Mama's Got a Plan:

Maternity Care, Health Insurance, and Reproductive Justice


Ejected!

In an extension of an already ludicrous policy, we bring you this flight of fancy:

 

Images and credits

  • The photo of Orrin Hatch at the podium, meant to represent him presiding over the Senate, comes from his Senate website.
  • The photo of Tammie Duckworth comes from her Senate website. Everything and everyone in the original photo aside from Sen. Duckworth has been edited out.
  • The background photo of the Brumidi Corridors is taken from the GovernmentBookTalk website.
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Bureau of Apologies: Hillary Rodham Clinton

Half-baked apology

This cartoon introduces a new series, Bureau of Apologies. The series is a combination of wish fulfillment and distorted reality orientation for those of us who have spent way too much time staring past the newspaper and wondering if things might have been different if only …

After watching the media circus around Candidate Clinton during the last presidential election, we thought it might be a good idea to go back in time to correct an apology that completely missed the point of the original offense. It wasn’t about cookies, folks.

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If you need to refresh your memory of the Cookie Insult, you’ll find background in this 2015 Time Magazine article – which also includes the text surrounding the incendiary remark:

“The work that I have done as a professional, a public advocate, has been aimed…to assure that women can make the choices,” Clinton continued, “whether it’s full-time career, full-time motherhood or some combination.”

Images and permissions


The HHS Office for Civil Rights

Personal beliefs and denial of care

Earlier this month, it emerged that tennis star Serena Williams came close to experiencing life-threatening blood clots after giving birth last fall, in part because medical staff delayed taking action after she requested treatment.

More recently, President Trump announced the establishment of a Conscience and Religious Freedom Division in the HHS Office for Civil Rights. Its purpose is to expand the ability of health care providers to exercise conscience clauses. ACOG, the chief U.S. professional organization for obstetricians and gynecologists, promptly issued a press release objecting to the move, stating, “Abortion, contraception and sterilization are a part of comprehensive reproductive health care and are essential to the health of patients. Professional medical organizations have clear guidance on the issue of refusal, noting that refusals of care must not compromise patient health.”

Well. All these announcements in such close proximity generated some questions in Ye Olde Cartoon Shoppe. Who is refusing care? To whom? What is their religious justification? Is it religion, or merely culture? What about having children, as opposed to not having them – are there any civil rights in play there?

Sometimes you look around, and no one is behaving the way you think they should. Except, of course, Ms. Williams, who acted intelligently and forcefully under challenging circumstances. And Baby Olympia, who does not need to do anything except be herself – which she so clearly does, perfectly and adorably. Congratulations on both counts, Serena Williams!  For all the other participants in these various dramas, there’s this:

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Images and permissions

  • The white-coated doctor is from Pixabay, shared under a Creative Commons license.
  • The plant is from pluspng.com. The site does not state any terms of use, but seems to make images freely available.
  • The photo of Serena Williams and Beautiful Baby Olympia is taken from an online video. Ms. Williams did not to our knowledge speak the exact words attributed to her in this cartoon, but we believe we have correctly represented her intentions.
  • The distinguished fellow with the stethoscope comes from Michelangelo’s The Creation of Adam, where he appeared with more background and without the stethoscope. The work is in the Public Domain.


The Fellowship and US-MERA

A midquel is a “work that is set within the timeframe of a previous work, rather than before or after it.” The Fellowship of the Bill series featured an increasingly beleaguered and bedraggled band of legislative advocates journeying toward Michigan licensure for Certified Professional Midwives. In this midquel, the Fellowship encounters a Mysterious Elixir: newly emerging educational standards for midwives, as produced by a consortium of seven national midwifery groups, known collectively as US-MERA (U.S. Midwifery, Education, Regulation, Association). Three disclaimers are necessary before we proceed.

  • First: Whether certain educational standards should be included in CPM licensure legislation is inside baseball at its most extreme. We promise we will return to topics of more general interest in our next cartoon.
  • Second: Although Michigan’s experience with US-MERA was less than ideal, much of the chaos was a result of interweaving timelines. The education standards were being developed at exactly the same time that Michigan’s bill was proceeding through the legislature. Neither process was exactly predictable, nor did communication flow dependably between parties. Last-minute demands, confusions of meaning, and repeated shifts in focus made measured, documented decision-making quite a challenge.
  • Third: This cartoon arises solely from the fevered imagination of Mama’s Got a Plan. It is not to be taken as a statement of history or policy by anyone who matters.

As in our original Fellowship series, many liberties were taken with both Tolkien’s story and Michigan legislative history. No worries – just sit back and enjoy the ride.

Click each image to open a larger version in a new window.

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Book feeding frenzy

Happy new year! To start out 2018, check out this new feature: Mama’s Bookshelf. Want to find the latest in titles on Reproductive Justice, maternity care, midwifery, community birth, and other topics of interest to Mama’s Got a Plan readers? See the Goodreads feed on the upper right side of this page.

NOTE: To read the full review of a book, you must click the book title, not the Goodreads link. You do not need a Goodreads account to view.

Happy reading!


Michigan’s 9-part CPM licensure odyssey: part 9

The Fellowship of the Bill – Part 9

This is the final installment in the story of Michigan’s nine-year journey toward a law to license Certified Professional Midwives. The story begins HERE. The entire series can be accessed HERE.

Part 9

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About this panel

The Senate floor and House concurrence votes would have been a more striking triumph if more of the Fellowship had been awake for them (Frame 1). Eowyn’s thought bubble is an oblique tribute to this famous Far Side cartoon.

Michigan’s Governor Snyder is represented here as Galadriel (Frame 2) just to give someone the opportunity to repeat the character’s famous speech:

The Quest stands upon the edge of a knife. Stray but a little, and it will fail, to the ruin of all. Yet hope remains while the Company is true.

Sing it, Sister! Also, “Governor Galadriel” has a nice ring to it. The time span between the passage of the bill and the Governor’s signature seemed endless (Frame 3). The Yule feast pictured in Frame 4 is not only an outright  invention, but casually borrowed from a tour of New Zealand Lord of the Rings filming locations. In return, we suggest you check out tours at MikeTheGuide.com and make a point of stopping at the Green Dragon Inn near the Hobbiton Movie Set.

The Governor finally signed the bill early in 2017, a cause for great celebration (Frame 4). If you know anything about Michigan, you’ll appreciate the celebration did not take place shortly following the signing, but much later in the year on another equally beautiful – and much warmer – Lake Michigan beach.

Is this successful enactment of the bill the end of the Fellowship? Probably not. A portion of its membership is ensconced on the new state Board of Licensed Midwifery – portrayed here by a photo of a 1949 committee of the Florida State Prison system. A future effort to guarantee Medicaid coverage for Licensed Midwife care has also not been ruled out. For the meantime, the Fellowship is returned to its daily routines. Babies are born. Parents are created. Midwives are credentialed. Life goes on.

The End

 

← Part 8