My midwife and I have a relationship that predates Medicare, so it hasn't affected us. I don't remember how much you get back, but it's just for pre and postnatal not for birth. I will let you know when I get to Medicare in the next few days!
I think I would be uncomfortable with breech at home, so yes I'd want a care provider that matches my values. I think having a good relationship means you trust them implicitly and if they said go to hospital you wouldn't question it for a second- that's how I feel about my midwife.
I am a pretty conservative homebirther though. I think acting before 42 weeks is important, twins and breech need extra care and other risk factors need to be looked at carefully.
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