I have had Medicaid for 4 years now, both my kids are on it and I am currently on it while pregnant with my 3rd.
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I highly highly doubt you are going to have CPS issues because of not vaxing. I've had CPS called on me twice and the second time was investigated rather thoroughly, and I don't even recall vaccines coming up at all. My kids have had several different peds and this point I don't even care what they think.
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With the first baby I did care. I wanted the ped to have the same parenting style and all that. Now, because my ds has multiple issues going on, I choose to take both kids to an outpatient practice run by the local major children's hospital. Obviously they are very medicalized/mainstream and pro vaccines and all that. But honestly it can be as hard or as easy as you make it.
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I don't volunteer controversial information and if it comes out somehow I just use the famed MDC "bean dip" approach. For example, "you should stick with the stage 2 foods and not be offering table food right now. It leads to obesity." As if the baby were a dog or something...."table food." My reply, "hmmmm. so, anyway, when is her next well baby check?" Or another gem while handing me the vaccine refusal paperwork, "your baby can die from chickenpox. Are you aware of that?" Me with a smile "This is about the 1 millionth vaccine I've refused in the last 3 years. Where do I sign?" and so on.
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And if for some odd reason someone called CPS on me for not vaxing, knowing what I know now after 2 go rounds with them, I would tell them that it was none of their business, and shut the door. They can't actually do anything about it, even if they are called, because it's not illegal to refuse vaccines. If you were really worried, you could go get a religious exemption form, sign it and keep it on file. But it would take an exceptionally bored or vindictive doctor to make that call, and a very rare caseworker to have time to follow up on that, I'd think.
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Oh, and my last pregnancy I used a home birht midwife though I ended up with a hospital birth. I'm planning a home birth this time. It's all paid for by Medicaid. You have choices, they just don't want you to know about it!