From crisis comes opportunity

I feel like this is such a time of change, transition, crisis, closure. In my life, in the world, all around me. It’s incredible how I can’t imagine a time when this wasn’t the case, and when I look back at before, when I was so unaware of all of it, I think how narrow my perspective was, how I didn’t even know how good I had it in some ways. It’s difficult to imagine these times of transition and it is such a struggle to keep my mental state in check.

I’ve struggled with anxiety most of my life, with a significant peak in the last few years. The realities of adulthood, figuring out how to live in healthy ways, how to build community, sustain adult relationships, it’s all really brought my issues to the fore.

The period we are in now has heightened things. I don’t actually think I’m more anxious, I may in many ways actually be less anxious than a number of other points in my life, but in many ways my anxiety feels so much more rational and logical these days. Listen to the news, read any blog or newspaper and there is an overwhelming sense of doomsday lately.

In many ways it’s justified. Institutions (financial, political, journalistic) are crumbling around us. The status quo is shifting, like an earthquake, and it’s difficult to see what will be rebuilt from the ashes. I struggle to keep myself from going down the slippery slope of anxiety and catastrophe on a regular basis, and then the media and general political sentiment echoes these feelings and it’s even harder.

But I feel like I’ve turned a corner. After six months of closing down, holding my breath, retracting and steeling myself against each piece of news and each change that has come my way, I think I can breathe again.

What I need to understand, to believe, is that from crisis comes opportunity. That what we had before, what we are SO tightly holding onto now, while it feels safe, wasn’t that great either. And that now we have the potential to build something new and better than we could ever have imagined. Maybe one day we will look back on those things whose loss we are mourning and feel grateful for what came out of it all.

We’re so afraid of change, so afraid to adapt, to conform to a new reality. Yet haven’t we all been working toward just that: a new reality, a revolution?

We can’t expect to transform the world without some of the old structures crumbling. There are lots of ways to make change, and I think we’ve all been focusing so much on change from within existing institutions and structures. This is the chance to rebuild them from the ground up. We’ve all been doing this work together, chipping away at the foundations of institutions that haven’t served us, and now we are seeing the result of much of this work. The institutions are crumbling.

Now the work begins. Brick by brick we must rebuild with the vision of what we want to see. What did we want when all we could see was what we didn’t like about existing institutions?

I want to embrace the opportunity in crisis, the opportunity to rebuild the world according to our wildest dreams.

Radical Doula on the road

Over the next few weeks I’m doing quite a bit of speaking. In case you happen to be in the neighborhood, you should check out these upcoming events:

Wednesday March 25, Chapel Hill, North Carolina

This is What a Feminist Looks Like: Genderqueer perspectives from the feminist movement
Wednesday March 25, UNC-Chapel Hill. 12:30pm Presentation as part of the f-word, a week long dialogue about the future of feminism.

Saturday March 28, Boston, Massachusetts

In/Out of Focus, Broadening a Feminist Lens: Gender, Non-Conformity and the Media
Saturday, March 28 – 11:00AM to 12:30PM
Kate Bovitch, Miriam Zoila Perez, Jack Aponte, Julia Serano
Part of the Women, Action and Media Conference.

Saturday April 4, Hampshire College, Massachusetts

Two panels as part of the CLPP Reproductive Rights Conference

Saturday 3:15-4:45pm
Analysis of the 2008 Election
(Kenyon Farrow, Miriam Perez)

Saturday 5:15-6:45pm
Politics of Family Creation
(Miriam Yeung*, Miriam Perez, Mia Mingus, Colleen Thompson)

Thursday April 9, Old Dominion University, Norfolk Virginia

TBD

Hope to see some of you at these events!

The Cost of Being Born at Home

Check out my latest article at RH Reality Check, The Cost of Being Born at Home:

Yesterday in New York City, Julie Finefrock appeared before the health fund subcommittee of the Service Employees International Union (SEIU) as part of her appeal of their denial of her homebirth coverage. Ms. Finefrock, who is six months pregnant, is married to an SEIU employee. Their insurance plan excludes homebirth coverage, despite New York State regulations that require that private insurance cover out-of-hospital birth with a licensed practitioner. Ms. Finefrock’s situation is just one example of a larger fight to increase access to homebirth nationally, and it’s a fight that has ramped up due to new media attention to the issue.

One mother laboring with her midwife on the roof of her Cobble Hill penthouse, gorgeous Manhattan skyline in the background. Another holding her newborn on her living room couch, exposed brick and high ceilings behind her. These are just two of the scenes from the November New York Times article and slideshow about the growing interest among New York City women in birthing at home. These images paint a very specific picture of homebirth–all the women were pictured in spacious, nicely decorated apartments and, with the exception of one African-American woman, all were white. Watch the popular Ricki Lake documentary The Business of Being Born, released last year, and you get a similar story: Lake and her interviewees were all financially well off and could afford to choose to birth at home. Neither the Times article nor Lake’s film touched on one thing that all these women seemed to have in common–money.

Read the rest here. Thanks to everyone who emailed me their thoughts and commentary. I really appreciate it!

Update: Homebirth rally in NYC tomorrow cancelled

The rally for today has been postponed, due to internal strategy conversations with the parties involved. I’ll post updates once I get any.

Choices in Childbirth is holding a rally tomorrow in support of Julie Finefrock.

Julie is the wife of an SEIU employee who is 6 months pregnant and would like to have a homebirth with a midwife. Despite the fact that NY State has mandated that private insurance companies cover homebirth, SEIU’s insurance does not (they have a loop hole because they are self-insured…it’s a bit complicated). Anyways, Julie has appealed and tomorrow is her hearing.

Attend the rally (info below) or sign the petition.

Rally info: March 18th, 2009
Outside SEIU’s offices, SEIU 32BJ, 101 Avenue of the Americas, NYC.
11:30am-1:30pm, hearing is at 3pm

Lost in translation

My inspiration for this post.

I’m bilingual. I spoke Spanish before I spoke English because I grew up with two Cuban immigrant parents. My mom likes to joke about how she dropped me off at my preschool in my mostly White Southern town and handed the teacher a Spanish/English dictionary so she could communicate with me.

Being bilingual gives you an interesting lens on the world. Mine is particularly interesting because although I am Latina, you wouldn’t necessarily know by looking at me. I pass, most of the time, as white. That means a lot of things, some of which I may some day tackle here, but in this context it means I get to hear things, in both languages, that other people don’t.

As a doula this was particularly enlightening/challenging because I got to hear and understand everything a doctor was saying but not communicating to their patient when she didn’t speak English. I got to witness the jokes between doctors, the decisions about care that were being made without consultation, the idle chatter and conversation that they carried on in her presence. Then I had to make a decision. Do I tell her what they are saying?

I was taught that a doula shouldn’t be a translator. My doula trainer explained, with the best of intentions, that those roles should be separate. Just like a doula doesn’t replace a partner, they can’t replace a translator.

That’s great in an ideal world, where everyone has exactly what they need. But let’s remember where we live: planet not so ideal. On this planet, translators are only brought in when there is paperwork to be signed. On this planet, doctors/medical students/nurses with a working knowlege of Spanish get to communicate with the patient when and if they want to. On this planet, a Spanish speaking doula may be the only thing helping a Spanish speaking mom/family/partner feel safe.

So I had to make decisions. Constantly. Decisions about when to translate, what to translate, how to translate. Having to be a filter never felt good, even when I felt like I was protecting her from hearing something she wouldn’t want to hear.  I didn’t want to be the only one in the room who could communicate her needs/questions/concerns to her providers. I didn’t want that power.

What would my ideal world look like? Well, first of all, women would get treated exactly the same regardless of what language they spoke. Doctors/nurses/people wouldn’t talk about a patient in a language she didn’t understand in front of her. They would get consent for everything they did, before they did, and explain every step along the way. 

And that’s just the beginning.

Home birth and class

I’m working on an article for RH Reality Check about the lack of class perspective in the home birth debate. It seems to me that much of the discussion about home birth (and other alternative birth options) are framed in the terms of consumer choice, which doesn’t take into consideration those who can’t make that choice, or don’t have that option (for reasons of insurance, money, providers, home environment,etc). I wrote about this a while back when the NYTimes had that story about home birth that seemed to only feature wealthy white women in NYC.

I’m looking for doulas, midwives and other birth advocates/activists who have experience with home birth and thoughts on this issue.

Please email me at RadicaldoulaATgmailDOTcom.

Thanks!