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As a postpartum nurse, unfortunately I see this all the time. Some people make really bad choices and it's too bad that we all have to pay for it. About half of the women that I care for are on some kind of government assistance. I have been a nurse for 30 years and the number of single parents has skyrocketed. Not surprisingly, many are on welfare. An increasing number have exposed their babies to drugs and tobacco. I never treat anyone differently, regardless of their situation. I want everyone to have the best possible experience with their new child that I can give them. But sometimes, I feel discouraged that some people only make their plight worse by making bad choices. I worry about the kids the most.
But you just don't know people's circumstances. I have a friend who, when she got pregnant, had a fabulous job at a mortgage company. She decided she could support the child, and well she could at the time. The baby was conceived despite birth control used, according to the friend, properly (but who really knows...). Then the housing market crashed, and she found herself without a job or insurance, 5 months pregnant. She searched the entire time she was pregnant for a job, but no one would hire someone who was showing (after all, they'd have to give maternity leave...it isn't legal, but it happens). She couldn't afford private insurance or even COBRA because she wasn't bringing in any money. She had a TERRIBLE experience with the MediCal system that almost resulted in her baby's death. And some nurse at the hospital made a comment to her about "welfare moms" and the bad decisions they made...after she had been in labor for 40 hours.
The hospital where she was required to have her baby (almost exclusively there for births of mothers on MediCal...the women in her lamaze classes were all on assistance of some kind) had no anesthesiologist on staff because of budget. If a baby went into distress, they had to call an anasthesiologist to give an epidural before they could do a c-section. Anyone who works in childbirth knows that if your doctor has to drive 15 minutes before you can get a c-section, it is likely going to be too late.
Again, there are multiple sides to every story, and people who abuse the system as well as those who can't get the care they need despite trying to make the best choices.
ETA: The saddest part of this story, for me, was what happened when she and the baby's father tried to get couples counseling. They had only been together 3 months when she became pregnant, but they made a joint commitment to try to make it work. Unfortunately, since they had been together only a short time, they had some issues. They wanted to go to therapy to try to resolve the issues before they became parents. There were NO counseling resources available to them. It was so sad to see a couple TRYING to do the right thing - unite before having a child that may not have been timed as well as it might have been - being unable to get the help they needed.