By skyforbes 
SEO notwithstanding, oh I am so sorry….
SEO means search engine optimization for the uninitiated. I will admit I have been looking for “the article” about how Medicaid has impacted the practice of midwifery and nurse midwifery in America and what happens if it suddenly goes missing.
Then I realized DUH.. the lightbulb moment that I was the one to write it. If I took even a peep at the evolution of my own career as a midwife and as a mother and grandmother I could easily trace the history of midwifery and the relationship between mothers and babies. Is there a special twist in being a black mother and and black midwife? Why of course, but that is for another time and blog or rant or prayer.
What we found out these past few weeks is that most folks don’t have a clue about Medicaid. And most folks don’t miss their water until their well runs dry, I mean bone dry and most folks don’t read at all, much less the fine print and almost never read all the way to the end because they don’t and some people just are too busy living life and and that’s OK and then there are the rest of us.
My articles on Medium or on my other blog are not optimized or found by most people and up until now that hasn’t bothered me a bit as the goal of writing without being seen or heard by anyone else but me as been fully achieved.
However now that my goals have shifted dramatically with Uranus entering Gemini, I am bound and determined to disseminate information. Information warriors are fierce and work best by first determining how folks would best like to have their information served up to them and no body I mean nobody can take information in even a second before they are ready.
Women often have a way of knowing things. often times in ways that can’t be explained. Thank goodness for that Motherwit!
Don’t let anyone tell you different the folks who are most affected by what Medicaid was historically designed to do was Mothers . Midwives MOTHER the Mothers! That is what we are designed to do and these social policies policies were planned and schemed to help us, hurt us or to replace what we may have dome in our families, communities and for the society. We are not the first, nor the last and there are always the ones who continue to inspire. Maude Callen was one of those people for me.
Depending again on who you ask. there is always someone somewhere that is called forth by the community, the family, or DIVINE ordination to step in and serve and o what needs to be done, or said. No one flies solo. We are so so deeply connected in ways that we seldom see or think about.
While I and my best friend AI could serve up a bunch of references. I will stick with one or two and hope that something in my story will pique your curiosity and you will find more.
In my notes, I mention a book called Protecting Soldiers and Mothers by Theda Skocpol and I also reference the report from the Social Security Administration circa 2015. Take a look at both of them. The information matters to us all and to the planet. Whether the money and social policies go away. You will still be here and some of you will thrive and grow knowing what to do, how to be and how to encourage someone else to be their best self.
Hopefully you will talk to someone who lived before 1965 and ask them.
The take home questions .. Or the three things that you should write down on your list to think about since according to my mother any one can only remember three things at a times and that is on a good day.
Zip code matters. where do you live?
Talk to someone anyone about being a mother before and after 1965
If you had to ask someone for help in the middle of the night, where would you go, who would you ask?
Scope of Medicaid Services
Title XIX of the Social Security Act allows considerable flexibility within the states’ Medicaid plans. However, some federal requirements are mandatory if federal matching funds are to be received. A state’s Medicaid program must offer medical assistance for certain basic services to most categorically needy populations. These services generally include:
- Inpatient hospital services;
- Outpatient hospital services;
- Pregnancy-related services, including prenatal care and 60 days postpartum pregnancy-related services;
- Vaccines for children;
- Physician services;
- Nursing facility services for persons aged 21 or older;
- Family planning services and supplies;
- Rural health clinic services;
- Home health care for persons eligible for skilled nursing services;
- Laboratory and x-ray services;
- Pediatric and family nurse practitioner services;
- Nurse-midwife services;
- Federally qualified health center (FQHC) services, and ambulatory services of an FQHC that would be available in other settings; and
- Early and periodic screening, diagnostic, and treatment (EPSDT) services for children under age 21.
States may also receive federal matching funds to provide certain optional services. Some of the most common currently approved optional Medicaid services are:
- Diagnostic services;
- Clinic services;
- Intermediate care facility services;
- Prescribed drugs and prosthetic devices;
- Optometrist services and eyeglasses;
- Nursing facility services for children under age 21;
- Transportation services;
- Rehabilitation and physical therapy services;
- Hospice care;
- Home and community-based care to certain persons with chronic impairments; and
- Targeted case management services.
The BBA included a state option known as Programs of All-inclusive Care for the Elderly (PACE). PACE provides an alternative to institutional care for persons aged 55 and older who require a nursing-facility level of care. The PACE team offers and manages all health, medical, and social services and mobilizes other services as needed to provide preventive, rehabilitative, curative, and supportive care. This care, provided in day health centers, homes, hospitals, and nursing homes, helps the person maintain independence, dignity, and quality of life. PACE functions within the Medicare program as well. Regardless of source of payment, PACE providers receive payment only through the PACE agreement and must make available all items and services covered under both Titles XVIII and XIX, without amount, duration, or scope limitations and without application of any deductibles, copayments, or other cost sharing. The individuals enrolled in PACE receive benefits solely through the PACE program.
https://www.ssa.gov/policy/docs/statcomps/supplement/2015/medicaid.html
NOTES
How to use Medium SEO settings to reach more readers
How to Conduct a SWOT Analysis in Project Management
https://www.ssa.gov/policy/docs/statcomps/supplement/2015/medicaid.html
https://www.midwiferytoday.com/web-article/history-midwifery-childbirth-america-time-line/
https://connect.springerpub.com/content/book/978-0-8261-2538-5/part/part01/chapter/ch01
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1542-2011.1962.tb00178.x