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02.05.2009 12:39 pm

Rep. Mike Talboy tries to repeal midwives’ law

Post-Dispatch Jefferson City Bureau
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Talboy

Talboy

JEFFERSON CITY — Remember tocology? Midwives gained more authority in Missouri by slipping that obscure term into a health insurance bill in 2007.

Now, Rep. Mike Talboy, D-Kansas City, is trying to repeal the provision.

Talboy has introduced HB476, which would repeal a single sentence. That sentence allows people who hold “ministerial or tocological certification by an organization accredited by the National Organization for Competency Assurance” to provide services dealing with obstetrics.

Former Sen. John Loudon, R-Chesterfield, tucked that line into a bill to bypass a long-running filibuster orchestrated by the Missouri State Medical Association, which represents doctors. For years, Missouri had limited the practice of midwifery to certain specialized nurses, working in collaboration with doctors.

The doctors’ group says the current law makes it unclear who can offer obstetric services. Talboy said he hopes to broker a compromise between the doctors and midwives.

“I would like to bring them to the table and find what we can do moving forward, so mothers and children are protected,” he said. “I think there should be some safety requirements.”

In the past, those negotiations have broken down because the medical lobby demanded that midwives be regulated by the Board of Healing Arts, which is dominated by doctors. Under the doctors’ plan, an advisory board of midwives could only offer licensing suggestions

20 comments

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Dude doesn’t get it. Missouri women want to make their own choices about childbirth options. I don’t need that guy “protecting” me, and I certainly don’t need him preventing midwives from practicing in Missouri. Aren’t there more pressing issues he could be working on?

— KBO
2:20 pm February 5th, 2009

The doctors say “the current law makes it unclear who can offer obstetric services” but in fact, it is as clear as day: Under the current law, midwives can serve women. Doctors would “clarify” the law by putting midwives out of business. It’s all about money, and not one bit about patient health.

— Nick Kasoff
2:30 pm February 5th, 2009

PS - Since the Post never bothers, here’s a few contributors to Mr. Talboy’s campaign who might have an interest in putting midwives out of business:

Missouri Society of Anesthesiologists - $1,000
Cardiothoracic Anesthesia Assoc - $350
Missouri Ambulatory Surgery Center Assn - $1,000
Molina Healthcare Inc. - $325
Northport Health Services of Missouri LLC - $350
Gerard Grimaldi ((Truman Medical Center Public Affairs) - $100
Missouri Hospital Association Healthpac - $1,000
Missouri Health Care Assoc. - $1,500

— Nick Kasoff
2:43 pm February 5th, 2009

I thought that Talboy considers himself a champion of freedom and personal rights. Perhaps I was wrong.

Maybe he believes that the government can make better choices for women and babies than mothers will make for their babies. After all, the government cares personally about the health and well being of the baby in a way no mother ever would. Yeah, right.

Women are smart and make good choices when given freedom and responsibility. I’m disappointed to see that Talboy thinks they need his help in choosing healthcare providers.

Maybe it’s not really that he’s worried about the intelligence or health of women.

Maybe it’s more about being worried about impressing doctors to donate to his next campaign. Senator Chuck Graham tried that - siding with the docs over the midwives. It didn’t work. He lost to a Republican in an overwhelmingly Democratic tide in his district.

Perhaps Talboy should go visit Graham and ask for some advice before he gets too far out on a limb.

— J Cline
3:16 pm February 5th, 2009

It is an outrage that Talboy — supposedly a champion of women’s rights — would even consider sponsoring a bill such as this. The MO Supreme Court acted sensibly in upholding the tocology law in June, and after 50 years, Missoui women have finally been grated access to legal midwifery care! Talboy’s assertion that the current law does not set up any safety guidelines is incorrect — the law only permits certified professional midwives (CPMs) to practice, who go through rigorious preceptorship, examination, and skill evaluation on a national scale. Certifie professional midwives ARE safe, and MO women are smart enough to make thier own choices! The legalization of midwifery is a HUGE step forward for Missouri women, and yet Talboy wants to strip women of their right to choose their maternity care, and move backwards instead. What’s next, revoking a woman’s right to vote!? Missouri women and feminists everywhere will not stand for this!

— HWatson
5:28 pm February 5th, 2009

Why on earth does a democrat want to side with the powerful medical lobby against women and families? Please do the reading–midwifery care means safer birth and healthier babies.

— LCarter
5:58 pm February 5th, 2009

Talboy, keep your hands off my midwife! I can make the best choices for myself, my body, my baby and my birth!

— Dee
10:34 pm February 5th, 2009

Hmmm - freedom of choice for women?
A new concept?

— Thomas F. Maher
11:40 pm February 5th, 2009

Why would subjecting Certified Professional Midwives to charges of a Class C felony for delivering a baby help anything? Seriously.
Seven years in prison?? That’s the same maximum penalty that former Rep. Scott Muschany will face if he is found guilty of raping that 14 year old girl. Certified Professional Midwives deserve equal treatment for their “crime” of delivering babies under Missouri law?

Senator Loudon’s law (removing the criminal penalties for those who are nationally certified) brought some sanity to Missouri law!

I wish Talboy would focus on putting someone other than midwives in jail!

— Brett
12:40 am February 6th, 2009

You cannot tell me that a bright democrat in Missouri has nothing better to do right now than this. Other than physicians who think they will be out a few bucks (and who the supreme court said have no standing to oppose the law), who is this law endangering?? National certification seems like a pretty decent safety requirement to me.
I would like to hear what he has in mind. If he wants to talk about writing a better law stating that every woman deserves a midwife, because they are safer than OBs and hospitals for the healthy pregnant woman, THAT would be a good way to spend our government’s time.

— CNM student
4:48 pm February 6th, 2009

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