A commentor has got me thinking. She mentioned how midwives are compensated less than physicians, which got me thinking- should this be so? What parameters are used by midwives (of all types) to set their fees. Is it years of education, years of experience, the going rate for your community? The reason I ask is because I get the impression that doulas, midwives, childbirth educators and the like are expected to get less than 'market value' for their services.
So Dear Readers, who fall into these categories, don't leave me to my ignorant guessing. How do you feel about clients asking you to reduce your fees or even asking you to serve them for no fee at all? What criteria do you use to set your fees. Do you feel that you get fair compensation for the work you do? Midwives, should you be making less than your physician collegues? (I once saw a 60 minutes segment where nurse practitioners made a compelling case for charging the exact SAME fees as physicians.) Do you feel your service is valued by the community you serve and is that value reflected in the fees you recieve? (What about that good 'ol Americanism, 'you get what you pay for' where a higher value is assigned to a higher price tag?) Do you feel yours is a spiritual calling and therefore don't feel right taking money for it at all? I would love to hear your thoughts on this topic. Then perhaps I'll chime in from a nurse's perspective, but for now, the floor is yours.