I agree with all that Marla has just said. I am in an illegal state, meaning DEM's are completely illegal. That does
throw a different slant on things, especially where money is concerned.
When you are working semi-underground, for one, you are way more picky about who you will take on ( less clients, less money), also because I practiced in a poor, rural area, my fees were very low, though competitive with the other midwives in my state..for 2, there are less midwives, at least in my state, so taking call for eachother normally only happened occasionally, for well planned vacations and such.
I certainly didn't mean to sound negative about being a DEM, homebirth is where I am in my element. The idea of nursing school and the medical model is not an easy pill for me to swallow. I finally had to decide that serving mothers in a way that allows more personal benefit for me was the path I needed to follow. I will say if I was in a legal state, where I could get state licensure, work collaborativly with other midwives and docs in an open way, could take medical insurance, etc...there would be no choice to make. I apologize for not being clear about legal issues in my previous post.
My fantasy is to find a super great physician who just loves out of hospital birth (wink) and a few like minded CNM's and open a free standing birth center. Or possibly open a homebirth practice with another CNM and that same birth loving doc.
I will admit I am terrified of the protocols that I will have to adopt, I have made my own choices, based on each individual woman for years now. There's nothing I love more than VBAC's. This is a very diffiult choice for me. My sister midwives and I have battled legality in our state for soo many years...I don't like to feel like I am selling out. But I do have to provide for my family.
WOW that was a mouthful huh? lol... I look forward to the response