used, and other factors.
I have yet to hear the excuse from people that they didn't circumcise their son because they couldn't afford it, yet I hear women that want a homebirth on Medicaid say they cannot afford to pay.
I find it absolutely amazing that they are able to come up with the money to cut their child without a second thought, yet money is the very first excuse they give not to birth at home when they are the same exact price.
Why do they not question cutting their child's genitals when even Medicaid considers it an elective cosmetic surgery? Do people not read the fine print or are they just going along with what they have learned their entire life, that circumcision keeps the penis clean, and foreskin is there to be removed?
Does it truly come down to money as the reason to not have a homebirth, or is it just another excuse to use?
If you had the choice to have a homebirth or cut your son's penis, which would be more important to you? Having your son look like his father, or have less infection as some people believe against the research, or having a peaceful, natural birth?
Does it come down to importance, or is it again just an excuse that we hide behind so we don't have to make the choice between the two?