Sliding Scale
Cosmos Midwifery is designed to serve all people, including people with a history of sexual, physical, or emotional trauma, people of all body sizes, queer and trans people, neurodivergent people, and people with disabilities.
We are committed to making this care affordable & accessible for all. We use a sliding scale and ask you to determine which of the four sections you fall into.
Standard fee:
This is for people who are gainfully employed, who do not worry about paying their rent, have the capacity to buy plane tickets, and can comfortably pay for "wants" like coffee or a drink at a restaurant.
Subsidized fee:
This is for people who are struggling to conquer debt or build savings or move away from paycheck to paycheck living but have access to steady income and are not spending most of their time thinking about meeting basic needs such as food, shelter, medical care, child care, etc. If you, however, can ask others for financial support, such as family members, partners, or friends, please consider using those personal resources before you use the resources of the sliding scale and limit opportunities for others.
Low cost fee:
This is for people who struggle to maintain access to needs such as health care, housing, food, child care, and are living paycheck to paycheck or are in significant debt. Even when the lower tier is still prohibitive, I will work with folks to offer extended payment plans and other solutions.
The Standard Fee + Supporting Others:
This is for people who feel comfortable paying the highest fee and would like to support others in receiving the same kind of care that they themselves prefer to receive. This covers the cost of their visit and part or all of a full-cost visit for someone else.
Please note:
There are a limited number of slots for clients using the middle and lower end of the scale. Please be mindful that if you use the lowest end of the scale when you can truthfully afford the higher fees, you are limiting access to those who truly need the gift of financial flexibility. Being honest with yourself and your financial situation when engaging with sliding scale practices grows strong and sustainable communities. It also respects the work of healers, like myself, who have families to support and rent to pay. Additionally, when I am paid fairly, I am able to invest more time and resources to free and lower cost offerings.
Much of this theory and wording was taken from Dori Midnight & Alexis J. Cunningfolk’s conversations on sliding scale and economic justice.
