Podcasts about Tricare

What if everyone had access to a doula, no matter their income? In this episode, Dr. Dekker talks with Amy Chen, Senior Attorney at the National Health Law Program (NHeLP), about the growing movement to make doula care accessible through Medicaid and insurance coverage.   Amy shares how her personal birth experiences inspired her work advocating for Medicaid reimbursement for doulas and explains how more than 20 states (and counting) are now implementing or expanding coverage. They also unpack the biggest challenges and successes so far, from sustainable reimbursement rates and certification requirements to how doulas can navigate the Medicaid billing process.   (03:17) How Amy's birth experiences led her to advocate for Medicaid coverage of doula care (06:54) The national shift toward Medicaid coverage for doulas after 2016 and early state pilots (11:50) How 23 states plus D.C. have implemented Medicaid doula benefits and what comes next (15:46) Lessons from California's rollout: raising reimbursement from $450 to $3,200 through advocacy (20:57) Why equitable reimbursement matters for sustaining the doula workforce (25:52) How families can find out if doula care is covered through Medicaid, private insurance, or employers (29:53) TRICARE's pilot program for military families and expansion to overseas bases (31:42) The challenges doulas face with Medicaid billing and how "doula hubs" help streamline the process (36:49) How upcoming federal Medicaid cuts could threaten maternal health gains (45:28) New 2024 research showing doula care cuts cesarean rates in half and lowers preterm births (48:12) Closing thoughts and key resources for doulas, advocates, and policymakers   Resources NHeLP Doula Medicaid Project: https://healthlaw.org/doulamedicaidproject/ Best Practices for Medicaid Coverage of Doula Care (2025): https://healthlaw.org/doulamedicaidproject/bestpractices/ NHeLP Doula Medicaid Project State Tracker Chart: https://tinyurl.com/NHeLPStateTracker CA Department of Health Care Services Doula Benefit Implementation Report: https://www.dhcs.ca.gov/provgovpart/Documents/Doula-Benefit-Report.pdf Private Insurance Coverage of Doula Care: Spring 2025 State of the States: https://healthlaw.org/private-insurance-coverage-of-doula-care-spring-2024-state-of-the-states/ A Cost-Benefit Analysis of Doula Care from a Public Health Framework: https://healthlaw.org/resource/a-cost-benefit-analysis-of-doula-care-from-a-public-health-framework/   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

Confused about why your Medicare Part B premium is higher? Discover how IRMAA (Income-Related Monthly Adjustment Amount) impacts your Medicare costs and what federal employees and retirees can do about higher premiums. This video covers:What is IRMAA and why it matters for Medicare Part B & DHow taxes affect your Medicare premiums and retirement budgetPlanning strategies for federal retirees, including FERS, TSP, Social SecurityReal-world tips on managing healthcare costs and avoiding surprises

Are you making the most of your federal health benefits this open season? Whether you're an active federal employee or retired, this time of year can feel overwhelming, but understanding your options can save you thousands and help you plan smarter for the future. You'll learn how to evaluate your current plan, balance premiums and out-of-pocket costs, and make confident, informed decisions before open season ends. Access the full show notes at Mason & Associates, LLC Resources Mentioned: Medicare Masterclass on Enrollment, Costs, and the Inflation Reduction Act with Bryan Gay 10 Things Federal Employees Can Do Outside Of An Open Season Mason & Associates: LinkedIn Tommy Blackburn:  LinkedIn John Mason: LinkedIn Ben Raikes: Website

Send us a textA submariner's guide to fixing family policy does not begin in a committee room; it begins in a NICU. Jeremy Hilton joins us to share how his daughter's complex medical needs reshaped his Navy career and pushed him into a mission to reform the Exceptional Family Member Program and modernize Tricare for military kids. He walks through how lived experience can drive real policy change, from filing an IG complaint that actually moved the needle to finding mentors who opened Hill doors and building coalitions that delivered wins like hospice access for military children.We break down what EFMP is meant to be, a readiness tool for families with medical and educational needs, and why inconsistent execution across services forces too many families to rebuild care at every PCS. Jeremy explains the real cost of each move, from securing specialists to restarting therapies and navigating new school systems. We cover why standardization matters, how a tiered approach could support the most complex cases, and why portability should anchor reform. On Tricare, we address pediatric gaps built into Medicare-based policy, the challenges of aging out, and practical fixes that match how children actually grow and recover.From MOAA to NMFA, from report language to statutory change, this conversation shows how to frame issues for both political parties without losing the human story. The closing challenge is clear. EFMP staffing, transparent assignments, and care portability are not perks for families. They are national security requirements. Share this with teammates navigating EFMP and tell us what reform should come first. The stories and opinions shared on Stories of Service are told in each guest's own words. They reflect personal experiences, memories, and perspectives. While every effort is made to present these stories respectfully and authentically, Stories of Service does not verify the accuracy or completeness of every statement. The views expressed do not necessarily represent those of the host, producers, or affiliates. Support the showVisit my website: https://thehello.llc/THERESACARPENTERRead my writings on my blog: https://www.theresatapestries.com/Listen to other episodes on my podcast: https://storiesofservice.buzzsprout.comWatch episodes of my podcast:https://www.youtube.com/c/TheresaCarpenter76

Guest: Julie Eshelman, Founder & CEO, Building Military Families Network Host: Dan Bulger, Progyny  Today's guest always dreamed of building a family. But when she and her husband began trying to conceive, they faced years of unanswered questions and a string of devastating losses.  Like many military families, Julie Eshelman's journey was shaped not just by infertility, but by deployments, changing doctors, starting over in new states, and a healthcare system that doesn't always recognize the unique challenges military families face in building a family. Julie and her husband were unable to access full fertility coverage under TRICARE, creating a financial burden to top up the physical and emotional stress they were already experiencing.   These years of heartbreak also led to joy and purpose. Julie is now the mom of a rambunctious three-year-old, and she founded the Building Military Families Network, a nonprofit dedicated to supporting military and veteran families through infertility, loss, and family building. Through resources, education, and support groups, she's working to ensure others in her position don't walk this path alone.   In this episode, Julie shares her story of why she's determined to help others navigate a system that has historically overlooked the reproductive needs of those who serve.  For more information, visit Progyny's Podcast page and Progyny's Education page for more resources. Be sure to follow us on Instagram, @ThisisInfertilityPodcast, and use #ThisisInfertility. Have a question, comment, or want to share your story? Email us at thisisinfertility@progyny.com. 

Every Medicare client has their own unique situation and needs. Learn how to best assist them with 5 more insurance sales scenarios!   Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 3 Essential Steps New Insurance Agents Need to Take 4 Ancillary Cross-Sales to Show Clients You Care 4 Out-Of-the-Box Long-Term Care Insurance Solutions 5 Must-Haves for Every Agent This AEP 5 Real-Life Medicare Sales Scenarios & How to Handle Them Agent Survival Guide Podcast Do's and Don'ts of Medicare Compliance How to Prepare for AEP like a Pro How VA Benefits Work with Medicare Life Insurance for Each of Life's Stages Meet Your Ritter Sales Team Rules for Hosting a Compliant Medicare Educational Event Rules for Hosting a Compliant Medicare Sales Event Surviving AEP Resources The Survivor's AEP Checklist The Complete Guide on How to Sell Final Expense Insurance FREE eBook DOWNLOAD Your Clients May Not Be Automatically Enrolled in Medicare   References: “Agent of Record.” Insuranceopedia, 14 Jan. 2025, https://www.insuranceopedia.com/definition/674/agent-of-record.  “Avoid Late Enrollment Penalties.” Medicare, https://www.medicare.gov/basics/costs/medicare-costs/avoid-penalties. Accessed 1 Oct. 2025. “Cobra and Medicare Coordination.” Medicare Interactive, 31 Mar. 2025, https://www.medicareinteractive.org/understanding-medicare/coordinating-medicare-with-other-insurance/cobra-and-medicare/cobra-and-medicare-coordination. “How Medicare Works with Other Insurance.” Medicare, https://www.medicare.gov/health-drug-plans/coordination. Accessed 1 Oct. 2025. “Job-Based Insurance When You Are Disabled.” Medicare Interactive, 23 Mar. 2025, https://www.medicareinteractive.org/understanding-medicare/coordinating-medicare-with-other-insurance/job-based-insurance-and-medicare/job-based-insurance-when-you-are-disabled. “Medicare Information.” SSA, https://www.ssa.gov/disabilityresearch/wi/medicare.htm. Accessed 1 Oct. 2025. “Tricare for Life (Tfl) Basics.” Medicare Interactive, 23 Mar. 2025, https://www.medicareinteractive.org/understanding-medicare/coordinating-medicare-with-other-insurance/military-retiree-insurance-and-medicare/tricare-for-life-tfl-basics.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

The headlines are loud, the mailers are confusing and the clock is ticking. We're making one thing simple: Centra will leave the Humana Medicare Advantage network on January 1, 2026, and you can protect your care by choosing the right plan during open enrollment.With our Chief Revenue Officer, Robert Boos, we walk through exactly who's affected, how this differs from traditional “red, white, and blue” Medicare and why TRICARE members are not impacted. We break down the real-world impact of Medicare Advantage: prior authorization delays that stall MRIs and CT scans, high first-pass denial rates on emergency claims and why those practices can lead to surprise “late” bills months after a visit. You'll learn why many health systems nationwide are rethinking Medicare Advantage contracts and how payment shortfalls and administrative hurdles make it harder to deliver timely care.Most importantly, we focus on action. If you're on Humana Medicare Advantage and want to keep your Centra doctors, you don't need a new clinician you need a new plan. Use open enrollment (Oct 15–Dec 7) to switch to a Centra-participating Medicare Advantage plan like Anthem, Aetna, or UnitedHealthcare, or return to traditional Medicare with a Part D prescription plan. We share tips for confirming drug coverage, avoiding gaps on January 1, and keeping existing appointments on track. Emergencies remain covered by law, but routine care depends on your plan choice, so make the move now.Ready to take the next step? Visit centrahealth.com/humana for FAQs and resources, and call our customer service at 434.200.3777 if you have billing questions or need help understanding your claim. If this conversation helped, subscribe, share with a friend who's choosing a plan, and leave a review to help others find clear guidance.For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter

What happens when military life meets surrogacy? We welcome back Whitney, a two-time gestational surrogate and Coast Guard spouse, for a candid, practical, and heart-forward conversation about building families while navigating orders, insurance, and constant change. Whitney opens up about the moment a medical retirement notice landed the night before transfer, how she planned around potential moves, and why a supportive command and tight-knit base community made all the difference.We get real about TriCare and the secondary insurance most surrogates need. Whitney explains the Prime vs. Select trade-offs, how maternity claims can wrongly hit TriCare, and what to do when providers bill the wrong plan. She shares a cautionary tale about DEERS auto-enrollment, escrow closing too early, and a postpartum complication that surfaced months later—plus the fixes a good agency should own. If you've ever searched for surrogacy insurance, TriCare and surrogacy, or escrow timeline for surrogacy, this is the clarity you've been missing.Beyond logistics, this is a story about chosen family. Whitney's neighbors and friends stepped in with meals, childcare, and quiet companionship in hospital waiting rooms, showing how military communities become a lifeline far from home. Her kids formed deep bonds with intended parents, learning that families are built in many ways—and that love, not just DNA, holds them together. We also talk about the HBO docuseries that chronicles her journey alongside global family stories, offering a needed counterweight to loud headlines and tired myths.If you're a military spouse weighing surrogacy—or an intended parent trying to understand the terrain—you'll leave with practical steps: confirm station stability, secure surrogacy-friendly insurance, extend escrow through postpartum, and build a local support web before transfer. Subscribe, share with someone who needs real-world guidance, and leave a review with your biggest question so we can cover it next.Watch Somewhat Familiar | HBO MaxSend us a texthttps://stopsitsurrogate.com

Spencer Reese welcomes Lieutenant Commander Webster Felix, a Navy prosthodontist, for an in-depth discussion about maximizing military medicine benefits. Webb's journey from enlisted E6 dental student to O5 prosthodontist showcases the incredible opportunities available in military healthcare. This episode unpacks lesser-known scholarship programs, specialty training funding, loan forgiveness strategies, and GI Bill transfers that enabled Webb and his wife to complete advanced degrees debt-free while building generational wealth for their family. Lieutenant Commander Webster Felix, USN Specialty: Prosthodontist (restorative dentistry expert, full mouth rehabilitations) Current Station: Naval Medical Readiness and Training Command (NMRTC) Pearl Harbor, Hawaii Career Timeline: 14 years active duty, recently selected for O5 Education: Bachelor's in Biology, Temple University (2011) DDS, Columbia University College of Dental Medicine (2015) Master's in Dental Education (completed during dental school using GI Bill) Prosthodontics Residency, USC (2021-2024, funded by DUIN) Instagram: @prosthopapi - Features clinical cases and prosthodontic work Personal Background: Son of Haitian immigrants who arrived in the US in 1987; first-generation college graduate demonstrating how military medicine can transform generational wealth trajectories HSCP vs HPSP - The Scholarship Most People Don't Know About: HPSP covers full tuition but you're not active duty during school HSCP means active duty status (E6/E7 pay + BAH + TRICARE) but you take loans for tuition Webb entered dental school as E6, commissioned directly to O3E in 2015 Critical advice: Apply for BOTH programs simultaneously The $500K Student Loan Forgiveness Strategy: Graduated Columbia dental school with ~$400-500K in loans Enrolled in Public Service Loan Forgiveness (PSLF) immediately First payments: $170/month (based on E6 salary) Current payments: ~$800/month (O4E salary) Hitting 10-year mark in October 2025—expecting full forgiveness Must consolidate to federal direct loans or you won't qualify Duty Under Instruction (DUIN) - Free Specialty Training: Navy funded Webb's 3-year USC prosthodontics residency Continued receiving full salary, BAH, and bonuses—zero out-of-pocket costs FTOS (Full-Time Out-Service) allows civilian residency attendance Competitive annual program—check BUMED notices for available slots Strategic GI Bill Transfers: Webb transferred 15 months of GI Bill to his wife She completed UCLA nurse practitioner program debt-free Still has 15 months remaining for kids' education Transfer requires 4-year commitment—sign paperwork strategically Career Highlights: Temple University → Columbia DDS → O3 commission (2015) San Diego (AEGD) → Port Hueneme/Okinawa (Seabees, 2 deployments) → Key West → LA (USC residency) → Pearl Harbor Wife completed NP degree concurrent with his residency while caring for one-year-old Key Takeaways Military Medicine Benefits Add Up Fast: TRICARE coverage during school and career Active duty time counting toward retirement during education PSLF potential for massive loan forgiveness Specialty training fully funded (DUIN) GI Bill transfers for spouse education No pressure to over-treat patients for profit Civilian vs Military Prosthodontist Pay: Civilian side approximately 2X on paper But when factoring TRICARE, BAH, pension, education benefits—much closer Some civilian practices sacrifice autonomy for high volume/pay Military provides genuine patient care without profit motive Critical Actions: Apply for both HSCP and HPSP if pursuing military medicine Consolidate all student loans to federal direct loans immediately Enroll in PSLF and never miss payments Join Facebook group: "Public Service Loan Forgiveness Program Support" (216K members) Sign GI Bill transfers concurrent with existing obligations Resources Mentioned Kate Horrell's episodes - GI Bill expert (new book: "College Planning for Military Families") Dr. Pritish Sahoo episode - Army medicine path MMM Podcast #181 PSLF Facebook Group - "Public Service Loan Forgiveness Program Support" Naval Postgraduate Dental School (Bethesda) BUMED annual DUIN notices Who This Is For Pre-med/dental students considering military service, active duty members interested in medical careers, medical officers with student debt, anyone pursuing PSLF, families planning GI Bill transfers, or those comparing military vs civilian healthcare compensation.

Medicare Part B premium costs can jump because of IRMAA (Income-Related Monthly Adjustment Amount) when your MAGI crosses key thresholds—especially for federal retirees with pensions, Social Security, and RMDs. Learn how timing, Roth conversions, and TRICARE for Life choices can influence your Medicare Part B and Part D costs without panic or fear-mongering.IRMAA isn't a penalty—it's a higher Medicare Part B and D premium triggered by income. With smart tax planning, you can navigate the thresholds instead of getting surprised.

Chris's Summary:Jim and I are joined by Rear Admiral Brian Luther to discuss veterans benefits and military retirement planning. We explore how Navy Mutual supports service members, examine the survivor benefit plan, and talk about the role of annuities in managing longevity risk. Rear Admiral Luther also shares insights on TRICARE, VA health care, and […] The post Military Retirement Planning: EDU #2541 appeared first on The Retirement and IRA Show.

**Pharmacy owners, are you worried about how the government shutdown might affect your business? The good news: most pharmacies won't see a big hit to revenue. Medicare and TRICARE payments will continue, and USPS won't be affected. But SBA loans and patients who are federal workers could face delays or challenges.** **Show Notes:** 1. **Intro** [0:00] 2. **Government Shutdown and Its Impact on Pharmacies** [0:05] 3. **Potential Disruptions and Strategies for Pharmacy Owners** [2:40] 4. **Additional Considerations and Resources** [3:47] **Website mentioned in this episode:** https://www.drlisafaast.com/ Pharmacy Badass University membership: https://membership.diversifyrx.com/  ----- #### **Becoming a Badass Pharmacy Owner Podcast is a Proud to be Apart of the Pharmacy Podcast Network**

Cash PT Trends 2025: What We Learned in Dallas + The New Industry Report In this episode, Doc Danny Matta and Yves Gege unpack takeaways from their Dallas live event and preview PT Biz's new Cash PT Industry Report. They cover what's working now across pure cash, hybrid, and out-of-network models; why continuity and small-group training are surging; and how the talent market is shifting as more solo owners choose to join established cash clinics. Quick Ask Help us move toward the mission of adding $1B in cash-based services to our profession: share this episode with a clinician friend or post it to your IG stories and tag Danny—he'll reshare it. Episode Summary From beginners to builders: PT Biz events now draw ~200 owners focused on scaling, not just getting started. No single “right” model: Cash-only, hybrid, out-of-network, Medicare-focused, and gym-like setups can all work—business principles drive success. Continuity is up: Many clinics now get 20–40%+ of monthly visits from recurring performance/wellness work—stabilizing revenue. Small-group training wins: Huge LTV and stick rate; still underused (only ~¼ of clinics are doing it). Talent trend: More solo owners are approaching larger cash clinics for roles with culture, mentorship, and intrapreneurship tracks. Reality check on pay: Compensation must tie to the revenue a provider can generate; entitlement ≠ value creation. Macro shift: Rising deductibles & wellness demand push all clinics to add self-pay services—cash PT is no longer fringe. Live Event Takeaways Owner mindset: Conversations have matured—hiring, leadership, profitability, systems, and scaling to $100k–$200k/month per site. Market fit varies: Geography, payer mix, and demographics dictate whether to stay pure cash, add OON, or blend Medicare. Community compounding: Member-to-member playbooks (what worked, what didn't) are often the most valuable part of events. The Industry Report: What to Watch Continuity growth: Bigger clinics show higher % of recurring visits, needing fewer new evals to fill schedules. Underutilized small groups: High demand among “post-injury but not gym-ready” clients; strong margins and retention. Diversified offers: Performance, strength, and longevity programs de-risk revenue and increase lifetime value. Small-Group Training: Why It Works Checks the boxes: Strength, mobility, accountability, and community—with clinicians nearby if issues arise. Cost-effective for clients: Often similar to PT weekly or personal training—but with better adherence and social glue. Team friendly: Therapists enjoy variety and fewer notes; can be delivered by PTs or trained coaches under clinical oversight. Career Pathways & The “Unemployable” Test Two good options: Go all-in on ownership or join a high-performing cash clinic as an intrapreneur (clinic director, partner track). Value first, then ask: Promotions/partnerships follow demonstrated impact, not tenure. Reputation compounds. Pro Tips You Can Use This Month Launch continuity now: Create 1–2 simple monthly options (e.g., strength + mobility; return-to-sport). Pilot a small group: 4–8 clients, 2x/week, 8 weeks. Price for value, track retention, collect testimonials. Map your model: List your market realities (Medicare, Tricare, local payer rates, boomer density) before choosing cash/hybrid. Hire from the doers: Prioritize applicants who've tried solo—“batteries included,” better respect for business realities. Benchmark & iterate: Compare your prices, packages, and continuity % to the industry report; fix one lever each month. Notable Quotes “There isn't one right model—principles win. Leads in, lifetime value up, recruit well, lead well.” “Continuity compacts the snowball. When 30–40% of your visits are recurring, everything gets easier.” “If you want stability without owning every problem, be an intrapreneur—create value, then opportunities chase you.” Action Items Download the Cash PT Industry Report and benchmark your prices, packages, and continuity %. Sketch a small-group pilot (who it's for, schedule, price, progression) and pre-sell 6–8 spots. Define two continuity offers with clear outcomes and a simple monthly cadence. Write a one-page model map for your area (payers, demographics, demand) and choose cash-only vs hybrid accordingly. Programs Mentioned Clinical Rainmaker: Systems to get you full-time in your clinic. Mastermind: Scale space, team, and operations. PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Expenses, visit targets, pricing, 3 paths to go full-time, and a one-page plan. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge Cash PT Industry Report: Download on the PT Biz site. About the Hosts: Doc Danny Matta—staff PT, active-duty military PT, cash-practice founder & exit; now helping 1,000+ clinicians start, grow, and scale with PT Biz. Yves Gege—cash-practice owner and PT Biz co-founder focused on systems, leadership, and scaling.

Think military divorce means automatically splitting everythign 50/50 and going to court? Wrong on both counts! Certified Divorce Financial Anaylst David Smith reveals what most military families get wrong and what it costs them! In today's episode, we'll discuss the complex financial and logistical aspects of military divorce, covering everything from pension division to healthcare benefits, tax implications, and emotional support strategies. Key Topics Jurisdiction & Legal Considerations Multiple state options for filing (voting state, property ownership state, driver's license state, tax filing state) Importance of consulting with an attorney early to determine proper jurisdiction Each state has different rules, formulas, and processes JAG office can provide consultation but cannot represent service members in divorce proceedings Types of Divorce Processes Four main options: DIY without professionals, mediation, collaborative divorce, litigation Court is NOT the only option Out-of-court processes (mediation, collaborative) are often more cost-effective, private, and less stressful Consulting attorneys vs. representing attorneys - different roles and costs Military Pension Division Division is not the only option - can use offsetting with other assets Must determine what portion is "marital" vs. "separate" property Not all pension components are divisible (e.g., VA disability) Requires a Military Retirement Pay Division Order through DFAS Differences between active duty, reservist, and guard member pensions Survivor Benefit Plan (SBP) Critical considerations: Only ONE SBP beneficiary can be named Previous spouses from earlier marriages may already occupy the "SBP chair" Premium costs must be negotiated Former spouse can be SBP beneficiary even without receiving pension payments Time-sensitive: Required forms must be submitted within specific timeframe or rights are lost Cannot be automatically transferred - requires proper paperwork TRICARE Benefits Courts CANNOT order TRICARE coverage - falls under federal rules Key rules: 20-20-20 (full benefits for life), 20-20-15 (transitional benefits) Based on: length of marriage, service member's creditable years, overlap period COBRA-like option available if don't meet other rules GI Bill Transfer Must be transferred WHILE married - cannot go to former spouse after divorce Service member can rescind the transfer Can be transferred to children as alternative Settlement agreement language is critical to protect this benefit Thrift Savings Plan (TSP) Multiple TSPs possible (civilian federal employee spouse, reservist who went active duty) Pre-tax and Roth portions have different tax consequences Must account for outstanding loans Requires Retirement Benefits Court Order (different from pension division order) Not always split - can use offset method with other assets Other Unique Military Assets to Consider Military leave - has monetary value on LES Credit card points and miles - can be worth $30,000-$40,000 USAA Subscriber Savings Account Pets - especially valuable show animals Life insurance policies Tax Implications Filing status changes Tax bracket shifts Capital gains considerations when dividing assets Pre-tax accounts (traditional IRA, 401k) vs. post-tax accounts have different real values Child tax credits and claiming dependents Early withdrawal penalties Marital vs. Separate Property Separate property: assets brought into marriage, inheritances, gifts (if kept separate and not commingled) Marital property: everything accumulated during marriage Characterization process is essential before division discussions Financial Mistakes to Avoid Making verbal agreements before completing full financial inventory Not understanding tax consequences of asset division Overlooking hidden assets (leave balance, points/miles, etc.) Rushing decisions - most divorce decisions have no do-overs Not considering pre-tax vs. post-tax asset values Misclassifying assets as marital or separate Practical First Steps Learn about all four divorce process options If abuse is present, seek legal counsel immediately Open credit card and bank account in your own name Create timeline of important dates and duty stations Gather supporting documents (tax returns, bank statements) in cloud storage Document account numbers, login credentials, passwords Consider consulting with CDFA before hiring representing attorney Supporting Someone Through Divorce Listen deeply and empathetically Avoid projecting your own divorce experience onto theirs Don't rush them into decisions Offer practical help (childcare, meals, house cleaning) Point them to resources (counselors, family services, professionals) Give them breathing room Key Takeaways Divorce in the military involves unique complexities beyond civilian divorces Court is not the only option - consider mediation or collaborative processes Complete financial inventory BEFORE making division decisions Everything accumulated during marriage is generally marital property Professional guidance (CDFA, attorney consultation) is an investment, not just a cost Most divorce decisions are final with no do-overs - take time to understand options Resources & Links David's website: sandoakdivorcesolutions.com Free 30-minute phone consultations available David's LinkedIn: linkedin.com/in/davidsmithcdfa/ Find a CDFA through Institute for Divorce Financial Analysts: institutedfa.com Spencer and Jamie offer one-on-one Military Money Mentor sessions. Get your personal military money and personal finance questions answered in a confidential coaching call. militarymoneymanual.com/mentor Over 20,000 military servicemembers and military spouses have graduated from the 100% free course available at militarymoneymanual.com/umc3 In the Ultimate Military Credit Cards Course, you can learn how to apply for the most premium credit cards and get special military protections, such as waived annual fees, on elite cards like The Platinum Card® from American Express and the Chase Sapphire Reserve® Card. https://militarymoneymanual.com/amex-platinum-military/ https://militarymoneymanual.com/chase-sapphire-reserve-military/ Learn how active duty military, military spouses, and Guard and Reserves on 30+ day active orders can get your annual fees waived on premium credit cards in the Ultimate Military Credit Cards Course at militarymoneymanual.com/umc3 If you want to maximize your military paycheck, check out Spencer's 5 star rated book The Military Money Manual: A Practical Guide to Financial Freedom on Amazon or at shop.militarymoneymanual.com. Want to be confident with your TSP investing? Check out the Confident TSP Investing course at militarymoneymanual.com/tsp to learn all about the Thrift Savings Plan and strategies for growing your wealth while in the military. Use promo code "podcast24" for $50 off. Plus, for every course sold, we'll donate one course to an E-4 or below- for FREE! If you have a question you would like us to answer on the podcast, please reach out on instagram.com/militarymoneymanual.

Welcome to the ABA Business Leaders News, the go-to show for aspiring and current ABA practice owners who want to keep up to date with the latest happenings in the world of ABA. Every week, your hosts April and Stephen Smith bring you actionable insights, news, and real-world advice to help you navigate the challenges and celebrate the wins of starting and running your own ABA practice.

Get the GovClose Certification: https://www.govclose.com/sales-certification Free Book Download: https://www.dodcontract.com/In this video, former Air Force acquisitions officer Richard C. Howard (Lt Col Ret) breaks down a surprising new procurement trend: the Department of Defense quietly spending millions on GLP-1 weight loss drugs like Ozempic.We cover:The explosive year-over-year growth in military spending on these drugs.Why the Pentagon is buying them and which agencies are involved.The role of sole source contracting and patents in this space.Policy drivers like VA and Tricare coverage.How small businesses can position themselves for opportunities through subcontracting and partnerships.If you want to start your own consulting business in government contracting, land a high-paying public sector sales role, or scale your company's government sales pipeline—visit https://govclose.comAnd follow me on LinkedIn for free live training and insights: https://www.linkedin.com/in/govclose/Timestamps / Chapters00:00 – Pentagon spending on GLP-1 drugs: What's driving demand?00:30 – $123M in GLP-1 contracts: Why these numbers matter01:15 – Why average number of offers is only one (sole source explained)01:45 – Who is Rick Howard? Military acquisitions background02:15 – Ozempic and GLP-1 drugs: Why the Pentagon is buying them02:45 – How government contracting data reveals hidden trends03:00 – Who's actually buying? DLA Troop Support in Philadelphia03:30 – Why government sales is different from B2B or B2C04:00 – Why knowing the exact buyer office is critical in federal sales04:30 – Breaking down products vs. services in GLP-1 procurement04:45 – Policy drivers: VA, Medicare, and Tricare coverage of GLP-1 drugs05:45 – Why Pentagon spending is just a “flash in the pan” compared to industry revenues06:00 – The real opportunity: growth rate + procurement structure06:15 – How contractors can find second- and third-order opportunities06:30 – Prime vs. subcontracting: positioning for success in federal contracting07:00 – Preview of next video: Cybersecurity procurement trends#GLP-1 drugs in #governmentcontracting #ozempic DOD spending, #pentagon

Although the lawsuit was filed by a pharmacist in New Mexico, a federal judge in New York has ordered CVS Omnicare to pay $949,000 to settle a False Claims Act (FCA) case.According to news sources, the Pharmacy Benefits Manager (PBM) allegedly prescribed drugs to individuals in long-term residential facilities that were not supported by valid prescriptions and then submitted claims for reimbursement for those prescriptions to Medicare, Medicaid, and TRICARE. Although a jury trial was held last spring, with the judge rejecting post-trial arguments by Omnicare, it is understood that Omnicare plans to appeal.Reporting details of this whistleblower lawsuit during the next edition of Monitor Mondays will be Max Voldman, a partner at Whistleblowers Law, LLP.The weekly broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Adam Brenman, senior healthcare government affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Navigating healthcare as a veteran or military retiree can be confusing, especially when it comes to understanding how TRICARE, VA benefits, and Medicare work together. Our expert guide breaks down the complexities, explaining how creditable coverage works and how Medicare Advantage and Medicare Supplement plans can expand your healthcare options. Tune in to get the clarity you need and make confident, informed choices about your health coverage!Ask ChatGPT

Send us a textThink active duty is the only path? Derrick Blake would like a word—preferably during his 3-day weekend. From almost joining the Marines to wrenching on A-10s and recruiting for the 193rd Special Operations Wing, Derrick walks us through how the Air National Guard let him stay home, stack checks, and still deploy to undisclosed sandbox locations. Oh, and did we mention you start getting paid before basic? Yeah. This one's going to ruffle some feathers—and we love it.We talk Guard myths vs. facts, how student flight is the low-key cheat code, and why most people have no damn clue what the Guard even is. If you're trying to join TACP or EOD through the Guard and haven't hit up Derrick yet, what are you even doing?

Send us a textIn today's daily drop, Peaches blasts through the latest ops headlines like a Hellfire through a Toyota Hilux. From exposing our hilariously thin missile reserves to roasting tech bros whose drones crumble outside PowerPoint presentations, this one's a full-body workout in situational awareness. AFRICOM's been busy lighting up Somalia, the National Guard's turning Northern Michigan into a drone graveyard, and Space Force is slinging lasers and quantum gadgets into orbit like it's Star Wars cosplay. Meanwhile, Air Force Global Strike Command promises a “seamless” transition—LOL—and another Humvee goes full NASCAR in Wyoming. Also, Tricare might finally stop fleecing military families for having adult kids. That's not just news, that's a miracle. Buckle up, team. This episode's got more truth than a cleared EPR.

5 Money Traps Service Members Fall Into (Before It's Too Late!) Hosted by: David Pere Episode Type: Military Finance, Mindset, Real Talk Length: ~21 minutes Watch on YouTube: Watch Now

TRICARE covers comprehensive mental health services, including addiction treatment and PTSD therapy, but making the most of this healthcare program requires understanding eligibility requirements, coverage limits, and approved providers for maximum treatment access.For more insights, visit https://sayarc.com/tricare-approved-iop Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/Military personnel facing alcohol challenges have more treatment options through TRICARE than many realize. Getting help doesn't have to mean sacrificing a career when the right confidential resources are available. Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Active duty military personnel face alarming rates of substance abuse, with 47% reporting binge drinking and 11% misusing prescription drugs. Learn how combat exposure and mental health challenges increase these risks. Visit https://sayarc.com/services/tricare-approved-iop/ for details. Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

The Army has a drinking problem, and so few are reaching out for intervention. In this segment, we talk about the Army's drinking problem and the support TRICARE provides to those brave enough to face their demons.Learn more at https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Is Medicare more confusing than it should be? If you're nearing retirement or thinking about leaving your job early, the healthcare piece can feel overwhelming and expensive. In this episode, we sit down with Cole Craven, co-founder of Move Health, to demystify the complexities of Medicare, healthcare costs, and early retirement planning. Listen in to learn how to time your enrollment correctly, what your healthcare options are if you want to retire before 65. and more.  Take The Pilot Wealth Index to find out if you are on track for retirement! You can find show notes, resources and more at: https://tinyurl.com/3v67de6s

A comprehensive discussion on Medicare, led by Steve Gurney from Positive Aging Community, with insights from panelists Michelle Thomas and Don Oellerich, Ph.D. The session covers essential information for retirees about Medicare, including eligibility, enrollment periods, costs, and the interaction between Medicare and job-based or retiree coverage. The panelists explain the four parts of Medicare: Part A (hospital insurance), Part B (medical insurance), Part D (prescription drug plans), and Part C (Medicare Advantage plans). They highlight the importance of understanding Medicare's coverage limitations, such as the lack of long-term care and routine dental or vision care, and discuss options like Medigap policies to supplement coverage. The session also addresses enrollment strategies, penalties for late enrollment, and the nuances of Medicare Advantage plans. The panelists encourage attendees to utilize resources like the Medicare Plan Finder and local State Health Insurance Assistance Programs (SHIP) for personalized counseling. The discussion concludes with a Q&A session, addressing specific concerns about federal retiree benefits, TRICARE, and in-home care services under Medicare.Don Oellerich, Ph.D. Medicare Counselor, Arlington County's State Health Insurance Assistance Program Michelle Thomas, MPA Program Coordinator, Arlington Virginia Insurance Counseling and Assistance ProgramSlidedeck External-Transportation-FAQ.pdfFlyer Arlington VICAP Medicare FEHB Fact Sheet - June 2025.pdfView recording at https://www.retirementlivingsourcebook.com/videos/what-we-should-all-know-about-medicare

Military personnel face unique addiction risks, with 1 in 10 veterans diagnosed with substance use disorders. TRICARE covers comprehensive treatment options including detox, inpatient, and outpatient care, while specialized programs address common co-occurring conditions like PTSD. Learn more at https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Send us a textNavigating the search for your perfect birth doula can feel overwhelming. How do you find someone who aligns with your vision, fits your budget, and helps you feel secure during one of life's most vulnerable moments?Drawing from over a decade of obstetric nursing experience, I'm breaking down everything you need to know about finding the right doula for YOU. This isn't about trends or checking boxes—it's about building a support system that honors your unique journey.We'll start by clarifying what doulas actually do (and don't do), and bust a few common myths. Whether you're planning an unmedicated birth, hoping for an epidural, or scheduling a cesarean, doulas support all birth paths—without judgment. They don't replace your partner or provider—they enhance your whole team.The key to finding your perfect match is understanding your own needs first. I'll walk you through powerful reflection questions about the energy you want in your birth space, how you handle stress, and the role you want your partner to play. That clarity becomes your compass during doula interviews.Worried about cost? I share practical strategies to make doula care more accessible, from payment plans to possible insurance or TRICARE coverage.Interviewing doulas doesn't have to feel awkward or scary. I give you thoughtful questions to ask about their approach, their experience with different birth scenarios, and how they work with hospital staff. Plus, I cover key red flags—so you don't end up with someone pushing their own agenda.Even if hiring a doula isn't an option right now, I'll offer supportive alternatives to help you feel calm and confident walking into birth.Your birth experience matters. Choosing support that fits you isn't being picky—it's powerful. Schedule a free Birth Vision Call at kellyhof.com and let's talk about creating the empowered experience you deserve. Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly at kellyhof.com Join the Bump & Beyond Online Community!https://www.facebook.com/groups/bumpnbeyondGrab The Book of Hormones on Amazon!Medical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

For active military members battling alcohol addiction, TRICARE offers comprehensive treatment coverage despite unique barriers like career concerns and command reporting requirements. Specialized programs provide confidential, military-focused rehabilitation solutions. Find more information here: https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Active duty military members struggling with alcohol addiction can access specialized, confidential treatment through TriCare-approved Intensive Outpatient Programs at Addiction Resource Center in Yuba City, allowing them to maintain military duties while receiving evidence-based care for recovery. Visit https://sayarc.com/tricare-approved-iop/ for details. Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

Active duty military in Northern California can access comprehensive alcohol rehabilitation through TRICARE coverage at Ona Treatment Center. Treatment options include FDA-approved medications, behavioral therapy, and specialized programs addressing military-specific challenges like PTSD and combat stress. Visit https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ for details. Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Get comprehensive support for addiction through TRICARE-approved treatment programs designed specifically for military personnel and veterans. These specialized services address both addiction and PTSD while covering various treatment options. Learn more about Addiction Resource Center's IOP options for military here: https://sayarc.com/tricare-approved-iop/ Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

Veterans face unique challenges with substance abuse, but TRICARE covers alcohol rehab services in California. With 11 percent of veterans visiting VA health facilities seeking help for substance misuse, programs like Ona Treatment Center's provide targeted care addressing combat trauma and PTSD. Learn more: https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Send us a textBuckle up. In this flaming hot Ones Ready drop, Peaches unloads on the latest Air Force news like it's target practice. From the Pentagon's DEI purge to putting cruise missiles on MQ-9s (because why not?), we're diving deep into the bureaucratic chaos of the DoD's week. We question why the hell an OA-1K would carry a cruise missile, throw shade at “aspirational” tech projects, and get uncomfortably honest about childcare, base closures, and how many damn generals are collecting paychecks. Also, our only search and rescue dog retires, and it gets emotional. Pour one out for Callie.Meanwhile, only four slots remain for the Operator Training Summit—12 hours in the pool, mask clearing, buddy breathing, underwater misery and mentorship with the Ones Ready crew. Don't miss your shot to suffer with a purpose in San Diego this June.

Active-duty military members in Northern California can access TRICARE-covered alcohol rehabilitation programs at no cost. With 22% of service members reporting hazardous drinking, specialized treatment options include inpatient, outpatient, and telehealth services through providers like Ona Treatment Center. Visit https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ for details. Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Send us a textIn today's Daily Drop, Jared serves up the Pentagon's latest budget clowns and bureaucratic “wins” with his usual spicy commentary. First up: the Defense Secretary is finally chopping some four-star generals—because apparently you don't need that many bosses to lose wars. Meanwhile, the Air Force is overhauling basic training again (spoiler: it might actually get hard), Space Force is still figuring out who's supposed to do what, and DoD firefighters are overworked and underpaid (but hey, thanks for showing up!).Also on deck: the U.S. tests a reusable hypersonic missile (finally catching up to China), Tricare's paperwork hell drags on, and Congress realizes that refurbishing 60-year-old missile silos is maybe not the best idea. Oh—and Space Force might just give up on satellite refueling before it even starts because… math?

Health Savings Accounts, better known as HSAs, can be a powerful tool for saving money and reducing your taxes, but they're often misunderstood, especially in the military community, where eligibility can get tricky. If you've ever been confused about how HSAs work, who qualifies, or how they compare to Flex Spending Accounts and TRICARE, you're not alone. In this episode, military spouse and financial expert, Desiree Kaul, breaks everything down. You'll learn what makes HSAs unique, how they can fit into your savings plan, and what military families should know when transitioning out of service or choosing civilian health plans.  Desiree is a CERTIFIED FINANCIAL PLANNER, Chartered Financial Consultant (ChFC®), Chartered Special Needs Consultant (ChSNC®), Military Qualified Financial Planner (MQFP®), and an Accredited Financial Counselor (AFC®). She has experience in financial counseling, planning, and education, including previous work as a Personal Financial Counselor, educating service members on various financial topics. In 2024, Desiree launched her own virtual practice, Kaul Financial Solutions, offering tax preparation, tax planning, and hourly financial advice. In addition, she assisted in the launch of a new mentorship program with The American College of Financial Services to help military, veterans and spouses successfully transition to a career in financial services. https://milmo.co/podcast/what-military-families-should-know-about-hsas For more MILMO, follow at: MILMO.co ItsMILMO on YouTube @itsmilmo on X @itsmilmo Instagram @itsmilmo LinkedIn @itsmilmo Facebook  

Tuesday, March 18th, 2025Today, Judge Boasberg holds another emergency hearing over whether Trump defied his order to turn the deportation planes around; a Brown University professor has been deported despite a court order; a Navy veteran and his wife say that TRICARE rescinded a $100K healthcare claim paid over a year ago; what musicians did after an executive order on DEI led to the cancellation of U.S. Marine Band collaboration; the 9th Circuit has denied Trump's motion to pause a federal court order requiring the rehiring of probationary civil servants who were terminated; and Allison and Dana deliver your Good News.Thank You, Helix Sleep20% Off Sitewide when you go to HelixSleep.com/dailybeans.Thank You, IQBAR20% off all IQBAR products. Text dailybeans to 64000. Message and data rates may apply. See terms for details. Stories:Wisconsin Supreme Court election kicks off with early voting March 18 | WISNNinth Circuit rejects Trump bid to stay firing of federal workers | Courthouse News ServiceA Navy veteran and his wife say Tricare rescinded approvals for over $100K in health care claims paid years ago - Melissa Chan | ABC NewsDeported Professor Rasha Alawieh Attended Hezbollah Leader's Funeral, D.H.S. Says | The New York TimesMarine Band vets join student musicians whose concert was canceled by White House due to anti-DEI policy | Consequence of Sound, CBS NewsGood Trouble:Senator Chuck Schumer of New York has led the Senate Democratic Caucus since 2017 - Petition · Boycott Contributions to Senate Democrats Until Chuck Schumer Steps Down - United States · Change.org Federal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen. Check out other MSW Media podcastsShows - MSW MediaCleanup On Aisle 45 podSubscribe for free to MuellerSheWrote on SubstackThe BreakdownFollow AG and Dana on Social MediaAllison Gill Substack|Muellershewrote, Twitter|@MuellerSheWrote, Threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewrote, BlueSky|@muellershewroteDana GoldbergTwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, danagoldberg.com, BlueSky|@dgcomedyShare your Good News or Good Trouble:https://www.dailybeanspod.com/good/From The Good NewsDOGE Privacy Act Requests - Jamie Raskin for CongressEx parte Endo | 323 U.S. 283 (1944) | Justia U.S. Supreme Court CenterU.S. Department of Education Launches “End DEI” PortalLow Cut ConnieFight Like Hell! On Sunday, March 23, NALC branches are hosting local rallies to say "Hell no!" - NALC.org/march23NorCal Resist Reminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! Federal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen.Share your Good News or Good Trouble:https://www.dailybeanspod.com/good/ Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill Substack|Muellershewrote, Twitter|@MuellerSheWrote, Threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewrote, BlueSky|@muellershewroteDana GoldbergTwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, IG|dgcomedy, danagoldberg.com, BlueSky|@dgcomedyHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/Patreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

Send us a textCould free IVF really become a reality? President Trump recently signed an executive order aimed at expanding access to in vitro fertilization (IVF), and it's stirring up big conversations in the fertility world. But what does this order actually do—and just as importantly, what does it not do?In this episode, we break it all down:✅ What the executive order includes—and whether it could lead to insurance mandates or federal funding for IVF.✅ How Congress once blocked federal funds for IVF and later reversed the policy for veterans.✅ What this means for military families, veterans, and federal employees—and whether TRICARE or VA benefits will expand.✅ The impact on private insurance—could this order eventually push insurance companies to cover IVF for more people?✅ What happens next? The executive order gives a 90-day deadline for recommendations—so what changes could be coming?If you're struggling with infertility, thinking about IVF, or just curious about how politics and fertility treatment intersect, this episode will give you a clear, no-nonsense breakdown of what this order means for your fertility journey.

Drex covers major developments in cybersecurity including significant staffing changes at CISA, where the DOJ has laid off 130 employees and controversially granted facility access to 19-year-old Edward Korrestien. We also discuss a critical vulnerability (CVE-2025-0111) discovered in Palo Alto firewalls that requires immediate attention. The episode concludes with news of HealthNet Federal Services receiving an $11.2M fine for falsely certifying cybersecurity compliance in their TRICARE program administration.Remember, Stay a Little Paranoid Subscribe: This Week Health Twitter: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

Hello, at age 57 years and two months, I separated from federal service for a civilian job after serving 5.3 years and buying back 17.2 years of military time. I currently have a good civilian job and plan to continue working until at least age 62. (I will turn 59 in March 2025.) My question is: should I apply for a postponed retirement at age 60 so I qualify for FEHB, or should I wait until age 62 to receive a higher percentage of my high-3? Another consideration is that I will be eligible for TRICARE at age 60. Thank you! - Donald  https://zurl.co/rrWQn

Last month, President Trump signed an executive order directing federally run insurance programs, including Medicaid and TRICARE for military families, to drop coverage for gender-affirming care. Last week, Oregon’s attorney general joined a lawsuit with Washington State and Minnesota against the Trump administration over that order, which also seeks to cut off federal funding from institutions that provide hormone therapy, puberty blockers and surgical treatment for people under 19. The state’s largest Medicaid provider, CareOregon, covers medically-necessary, transition-related health care, which is currently required under state law. Eric Hunter, President and CEO of CareOregon, joins us to discuss how the health insurer is responding to the demands of the federal government.

Join Col. Dr. Damon Arnold (US Army National Guard, Retired) and Julie Appleby, Senior Correspondent at KFF Health News, for a crucial discussion on the implications of President Trump's executive order restricting gender-affirming care. They explore how this order affects trans youth, healthcare providers, insurers, and federal programs like Medicaid, Tricare, and Medicare. Julie explains the chilling effects on hospitals, legal battles, and the broader societal concerns stemming from this policy reversal.

The latest BARRACKS TALK podcast episode is waiting, press 'play' now!   The Crew was joined by Chris (of Affinity Innovations, Inc. & Affinity Protocol) who dealt with the logistics of the live show; and Kashi & Jared of Hope for 22 A Day who have had to fight with TRICARE after their son needed immediate surgery! Why is TRICARE being so hard to deal with? Isn't military healthcare supposed to be top-tier? We discuss this and a few other things as to why DV Radio hasn't had a show recently plus, we have a few laughs at the expense of everybody! - Hard Of Hearing, Deaf, or Have Other Hearing Issues? READ THE TRANSCRIPT! https://dvradio.net/deaf-and-hard-of-hearing/ - Grab Your DV Radio Ten Year Anniversary Shirts! https://bit.ly/DVR-SreamLabs-Merch  - - Websites Mentioned- -- https://www.ada.gov/resources/service-animals-faqs/ -- https://www.hud.gov/program_offices/fair_housing_equal_opp/fair_housing_act_overview -- https://tadsaw.org/ Liberty Risk Podcast https://beacons.ai/libertyriskpodcast - Hope For 22 A Day www.HopeFor22ADay.org - INERT Mugs [DV Radio Challenge Coin] www.inertmugs.com - Want To Sponsor DV Radio? No pricing model beats DV Radio when it comes to sponsorship. https://bit.ly/SponsorDVRadio DV Radio on Rumble https://rumble.com/c/DVRadio DV Radio on twitch.tv https://www.twitch.tv/dvradio - INERT Mugs Website: https://www.inertmugs.com/products/20oz-burn-it-down-thermite-tumbler Do you want Betsy Ross's FIGHT? Email chris@affinityinc.tech; first come, first serve! Guests/Hosts: Oink, Joaquin Juatai, Bender, SGT WarDawg, Joel (MBR Radio) and Bo [NOTE: Click these links!] ---------- DV Farm Septic System Fundraiser https://donorbox.org/dv-farm-septic-system ---------- Parental Control Apps https://bit.ly/ChildSafeInternet ---------- Backpacks For Life https://backpacksforlife.org/ ---------- Wah-Tie Woodturning https://wahtiewoodturning.com/ ---------- Affinity Innovations, Inc. https://affinitybsc.com/ ---------- Backpacks For Life Fundraiser https://ko-fi.com/dvradio/goal?g=1 ---------- Edited by Munkee Bawlz Media https://www.munkeebawlzmedia.com/ ---------- Are you a Veteran Owned Business? Have unique, handmade items that we can buy and review on a show? Contact us, show us what you have, and we'll (at least Bo) will spend up to $50 per month and speak openly about your product(s)!! ---------- Find Out More About Betsy Ross At Her Website https://bit.ly/Fight-With-Betsy-Ross ---------- SGT WarDawg http://sgtwardawgtv.fans.link/ ---------- *Got an idea for BARRACKS TALK or any other show? Want to be a guest? Then please feel free to contact us by sending an email to info@dvradio.net, oink@dvradio.net, ptsdog@dvradio.net.* ---------- **LINKS TO CHECK OUT** EVERYTHING DYSFUNCTIONAL VETERANS https://whereisdv.carrd.co  ---------- Grab DV Radio's Battlegrounds From Ubora Coffee At: http://bit.ly/DVR-BattlegroundCoffee  ---------- DV RADIO PARTNERS, SPONSORS, and AFFILIATES https://dvr-listen-support.carrd.co

We can't believe we have arrived at the last episode of 2024! This year has brought so many incredible and empowering births. We loved hearing how each of you fought for your birth goals, magnified your voices, and showed your strength. In today's episode, Meagan sums up The VBAC Link's 2024 achievements and shares some of the exciting things she has in store for 2025. The VBAC Link Supportive Provider ListThe VBAC Link Doula DirectoryHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey guys, it's Meagan. Guess what? Today is our last 2024 episode. I cannot believe it is the end of the year. I absolutely cannot believe it. It feels like just yesterday that we started doing two episodes a week, and here we are 11 months later. We started in February. You guys, it has been such a great year. We have had so many incredible episodes from placental abruption, faith over fear, breech VBACs, post-dates, what hospital policies mean,and National Midwifery Week. One of my favorites, well actually, two of my favorites because he came on twice, was Dr. Fox. We had Dr. Fox a couple of times. We've had doula tips from VBAC episodes. We've had some fun episodes where we've had some VBAC Link-certified doulas as cohosts. Oh my gosh, so many great things. I don't know if you noticed, but in October, we started doing a themed week. Every two episodes in one month was a theme. For October, we had midwifery. It was National Midwifery Week so we talked about midwives and the stats about midwives. We had CNM Paige come on with our very own Lily who talked more about midwifery care, what does it look like, how to choose, can a midwife support VBAC, and all of that fun, fun stuff. And then in November, it was Veteran's Day so we had some military mamas on there and more about how to navigate that. We talked a little bit about Tricare and tips about navigating birth as a servicemember or as a significant other. That was really, really fun.This month, we touched on uterine abnormalities. We had Flannery talking about her bicornuate uterus and more about specific types of uteruses and what that means. It's so weird to think, but there are different types of uteruses, you guys. That doesn't mean that if you have a different type of uterus that you can't VBAC. It may mean that you may be faced with some challenges like a breech baby or something like that, but we wanted to share more about that because that's not talked about. But it's not going to stop. We have got that coming all year. 2025 is going to have a lot of really fun, specific episodes. The reason why I did this is because I wanted to have a whole week in two episodes where people could come and just binge two specific episodes that they may be looking for. We have a lot of people writing in saying, “Hey, I'm looking for VBAC after multiple Cesareans. Hey, I'm looking for breech stories. Hey, I would like to hear more healing CBAC stories or planned Cesarean stories.” We wanted to have it so they could just do two episodes back to back.Then of course, there are episodes throughout the whole podcast that we have that you can go back and find, but this way, you can find it in one week, two episodes back to back. We've got things like CBAC coming, VBAC after multiple Cesareans. We've got breech. We've got OB week. That's going to be fun. Oh man, I'm trying to think. So many other things. Special scars. We have a special scars month. We are just going to have months where it's typically going to be that second week where it will be a specific theme and topic. Don't forget to check that out coming up in 2025. Like I said, we started that up in October. Okay, so some other really fun and exciting things coming up, I do have a surprise for you, but unfortunately, you're going to have to wait until 2025. I'm really excited for this series. Yeah. It's going to be so good. Make sure to come back next week in 2025 to learn more about a surprise that I have coming your way. Then, in addition to that surprise and our themed weeks, I'm actually going to be rebroadcasting some of our old episodes. As you know, we are getting up there. We are at 365 episodes today which is so dang exciting. I cannot thank you guys enough for continuing to support this podcast, for coming back, listening, downloading these episodes, and just being here with us. We see you in our community on Facebook. We see you on Instagram. We see you downloading and listening. We are getting messages in regards to these stories and how much they are connecting with people.You guys, these stories are incredible. Just a reminder also, we are always accepting submissions. Now, we can't get to every submission because we do get a lot of submissions which is so fun to go through. We share them on our social media if we can't sometimes share them on the podcast, but please, if you have a story that you would like to submit and share them with other Women of Strength who are coming after you and are wanting to hear these empowering messages, go to thevbaclink.com/share, I believe, and submit your podcast story. Okay, going back. We are rebroadcasting episodes. I have gone back and listened to probably 10 or 12 episodes. Some of our really, really amazing episodes, and I've found some nuggets after re-listening that I'm pulling through and giving tips. We're going to have extra tips, extra links, and also if there have been updated things or updated studies from 2018 that have now been updated, we want to make sure that we freshen up these episodes and bring them back to more recent episodes. If you have a favorite episode that you would like to hear rebroadcasted or one that you listen to on repeat, will you let us know? Email us at info@thevbaclink.com and let us know what your favorite episode is and why, or if you are looking for some more information or want us to elaborate more on a topic that maybe we have discussed but didn't go too far into detail that I can maybe go into deeper detail about. Okay, I'm trying to think, you guys. We've had so many amazing things this year. Blogs– we have been pumping out blogs like crazy. There are so many things from preparing for your VBAC, 5 things to do before you get pregnant, recovering from a Cesarean birth. You guys, if you've been with us for a while, you know we absolutely love and adore Needed. We wholeheartedly love and trust everything they produce. We love them. They have really been so gracious to offer us a wonderful 20% off discount code, so don't forget that. That is still valid. You can go to thisisneeded.com and type in VBAC20 and get 20% off your order. We talk more about why prenatal nutrition matters. We talk about creating your ideal hospital environment. We talk about C-section scar massage and why it's important. That is a big one that isn't talked about enough. We talk about hiring doulas, things to put on your registry, more about red raspberry leaf tea. We talk about heartburn, Tums, and also what else Tums can do to help us in our VBAC. So many things. We talk about positions and using the ball. Oh my gosh, just so many incredible things. We've got so many blogs coming at thevbaclink.com/blogs so make sure to check out the blog and learn more about these topics. Membrane sweeps, VBAC after multiple Cesareans, uterine rupture, if you're looking for that VBAC provider, definitely check out that blog about how to find out if you need to switch your provider. Then of course, we have our VBAC course. You guys, I love our course so much. Another big reason why we are going to be re-airing our episodes is so that we can keep updating our course. Birth in general is updating all of the time. This course– Julie and I created it a long time ago, and it is my baby. I am so excited for this course because I have seen so many people get the information that they need, feel more empowered and equipped to have a VBAC, then we actually have a birth worker course. The birth worker course is to certify VBAC doulas, our birth workers, and it is accredited. It is 8 ICEA credits, so if you have a doula that hasn't been in our course yet,  maybe suggest that to them or if you are a birth worker listening, I highly suggest it. We have a VBAC Link Doula directory, so if you are looking for a doula or, like I said, you are a birth worker and you want to be found, we want to help you be found. You can find a doula at thevbaclink.com/findadoula, and if you are a birth worker, you can check out your area. California, I know needs more doulas. Texas, there are a lot of states that need more doulas. We would love to add you to your family.Okay, you guys. I'm trying to think what else. Oh my gosh. I could not leave without saying this. This year, we updated our provider list. It is on Instagram. You can go the The VBAC Link at Instagram. Click on our linktree in our bio, and it is the top one to find a supportive provider in your area. Now, if you have a provider that should be on this list or if you are a provider and wantt o be on this list, please email us at info@thevbaclink.com or you can email us on Instagram so we can get your provider listed. We really need providers who accept VBAC after multiple Cesareans, breech VBAC, and who are just VBAC supportive in general. You guys, it is so stinking silly and stupid how hard it is to sometimes find a provider. Please check out that form. If your provider is supportive, please, please, please let us know so we can get them listed. Okay, you guys, I think that is about everything. It has been such a great 2024. I am so grateful again for you guys. I hope you will continue to join us for 2025 because we do have more incredible episodes coming your way from a lot of VBA2Cs. We have polyhydramnios (high fluid). We have HBACs. We have CBACs. We're going to have a couple of OBs actually and special scars. So many great things. We will catch you in 2025. I hope you guys have a fantastic new year. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

    Join us for an engaging conversation with Navy CAPT(Ret) Ed Norton, the Chief of the Defense Health Agency's Pharmacy Operations Division, as we explore the intricate world of military pharmacy. With a wealth of experience in both the Navy and DHA, Ed shares his journey and the significant responsibilities he shoulders in managing the TRICARE pharmacy benefit for over 7 million users. Discover how his team collaborates with service pharmacy consultants and Military Treatment Facility representatives to ensure an informed and effective service. Ed provides insights into the expansive TRICARE Pharmacy Benefit, serving a large number of DOD eligible beneficiaries with a net government cost of around $9 billion annually, and how these operations are critical in maintaining a ready medical force through programs like the deployed prescription program. In this episode, we also shed light on the vital role of Pharmacy Benefit Managers, focusing on the partnership between the Department of Defense and Express Scripts in managing the TRICARE pharmacy benefit. Listen as we discuss how Express Scripts ensures seamless claim processing, maintains a network of pharmacies, and provides essential mail-order services to deployed service members. We address the challenges and opportunities facing the TRICARE benefit, including rising pharmacy costs and shifts away from Military Treatment Facilities. Ed highlights initiatives aimed at enhancing patient experience and cost-efficiency through improved communication and technology. This episode offers a comprehensive view of the operations that keep our service members medically ready and the strategies in place to optimize this essential benefit. Chapters: (00:05) TRICARE Pharmacy Benefit and Operations      Navy CAPT(Ret) Ed Norton discusses the TRICARE pharmacy benefit, supporting operational forces and maintaining medical readiness for 7 million users.   (08:18) TRICARE Pharmacy Benefit and Management         Express Scripts collaborates with DOD to manage TRICARE pharmacy benefit, optimizing costs and convenience for patients and taxpayers.   Take Home Messages: Understanding TRICARE's Pharmacy Benefit: The episode provides an in-depth exploration of the TRICARE pharmacy benefit, detailing its role in supporting over 7 million service members. Listeners will gain insights into how the system ensures medical readiness through programs like the deployed prescription program, highlighting the extensive responsibilities involved in managing this critical aspect of military healthcare. Role of Pharmacy Benefit Managers (PBMs): The discussion sheds light on the partnership between the Department of Defense and Express Scripts, the PBM responsible for TRICARE. The episode explains how this collaboration facilitates seamless claim processing, mail-order services, and the establishment of a robust pharmacy network, which collectively optimize costs and enhance convenience for service members. Challenges and Opportunities in Military Pharmacy: Rising pharmacy costs and the gradual shift away from Military Treatment Facilities (MTFs) are identified as significant challenges. However, these also present opportunities to enhance patient experience and cost-efficiency through improved communication and the adoption of innovative technology solutions. Enhancing Patient Experience through Technology: The episode highlights initiatives aimed at improving patient experience within military pharmacies. This includes leveraging technology like electronic health records and queue management systems to streamline operations and reduce waiting times, thereby making pharmacy services more efficient and user-friendly. Military Medicine as a Career Path: The episode emphasizes the rewarding nature of a career in military medicine, underscoring the sense of purpose and camaraderie that comes with serving America's patriots. It encourages those considering this path to appreciate the unique opportunities and meaningful impact they can have within the military healthcare system.   Episode Keywords: Military Pharmacy, TRICARE, Pharmacy Benefit, Defense Health Agency, Express Scripts, Medical Readiness, Pharmacy Operations, Military Treatment Facility, Prescription Services, Pharmacy Network, Pharmacy Costs, Technology Solutions, Patient Experience, Cost-Efficiency, Pharmacy Benefit Managers, Direct Delivery, Deployed Service Members, Contract Requirements, Civilian Pharmacy Plans, Taxpayers   Hashtags: #MilitaryMedicine #TRICAREPharmacy #EdNortonInsights #PharmacyBenefit #DefenseHealth #ExpressScripts #MilitaryReadiness #HealthcareInnovation #WarDocsPodcast #VeteransHealthcare   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Anni is a mom of two young girls living in Okinawa, Japan where her husband is stationed with the Marine Corps. In addition to her work as a non-profit grant writer, she volunteers with the Military Birth Resource Network and Postpartum Coalition and hosts their podcast, Military Birth Talk. A big challenge for military parents is creating care plans for older children during birth. They often live far away from family or have recently moved and don't have a village yet. Anni's care plan was shaken up as her induction kept getting pushed back and conflicted with her family's travels.Though her plans changed, Anni was able to go into spontaneous labor and avoid the induction she didn't really want! Her VBAC was powerful and all went smoothly. She was amazed at the difference in her recovery. Another fun part of Anni's episode– she connected and met up with two other VBAC mamas living in Okinawa through our VBAC Link Facebook Community! We love hearing how TVL has helped you build virtual and in-person villages. Military Birth Resource Network and Postpartum CoalitionHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. You are listening to The VBAC Link, and I am with my friend, Anni, today sharing her stories. Anni is one of our military mamas. This is the final episode of the week of military episodes. So even though it is a little bit after Veteran's Day, that's okay. We are celebrating our military mamas today. Welcome to the show, Anni. Anni: Thank you so much. I'm so excited to be here this week. Meagan: Me too. I also can't believe that you are here right now. We were just chatting before the podcast about time. You guys, it is 4:50 AM where she is at. I just can't even believe it. You're in Japan. Anni: Yeah. We live in Okinawa, so I've got to do stuff at weird times if I want to stay in touch with anybody in the States. It's the military thing. Meagan: Oh my goodness. Yes. She is in Japan. She is a mom of two young girls and like she said, she is living in Okinawa, Japan where her husband is stationed with the Marine Corps. Her personal values are community, joy, purpose, and creativity which all drive how she spends her time. In addition to her work as a non-profit grant writer, she also volunteers with the Military Birth Resource Network and hosts their podcast, Military Birth Talk. So mamas, if you are a military mom, and I'm sure a lot of people are flocking to these episodes this week, go listen to Military Birth Talk. Can you tell us a little bit more about Military Birth Talk? Anni: Yeah. So as you said, it's a part of the non-profit Military Birth Resource Network and Postpartum Coalition, so MBRNPC for short. That's an organization that provides resources for military families who are in the perinatal stage of life, so if you've just moved to a new duty station and you're like, “Oh, I need a doula who's covered by Tricare,” you can go to their website and reach out to one of their chapter leaders. They provide that kind of resource. Also, there is sort of an advocacy wing of the organization that works on policy changes impacting military families. This is our podcast, Military Birth Talk. Right now, we're featuring mostly just military birth stories, but we're in our third season and this season, we're going to be adding some additional episodes like policy conversations, interviews with experts, and that kind of thing. So, as you said, if you're a military-affiliated person listening and you want to hear some firsthand accounts of what it's like to give birth within the military healthcare system, we'd love for you to tune in. Meagan: I love it. Thank you so much for doing that and explaining more. Anni: Yeah. Meagan: I just can't wait for you to share your stories. I do have a Review of the Week, and then we'll jump right in. Today's review is by RiverW88. It says, “Gives me hope.” It says, “As a mama who had an unnecessary Cesarean and a poorly planned VBAC attempt that failed and resulted in a Cesarean, listening to these stories and information gives me hope for the future. Not only do I hope to have a third baby and a successful VBAC, but as a doula and an experienced birth photographer, I cannot wait to support other women through their VBAC journeys. I look forward to sending my clients to your website and podcast, and not too far in the future, take your VBAC doula course for myself. I love the way you present facts and inform while giving mamas a platform to share positive stories about a topic that is so scary for so many people thanks to the lack of education out there.” Oh my goodness, that is so true. There is such a lack of education out there and that is why we created the VBAC course that we did and the VBAC doula certification course. So, if you are a parent looking to up your game for VBAC, or if you are looking as a doula to learn more about supporting clients who are wanting a VBAC, definitely check us out at thevbaclink.com.Okay, Anni. Let's jump in. Anni: All right. So I am excited to share two birth stories. I'll focus mostly on my VBAC since that's why we are all here, but I'll give a little bit of context about my first birth. It was pretty routine honestly. I had a breech baby, and there were no breech vaginal birth providers in my area at the time, so that's the spark notes version. But to give a little bit more context, at the time, we were stationed in North Carolina in Newburn, North Carolina. There are a few providers out there, but not a ton. It's sort of remote-ish, but because my husband is in the Marine Corps, we were a little bit limited. I actually was on Tricare Select at the time, so for those of you listening out there who aren't familiar with military healthcare, as a spouse, you can be on Tricare Select which is where you get to choose your own provider. You don't have to be seen by the military healthcare system. You pay a little bit extra. Or, you can be on Tricare Prime which is completely free, but you have to be seen within the military network. I was on Select at the time, so I was paying a little bit extra to choose my own provider which is kind of funny because there was really only one provider in that town anyway. This is one of the reasons why flash forward to a few years later, I wanted to be a part of the Military Birth Talk podcast because we often as military families get a lot of advice that doesn't really fit our life. One of those pieces of advice is to pick your own provider. Do whatever you can to pick your own provider. Sometimes, that's just not possible. That's just not true for military families, right? It can be true for a number of reasons, but it's very true for military families, so choosing my own provider was not really that possible given where we were located. That didn't really come into play until the end when I found out that our baby was breech. Generally, the pregnancy was great. It was a really empowering, positive experience for me. I loved learning about birth. I really hadn't been involved at all in the “birth world” until I became pregnant, then I totally immersed myself. I was super excited to give birth. I was super excited for all of the little quirky things like going into labor and my water breaking, seeing my mucus plug come out, and all of the birth nerd things that I had heard people talk about on all of the podcasts like this one that I had been listening to throughout my pregnancy. It was a pretty routine, positive pregnancy. About halfway through, we found out that we would be moving to Kansas at about 6 weeks postpartum. This is another one of those military things that people would say, “Oh, enjoy nesting and have a really quiet, peaceful postpartum.” I was like, “Okay, that goes out the window. Our house will be packed up by the time the baby is born,” because with the military, you have to send stuff super early. There was no nesting, no quiet postpartum period. There was a cross-country drive at 6 weeks postpartum. That was my first wake-up call around how birthing within the military community can be unique. Up until then, because I was on Tricare Select, I was like, “Oh, I'm not really a part of this military thing when it comes to my healthcare.” That started to shift around then. Then around 36 weeks, we got a scan and found out that the baby was breech. I was so upset. I had just spent the whole pregnancy looking forward to this experience that I now wasn't going to have. It felt like I had been studying for a test or preparing for a final exam that now I wasn't going to get to take. That's obviously not true at all, but emotionally, that's how it had felt. I had gotten so excited about the possibility of seeing what my body could do. It almost felt like I had a sports car and now I was going to be forced to drive it in automatic or something. It just felt like I wasn't getting a chance to experience this thing that I had gotten so excited about. We were really upset, and my husband was too because he had gotten really excited about being able to support me in labor and all of those things. We decided not to do an ECV. I'm sure your listeners all know what that is. Partially, it was because I wasn't a great candidate for it. My placenta was anterior, so that increased the possibility of an emergency outcome. I had a high volume of amniotic fluid, so that also decreases the chances of success, and the position that the baby was in, she was completely breech. She wasn't transverse. She was totally in the wrong position. We were like, “I think we're not great candidates. Let's not do it.” We just booked the C-section. The C-section was fine. It wasn't traumatic, but especially now having had my VBAC and being able to compare the two, it wasn't a great day. I had surgery, anesthesia, and felt nauseous all day, I couldn't really hold the baby until 9:00 that night. The silver lining of that, I would say, is that my husband got to spend the whole day holding the baby because I didn't really feel well. I think that was really special for him after having 9 months of this abstract idea of a baby, and now he got to spend that day with her. I look back fondly on that aspect of it, but otherwise, it was surgery. The recovery was fine. I thought it was, at that point, again, now having had the VBAC and knowing the difference, not really that bad. It was a week and a few days of significant pain, and then after that, it was not too terrible. But again, just not the birth experience that I had hoped for. Then after that, I was not one of those people who was immediately gung-ho about having a VBAC. I think I was a little– I felt so disappointed that I didn't really want to go there in my mind. I was like, “You know, it might just be easier to schedule another Cesarean and not worry about the emotional disappointment.” I didn't want to do that either, so I just didn't really want to think about birth at all for a while. Meagan: That's a valid feeling and very normal. Anni: Yeah, so I took a big break mentally from birthy stuff. We did have a pregnancy in between our two daughters' births that actually ended at around 19 weeks due to Trisomy 18 which is a genetic chromosomal abnormality that is incompatible with life, so that is its own whole story. I don't like skipping over it because we appreciate his life, and it's a part of our story. We love our baby boy that we didn't get to spend enough time with. After that, I got pregnant again when we moved to Okinawa. When my first daughter was about a year old or a little bit less, we found out that we would be moving overseas to Okinawa, Japan. We arrived. We had the 19-week loss, and then a few months later, I got pregnant again with our second daughter who is now almost 9 months old. The pregnancy was so awesome for the most part. I had a little bit of anxiety around having just had the loss and feeling a little bit guarded. I would say it took a little bit of time to actually really be able to believe that she would be born. I think for a long time, I just didn't expect it to work. I think that was compounded by my Cesarean experience. I had this feeling of, maybe my body just doesn't work or something. That took a little while to get over, but for the most part, the pregnancy was great. Because we live overseas, we are not required to be seen on base, but the off-base options are very limited here, especially in Okinawa. The specific, weird thing about the community here is that because Okinawa is such a small island which many people don't know that it is a small island. It's not even off the coast of Japan. It's floating in the middle of the ocean. Meagan: Really? I did not know that. Anni: Yes. If you look it up on the map, you'd see that it's just a dot on the ocean. Because it's so remote, the local vibe here is basically that if the American military is going to have so much presence on this tiny island, they should be caring for their own people which is reasonable. So getting seen out in town is not as easy as it is back in the States because the options are just very limited. The other thing is that really, the only other option that Americans have out here as far as being seen “out in town” which just means off base, is a birth clinic and they don't accept VBAC patients there. Really, my only option, if I wanted to do the VBAC, was to be seen at the military hospital. So, my care there, I was being seen through Family Medicine. You can either be seen by OB or Family Med. I chose Family Med because I wanted to just continue to be seen by my regular PCM. I thought that that continuity of care was nice. Everything went really smoothly. I was sort of on the fence about the VBAC. I knew I wanted it, but again, I was emotionally guarded. Once we got into the second trimester and I started thinking more about birth, I started doing a little bit more digging thing, reading The VBAC Link Community posts a little bit more carefully. Actually, funny story, I posted something in that group. I can't even remember what the question was. Oh, it was about induction actually because it looked likely that we would want to schedule an induction so that we could plan to have family fly out to be with us. They had to buy plane tickets and stuff. Even though that was not at all what I wanted to do from a VBAC perspective, it felt like what we would need to do as far as getting care for our toddler. I posted in that group to try to see if people wouldn't mind sharing their positive VBAC induction stories. Two of the people who responded saw my picture and they were like, “That's in Okinawa. We're here too,” so we met up for coffee and I'm good friends with them now. Meagan: Oh my goodness. Anni: Yeah, so shoutout to Sarah and Tatiana if you're listening. That was really nice to feel like I had a little bit of community here in that way around this very specific topic. I started really committing to the idea of a VBAC. I also, when I say committing, my goal was that I really wanted to have a joyful birth, I didn't want to suffer. I wanted it to be joyful. I wanted to feel present like I didn't have the last time. My thinking about it was basically that those were my priorities. If it ends up being that having another Cesarean is what would get me those things, I would rather have that than lose the joy and the feeling of being present. I'm not willing to suffer just to get this outcome. That was my list in my head. I got a wonderful doula named Bridget who was totally on board with my priorities. She and I really aligned around our level of risk tolerance around VBAC because the hospital here on Okinawa, the Naval hospital, had a couple of specific things that they wanted for VBAC. They wanted me to come in right away as soon as I felt any contractions or if my water broke. They wanted me to come in right away, whereas my preference initially was to have labored at home. So that was one example of one of the things Bridget and I talked about around, okay. What's our preference around how we handle this? Do we want to say, “No thanks. We're going to labor at home for as long as we can”, or do we both feel more comfortable just getting to the space where you're going to deliver and knowing that you'll be there and they'll be watching to make sure that everything's fine? Where I shook out on that was that I'd actually rather just go to the hospital sooner. That was actually fine with me. It was really nice to have somebody to talk through that with. It was nice that we felt aligned in that way. She is really used to working with military families. She is a military spouse herself with two young boys, so that was really a really supportive relationship. My husband felt that way with her as well, and she is still a good friend. That was a really important part, I think, of my preparing for the VBAC. The hospital providers were super supportive which I was very surprised about. I didn't receive any pushback. Anybody who I saw during the course of my pregnancy was totally in support. In fact, I had a TOLAC counseling which they require so they can tell you all of the risks and benefits and whatever. The provider who gave me the TOLAC counseling, I think assumed that I would be coming in blind, so she did her whole spiel. At the end, she was like, “What do you think? What do you think you might decide?” I was like, “Yeah, no. I'm definitely going for the VBAC.” She was like, “Okay, great. I think that's a good choice.” I was surprised by that. I think people, myself included, expected military hospitals to be very antiquated or by the book or very risk averse, which they are, but in this case, it was really nice to see that they had caught on to the fact that in many cases, a VBAC is not actually more risky. Meagan: Risky. Anni: Yeah, exactly. That was really nice to feel like I wasn't going to need to be going in with any kind of armor on. So fast forward to the birth, as I had mentioned, I had “wanted” to schedule an induction for logistical reasons. The way that the hospital here works because they are chronically understaffed as many military hospitals are, if you're having an elective induction, so if it's not medically necessary, they give you a date, then you call the morning of that date and they tell you what time to come in based on the staffing ratios. Our family who we had called to come for the birth that we had scheduled this whole thing around, arrived, and the next morning, we called as it was our scheduled induction day. I will say that the only family who could come was my sister-in-law and brother-in-law, so my husband's sister and her husband. She's a surgeon back in New York, so she only had a 6-day period that they could come. That was part of the reason why we wanted to schedule an induction. They got here. The next morning, we called the hospital, and they said, “Oh, we're too busy right now. We can't safely bring you in, so call back at 4:00.” We called back at 4:00, and they were like, “We're still too busy. We're sorry, but you have to call back tomorrow morning.” My doula had warned me that this was very common. She was like, “Expect maybe 12-24 hours,” but I was just in this manifesting headspace that everything was going to go great, so I was super disappointed. We went to sleep. We were like, “Oh, we were supposed to be at the hospital tonight.” We woke up in the morning, called the hospital, and again, they said, “We are still too busy. For the third time, we can't safely bring you in, so you have to call back at 4:00.” I took a long walk by the ocean. We got lunch. We just killed time. I took my toddler to the playground. I'm like, “Okay, this is it.” We called back at 4:00 PM that day and they were like, “I'm so sorry. We're still too busy.” This was the fourth time. By this time, there was actually a day between when our family arrived and when we started calling. By this time, there was no way they were still going to be here if we had to go for the induction, have what was inevitably going to be a long induction because I never labored with my first, spend the 24-48 hours at the hospital, and then come back, there was no way our family was still going to be here.I was so stressed. They were like, “We know we've pushed you now four times. Why don't you call back tonight at 8:00 or something? We think we're going to get a discharge between now and then. We'll see if you can come in at 10:00, and we'll see if we can start the induction.” I was like, “You know what? Our schedule is already messed up at this point. It sounds like it's already a crazy situation over there at the hospital. I don't really want to go into that mess, and I don't really want to start an induction at 10:00 at night.” I was like, “Can we just come in tomorrow first thing, at 5:00 in the morning?” By this point, it was going to be a Saturday. We were supposed to go in on a Thursday. It got pushed all day Thursday and all day Friday. I said, “Can we push it to the first thing on Saturday morning?” The charge nurse who I talked to said, “Yes, that's fine.” We go to bed. We wake up in the morning, so happy that finally, today was the day. We say goodbye to our toddler. We get to the hospital at 5:30. It's super quiet. Nobody was there. We bring the bags up. We unpack. I had affirmations that I had printed out, Christmas lights, music, essential oils, and all of those things. We start unloading the bag. The nurse comes in and gets me hooked up to monitors to do a non-stress test. We do that. I'm sitting there on the monitors for a half hour. Then she comes in and she says, “The NST looks good.” She starts getting an IV ready because one of their protocols is that they want VBAC patients to have two IVs actually. Meagan: Okay, what is the deal with the two IV thing? I've been hearing this. I apparently need to dig really far into it. Why two IVs? Anni: They said that one was for hydration. Meagan: Okay. Hydration, like for ORs?Anni: Yeah, and the other is for medication, so if they need to hang a quick bag of something like Pitocin– I don't even know. It's so silly because I didn't have anything. When I eventually did get the IVs, I didn't have anything in either one. The second one was really hard to get in. They spent an hour and a half trying to get it in. I didn't even have anything in the first one. I was like, “Nothing is in the first one. If you need to give me meds–” Whatever. Meagan: Stop the hydration and put the meds in, or maybe they need that extra port that they can put in. That's interesting. Anni: Yeah, so she goes to put the IV in. A nurse comes in and goes, “Wait, don't put that IV in.” I'm like, “Why?” They were like, “We don't know. The provider wants to talk to you.” The provider comes back in and she was like, “I'm so sorry, but we didn't realize that you were a VBAC. We weren't tracking that. You got pushed, and we won't induce you on a weekend because we only have one OB and we want to have two,” so we had to go home. They were like, “You have to go home, and you can't come back until Monday.” I burst into tears. This poor OB was like, “You can totally yell at me.” I'm like, whatever. It was so ridiculous. We go home. We were like, “All right. Now, we don't know what we will do for childcare.” Thank goodness, my sister lives in San Francisco. Her husband had a work trip that week that got canceled, so she was like, “I can actually just fly out and be there for you.” She has two kids, so that's why she wasn't going to come before, but now her husband was going to be home. She hopped on a plane right when that happened. We go home, and we were like, “Okay. We will be coming in on Monday.” We go to bed that night on Saturday, and I woke up at 2:00 AM with contractions in labor. Meagan: Oh yay! Anni: I could cry now thinking about it. It was the beginning of a day that was the culmination of everything I had wanted from a birth experience for the last 3.5 years. I had been having a little bit of prodromal labor that week, but it would be one contraction at 2:00 AM and then nothing else. I woke up at 2:00 AM. My husband was sleeping on the couch by this point in pregnancy because I had one of those massive pillows, and he was like, “I can't. I don't fit.” Meagan: I can't compete with the pillow. Anni: Exactly. I was like, “I'm sorry, but I choose the pillow.” He was on the couch. I woke up at 2:00, and I was like, okay. I'm having a contraction. 15 minutes later, I had another one. I was like, “Okay, I had two, but 15 minutes apart is a long time.” But then, 15 minutes later on the dot, I had another one. Then it was every 15 minutes for the next 2 hours from 2:00-4:00 AM. My dogs were there. I was just really enjoying it, honestly. I was feeling emotional. Nothing was super uncomfortable yet, so it was just period cramps and that kind of a feeling. But I was like, “Okay.” We were supposed to take our in-laws to the airport that day because that was the day that they were leaving. I'm like, “Okay. I know how this works. I've heard a bajillion birth stories. I'll wake up at 6:00. The house will get busy. The contractions will peter out. I'll have the whole day to do whatever, then they'll probably pick up tomorrow night after I put my toddler to bed.” So in my head, I'm like, that's the day. That's what's going to happen. The plan was that I was going to drive my in-laws to the airport that morning because my husband was going to pick my sister up late Sunday night. That way, we could split the trips. I didn't want to do the late-night run. 6:00 in the morning rolls around. I wake up my husband and I'm like, “Hey, I've been having contractions for 2 hours, but no big deal. I'll take Megan and Paul to the airport,” which is an hour away. “I'll be back later.” He was like, “What are you talking about? You're not going to take them. Nobody's going to the airport an hour away if you're having contractions. They can take a taxi. They'll be fine.” I'm like, “No. They're definitely going to stop when everybody gets up. That's always what happens. He's like, “No. I don't care if nothing happens today. You're not driving to the airport if you're having contractions.” I was like, “Fine. That's silly, but whatever.” Everyone wakes up. I'm still having contractions, but they were very short. They were 30 seconds long and very tolerable. There were a couple that I was like, “Okay, I want to get on hands and knees and hang out on my yoga ball.” But for the most part, they were super easy. 8:00 rolls around. We called a taxi for my in-laws and we actually had a babysitter lined up for that day anyway. I can't remember why, but we decided just to keep her basically and have an easier day. The babysitter arrived at 8:30 and my husband went out. Right as she arrived, my husband went with my toddler to go do something quickly, so I was alone with Brittany, our nanny. I had this one contraction and I was like, “I don't want to talk to her.” We had just met her at that point. She was new to us, so I was like, “Small talk feels really hard right now. I can't make small talk.” I was like, “Hmm. That's kind of interesting.”Meagan: That's a sign. Anni: But in my head, it wasn't. It was going to be a 48-hour experience. That was just in my head. Again, I didn't labor at all with my first, so in my head, this was a first time birth. My body has not done this before. Once our toddler was with the babysitter, I went upstairs and I got back in bed with my dogs. I was just having contractions. I was snuggling with my dogs just trying to stay present. My husband came in and hung out with me for a little while. He said, “You know, if you're still feeling good, I'm just going to run over to the commissary (the grocery store on base) and grab some essentials because we didn't think we'd be here this weekend, and now we're out of milk and eggs and whatever, so I'll go grab some things, and I'll be back in an hour.” I was like, “Great, no problem.” He left around 9:00. At 9:45, I was like, “I can't do this alone anymore.” I feel crazy saying that because it was way too fast to be saying that, but I texted him saying, “I think I need you to come back.” He came back. He brought me some fruit salad because I hadn't eaten anything yet that morning which I could barely get down. I was in labor for sure, but in my head, I still was like, “This is going to be such a long experience. Nothing is progressing yet.”I got in the shower. That spaced things out for maybe one long gap between contractions, and then right after that, they started increasing. They were getting closer together, and they were more like 7 minutes apart, then 6 minutes apart. I was having to moan through them a little bit. We called Bridget, our doula, to be like, “Hey, what should we do?” I was able to talk to her with no problem in between contractions. I was fully present and lucid, so I was like, “Okay, this means I'm not in active labor because I'm totally present. I can have a conversation,” but then during the contractions, I would really need to put the phone down and moan. Meagan: Okay, I was going to say, but that was in between contractions. Anni: But in my head, again, I was so emotionally guarded around, “I don't want to expect that this is going to happen. I want to expect the worst.” She was like, “Okay, yeah. They are 6 minutes apart. I would really recommend that you wait until it's been at least 1 or 2 hours when the contractions have been that close together before you consider going in, but if you want to call the hospital and ask them what their preference is, you can do that.” I was just starting to feel really anxious about laboring in the car. I also just had this feeling that I just wanted to be there. I just wanted to be where we were going to be and feel settled, which surprised me. I thought I would want to stay at home for a long time, but it was the feeling when you have an afternoon flight. You don't want to hang out at home before your flight. You just want to get to the airport. That was how I felt. I was surprised by that feeling. We called the hospital. We told them what was happenind, and they actually did say, “Yeah, why don't you just come on in?” We told Bridget. I was a little nervous. I was like, “Ooh, I bet she's going to think that this is a misstep. We are going in so early.” But I just was like, “That's what I want to do.” We got in the car. We went over to the hospital and got checked in triage. I was a 1. I had never had a cervical check before ever because my last baby was breech and in this pregnancy, I hadn't been checked yet. I was super, super tense, and the provider, the nurse, was like, “I can't really get up there. Your cervix is really high and hard. I can't really get a good feel, but you're definitely a 1 or a 2.” So I was like, “Okay, not great.” She left and was gone for a while, I guess, to talk to the provider, and then when she came back in, my water broke, and there was meconium in the water. So I was like, “Okay. All of these things are not great. I'm at a 1. I'm a VBAC. My water is broken, and there is meconium. All of these things are going to make the providers feel urgency around getting this thing going.”But I was like, “Ugh. I definitely don't want to get an epidural if I'm only at a 1 because that's a terrible idea, but I also really don't want to get Pitocin if I don't have an epidural.” I was really hoping that I could have a natural birth without any medication, but I also again, going back to my list of priorities, I was like, “I want the joy. I want to be present. I don't want to suffer. If I can check all of those boxes and also experience an unmedicated birth, then that would be amazing, but I'm not willing to sacrifice any of those things.” So after my water broke, they brought me into the delivery room. I just started laboring. They came in maybe a half hour later and said, “We probably want to start some Pitocin.” I was like, “Let me wait on that. Just give me a minute to think about things,” which we can always do. Ask for more time if nothing is an emergency. Thank goodness I did that because in the half hour, I was thinking about it– not thank goodness that there was an emergency, but there was an emergency, and the only OB who was there that day got called away to do emergency surgery, so he became unavailable for the next several. The Pitocin was off the table for the time being, and so I just got to labor on my own. Bridget arrived, and she had me get into a whole bunch of funky positions. The baby was posterior which I knew because I was feeling this all in my back, and so she was having me get into all of these really uncomfortable, asynchronous positions with my legs in all kinds of weird places. It was super uncomfortable, but I knew that it was effective. I kept laboring. As I said, they had trouble getting the second IV in. That took a really long time even though there was nothing in the first one they had put in. I guess I also had two monitors on me. They were Bluetooth monitors, so one for me and one for the baby. I don't remember that at all, but my doula said that they were messing with them the whole time because they kept moving. I don't remember that. I think I was just more in labor land than I realized. But I had the two monitors. They finally got that second IV in. The anesthesiologist came to do it, and after he did the IV, he gave me the whole epidural spiel which they have to do for legal reasons which I wasn't paying any attention to because I was just moaning and groaning and ignoring him. So he left. I kept laboring, and then around– we got to triage at noon and we got checked into our room around 1:00. Around 3:30, they came back in and asked about the Pitocin. I was like, “I need to get more information about this because I need to figure out what I'm going to do for pain management if we're doing Pitocin.” Bridget was like, “Why don't you just get checked again and see where you are?” I was a 7. So either I made a ton of progress in that 2 hours, or I wasn't really a 1 when I got there, and my body was stressed and it clamped up, or the provider couldn't get a good read. Whatever it was, in my head, I went from a 1 to a 7. Meagan: Massive change. Anni: Yes. I think I giggled. I was just so happy. So they were like, “Okay, well we don't need to do any augmentation. You're progressing just fine.” I was like, “Okay. We're doing this. We're just going to keep going.” Bridget recommended that I go to the bathroom because I hadn't peed in a while. I went over to the toilet, emptied my bladder, then had a huge contraction and felt super like I needed to get off the toilet immediately. I hopped off and went back to the bed. A little bit of time passed, and then I started feeling like I had to throw up, but it wasn't a nausea throw-up. It was like my abdomen was heaving kind of thing. I was like, “Am I pushing right now?” It was this involuntary feeling. I knew about the fetal ejection reflex, but in my head, I thought that was more of a sustained bearing down feeling and this was a more grunty thing. Everybody heard what I was doing, and the nurse who was phenomenal, her name is Cassie. She was such a godsend. She checked and she was like, “Yep, you have no cervix left. You're good to go.” This was at 5:00. Meagan: 2 hours later. Anni: Yeah. I just couldn't believe it. I still thought it was going to be hours and hours and hours because I was so guarded, but it wasn't. There were about 15 minutes between when she checked me and when I really started pushing. I labored down a little bit. The providers lost the baby's heartbeat at one point which is super common when they're in the birth canal, but because this provider knew I was a VBAC, and he had experienced some things before and was very risk-averse, he wanted to do an internal fetal monitor. I was like, “You know what? Not ideal. I don't love it, but that's fine.” I wanted to maintain that calm environment in the room. I didn't want people to start freaking out. I was like, “That's fine. Do what you need to do.” They did the internal fetal monitor. I rolled over to my hip. I wasn't having those grunting urges anymore, but I could feel the baby moving down on her own. I felt her head start to stretch me, then she sucked back in. It started to feel scary like, okay. There's no way out at this point. I'm the only one who can do this. I'm going to feel all of this.I gave a couple of really strong pushes. Up until then, I had been breathing and pushing because that's what my pelvic floor therapist and I had talked about, and I had really practiced that. But the provider again, had nervousness about the heartbeat. The internal monitor wasn't picking up what they wanted it to, so the nurse was like, “Okay. Let's give this one really good push.” I gave one really good push. I felt her head come out, then shortly thereafter, her body. My husband said, “Oh my gosh, she's here. You did it!” They put her right up on my chest, and it was just incredible. Looking back, now I say it was incredible. In the moment, I think I was completely shocked because it was so fast. I had a ton of adrenaline. I had the labor shakes, so my chin was chattering. My husband moved the baby down a little bit because he was like, “You're going to knock her in the head.” It was just amazing. I felt so empowered. It took me a few hours to come down from feeling shocked, but 3 hours later, we were in our room with the baby, and I had showered already at that point, walked myself to the maternity room where we would spend the next day, and it was just so beautiful. I look back on that day all the time in my head. I relive that day all the time in my head. I would do it again in a heartbeat. It was so incredible, and it was an experience that I will draw strength from for the rest of my life. It was just amazing, yeah. Meagan: Oh my goodness. And being pushed, and pushed, and pushed, and having a plan, and then it changing, and having a plan, and it changing, I mean, it was meant to work out this way. Anni: Yeah, yeah. Meagan: I'm sure you can feel that now. Oh, it is just amazing. It just goes to show that sometimes first-time vaginal births don't take 40 hours. They can go quickly if your cervix is ready and your body is ready and your baby is ready. I love that your doula was like, “All right, let's get in these positions.” You talked about going from a 1 to a 7. You may very well could have been a 1, but positional changes and getting better application with the baby's head to the cervix can make a big difference. Anni: Yeah. I will say I think one of the things that also made a huge difference was that I mentioned I had seen a pelvic floor physical therapist. I had started seeing her around 20 weeks because I thought I had appeased knees at one point. I was like, “I want to nip that in the bud right away.” I went to go see her, and we really worked a lot on relaxing my pelvic floor and how I would need to do that during labor. I thought I was one of those people who was like, “I'm relaxed. I can relax my pelvic floor. That just means not clenching,” but it's so much more intentional than that. Meagan: It is. Anni: Practicing actually really relaxing my pelvic floor through pregnancy was so helpful because I knew what I needed to do during a contraction to not tense up at all. I think that really helped things progress. Even with a posterior baby, usually that can take a really long time, but it was a really fast labor. I give my pelvic floor therapist at Sprout Physical Therapy if anybody is looking, she was wonderful. Meagan: I love that so much. I love that you pointed out that you did it before pregnancy. A lot of people, me included– I didn't think of pelvic floor therapy before I had my baby. Why would I have pelvic floor therapy before I even had a vaginal birth? That's just where my mind was, but it's just so, so good. Now, I personally have seen a pelvic floor therapist, and I understand the value and the impact that they can make so much more. Like you said, they teach you how to connect and truly release and relax because we might think we are, but we are not. They can help avoid things like really severe tearing and that as well. Anni: I had no tearing. I had a first-degree tear. It was easy peasy. Yeah. Meagan: Yes, yes. I have heard that a lot of people who do pelvic floor therapy can reduce their chances of tearing based on what they know and how they connect to the pelvic floor. Anni: Yeah. Yeah. I'm just super grateful and so grateful for resources like this. I think storytelling is such a powerful tool and listening to all kinds of VBAC stories was really helpful, even the ones that didn't go as planned because that's always a possibility. I really wanted to be mentally strong against that. I didn't want to be crushed and feel like I lost my hopes and dreams. I wanted to come out on the other side of what happened with some sense of acceptance, so hearing all of the stories was so helpful, and having the community here and having my VBAC friends here in Oki was amazing. Meagan: I absolutely adore The VBAC Link Community, and I love hearing that, not only did I meet people who were my friends online, but we connected in our own community because there are Women of Strength all over. You never know, if you reach out there, you will probably have someone down the street. There are thousands and thousands of people in there, so I highly suggest to go to The VBAC Link Community on Facebook. Answer the questions and dive in because there are also stories being shared there daily. Anni: Yeah. I felt so reassured. I think I got 40 responses when I asked for positive VBAC induction stories. There were so many responses, so I was like, “Okay. I can totally do this.” It made the pregnancy easier. Regardless of what the outcome was going to be, it alleviated the anxiety that I had about the induction. So even though it didn't end up going that way, it definitely made a positive impact on my pregnancy. Meagan: Absolutely, and I know that VBAC groups can make a negative impact as well like it did for me. I was in the wrong VBAC supportive group that I thought was supportive and it just wasn't. That is why we created this one. There are other amazing ones as well, but that's why we created this one because we do not handle the B. S. We just do not tolerate it. It is a loving community and only a loving community. That is what it's for. Anni: Yeah. I was also in the chat feature. There was a chat group for people who were giving birth in the same month. I was in the January group. That was an amazing group of people too. I got so familiar with those names and those stories. People were so supportive of every outcome. There were people there who got their VBACs. There were people who ended in unplanned Cesareans. There were people who at the last minute, decided that they wanted a Cesarean, and everybody was loving and supportive. It was just an awesome vibe. Meagan: It really is. Oh, that makes me so happy because these are exactly the goals that we had when we created these groups. Oh my goodness. Anni, thank you so much for taking the time to be with us today. Congratulations on your VBAC, and I am so, so happy for you. Anni: Thank you so much, Meagan. It was so awesome to be here. I love this podcast. Thank you for everything that you do, and thank you so much for having me on here today. Oh, do you know what? I had one more thing I wanted to share with Tricare, everybody. I'm a Tricare doula. I work with Tricare here in doula. Definitely talk to your Tricare rep if you're out there listening to see because some of them do offer coverage for doulas. Anni: Yes. Meagan: I just wanted to let you know. Anni: Yes. They just announced a new set of regulations around that. Literally, new laws just came out around that so there are new details around that, but if you are on Tricare Select, you have the option to have your doula be covered by Tricare. Just a quick advocacy plug here, if you're being seen at a military hospital, you cannot access that benefit which is a huge problem because Servicemembers have to give birth at military hospitals, so Servicemembers themselves cannot access this benefit which is a huge problem. That's one of the things MBRNPC is trying to advocate to change coming up. So if you are listening out there and you have any access to any kind of advocacy channels, please get the word out that we need to fix that. Meagan: Yes. It does need to be fixed. Talking about hiring the doulas because it's Select and you go outside, we do have to have referrals from that provider. We have to actually have a referral from that provider for the doula before we can start, and we cannot start before 20 weeks so just to let you know. Even though a lot of people hire doulas early on, Tricare does not allow us to be seen until that 20-week mark. So gear up, plan, know that at 20 weeks, you can start seeing a doula and learn more about it. Oh my gosh. Thank you again so dang much. Anni: Thanks, Meagan. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands