November 03, 2002

Private insurance for caesarean births

It has just been reported on the BBC evening News that the AXA Insurance company is to stop paying out for caesareans carried out privately for those people who have private health cover with their company. The reason given is that they cannot tell which caesareans are being undertaken for genuine medical reasons and which are being done as “lifestyle choices”. As a result they will pay our for none.

This may be the breakthrough we need to get the caesarean section rate down. AXA are a huge international company and offer health cover in a number of countries. If we can pressure them to make the same decision in Australia, then other insurance companies may follow suit. Wouldn’t that put the cat among the pigeons?

I will try and follow this up and see what is in the newspapers in the morning. This news has really made my day!

Posted by andrea at November 03, 2002 03:40 AM

Comments

Dear Andrea,

This is great news!!

I think the president of the NMAP, ACMI, ANF, GREENS, DEMOCRATS and all other organizations interested in humanizing birth should write to AXA on behalf of individuals.

sincerely,
Liz McAlpine

Posted by: Elizabeth McAlpine on November 3, 2002 08:01 AM

Comments

Further, AXA should be made aware of the economic drain of having obstetricians care for women in normal, physiological birth with all the costly, unnecessary interventions so commonplace.

Liz McAlpine

Posted by: Elizabeth McAlpine on November 3, 2002 08:05 AM

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Dear Andrea
Yes this is great news, though I would also like Medicare to remove the financial incentive for OB's doing C/sections too. A few years back it was recognised that by paying OB's more for doing C/sections the rate increased. Unfortunately current day Medicare does pay OB's extra benefit for doing C/sections - I believe this incentive should be removed.
Our government should look to the recent changes in NZ which don't endorse lifestyle c/sections.
warm regards
Julie

Posted by: Julie Clarke on November 3, 2002 11:11 AM

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The tragedy of the escalating caesarean rates in industrialised countries is not just the lifestyle choice made by some women who believe that's what's best for them, but also the failure of midwifery.
Midwifery has become so restricted and impotent that by the time most women reach the serious part of labour, the best the attendant (who is often called a midwife) can offer is a series of dangerous drugs and procedures, often culminating in extraction of the child by the only means available.
It's dehumanised birth, but by the time it happens there aren't any choices. It's no wonder that some women decide it would be safer and simpler to book in for the extraction at a sensible time of day.

I don't like the news, but I'm a realist. Improvements to caesarean rates and birth outcomes will not come as a result of insurance companies withholding insurance. It's for women and midwives to demand their right to best care and best practice, and return the authority for birth to the woman who is birthing.
Joy Johnston
Midwife

Posted by: Joy Johnston on November 3, 2002 12:53 PM

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