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With universal health care coverage since and well-integrated midwifery, Canada's system would be considered relatively well set up to deal with a disaster like COVID compared to low resource countries like Guatemala or countries without universal health care insurance like the USA. Meanwhile, home births are on the rise in both jurisdictions. Stories from a Jamaican Muslim woman in Ottawa, an Indigenous midwifery practice in Northern Ontario, registered midwives in Eastern Ontario, and about the traditional midwives in Guatemala reveal similar as well as unique problems resulting from the lockdowns.
While this article is not intended to constitute an exhaustive analysis of social justice and human rights issues in Canada and Guatemala, we do take this opportunity to demonstrate where COVID has become a catalyst that challenges the standard narrative, exposing the old ruts and blind spots of inequality and discrimination that our hierarchies and inadequate data collection—until the epidemic—were managing to ignore.
As health advocates, we see signs that this pandemic is resulting in more open debate, which we hope will last long after it is over in both our countries. I was up late dealing with two births, exhausted, and developed a fever of I thought, how great a thing to have it in an ice hockey arena, where everybody should feel at home because they are familiar with the setting. It was a sight to behold. There at Brewer's Arena, everybody lined up like good sports, no ethnicity, race, class, profession, or gender being given priority—except kids, who, with their parents, were afforded a private entrance up to the bleachers where they got to wait until their turn came and to pretend that they were watching a game down on the rink.
After each of our OHIP 1 cards had been checked, we had to give the history about why were there: we were phoned by a friend that they had COVID, we had traveled, or we had symptoms. From there we got to get our poke in the nose. Yet while we were all treated equally during this testing process, I knew that we were not all going home to equitable housing. We were not all returning to secure jobs, the same ability to social distance or feed our kids and grandkids during this time.
