- Since licenses are not required, they can’t be charged for practicing without a license.
- Because licenses are not required, there are no standards of practice they are bound to follow; they can take on high-risk patients with impunity, among other questionable practices. There are no penalties for violating reasonable standards of practice, as there are for OB-GYNs or CNMs, because there aren’t any standards!
- There are no standards for the use of the term “midwife”, so they can’t be charged for falsely representing their skills.
- There are no educational standards — When it comes to homebirth and the eyes of Oregon law, midwives with doctorates in Nursing are equal with those who’ve taken a weekend seminar in midwifery.
- There is no insurance required, so these midwives are judgment proof, even if by some miracle gross negligence was proven. No attorney is willing to take on a malpractice case when there is no insurance involved. Just in case, though, there are online resources for midwives explaining how to brainwash your clients to keep them from suing you or reporting you to the police.
- Require that those advertising themselves as homebirth midwives meet truly stringent educational and clinical standards, comparable to those of CNMs
- Mandate the reporting of outcomes for every birth and keep a publicly accessible database of this data
- Require malpractice insurance for anyone advertising themselves as a midwife
- Provide both criminal and civil punishments for those who practice without meeting the standards, even without poor outcomes
I don’t understand why so many midwives are willing to put up with negligence and incompetence in their midst. Any other profession would be chomping at the bit to throw the bums out, not circling the wagons! Is it because they care more about advancing the cause of midwifery than they do about the women for whom they are providing care? This shouldn’t be the case!
How can Oregon turn it around and stop these tragedies from taking place? How would you fix this?