Dear list:
Firstly PI for midwives:
I recently heard from a Canadian midwife what is happenning there re PI: they 
were faced not with withdrawal of insurance but with savagely escalating 
costs of premiums (from $2,000 per yr to $40,000 per yr). Apparently in 
British Columbia the College of Midwives in conjunction with the government 
developed a self insurance scheme where by the midwives pooled their premiums 
and were underwritten by the government. So far there haven't been any big 
law suits, and if there is one then they may be belly up, so  to speak, but 
for the moment they are insured for a  reasonable premium. I am presuming the 
students are also covered.

Now student insurance: when I came over as a student midwife to ST. George, 
there was concern that my insurance wasn't sufficient. In the US we didn't 
have to be insured as a student unless we worked in a hospital, then because 
we weren't a hospital employee, we needed insurance. It is provided by Dean 
Insurance Agency, Inc. (for those of you who have access to copies of 
Midwifery Today they advertise there). The contact person is Ann Geisler, her 
email is:
[EMAIL PROTECTED]  she would be able to advise you re what is currently 
available.
It appears that a lot has changed since September 11 (the date and reason 
publically given for either withdrawing insurance or raising the premiums 
astronomically). If Dean is still offering insurance to midwives and student 
midwives, one possible drawback is that any court cases would have to be in 
the USA.????? That is how my policy is worded. 

The other concern raised in Sydney was my lack of workers compensation, which 
wasn't really covered by my policy, and since I wasn't a hospital employee I 
didn't have. My school drew up an official looking agreement stating that St. 
George would not be held liable by the school or myself if I was injured or 
became ill due to working there. 

But, it seems the hospitals and clinics that students will work in while at 
Flinders Uni could solve this by making you employees. I think that is how 
the med students will get by: they will probably restrict the actual medical 
students to observation roles, but the residents  will have a salary (albiet 
a pittance) but it will cover them insurance and workers comp. wise. So, 
maybe you all have to become resident midwives/midwifery residents/student 
midwife residents or whatever and be temporary employees of the hospitals and 
clinics. How are the Victorian Uni's handling it?? I thought that was how it 
was done anyway?

PI in general: even though it appears sometimes that midwives are being 
targeted specifically it appears to be (to me) that it is any small business 
person, midwife, doctor, house painter, landscape architect. Here is Seattle 
many GP's are going out of business as their PI insurance goes through the 
roof (around $40,000/year without obstetrics). Something has to be done 
unless we are happy to all go to the one place for everything. (that is a 
very  flaky sentence, but oh well).
lots of love to you all. I am still waiting for my exam results. marilyn
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