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Why we chose open adoption
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My son learning to walk between his mom and his birthmother. - photo by Erin Stewart
I have an open adoption with my sons birth parents. Basically, that means I send them pictures and updates of him regularly and visit with them a few times a year. My son is still too young to know who they are, but as he grows up, the hope is he will know the most important fact about them: They love him.

Often, when people hear we have an open adoption, they wonder how such a thing can work. Isnt that confusing for him? Isnt that hard on you? Isnt that heartbreaking for the birth mother?

The answer to all of those question is yes. Yes, its hard. Yes, its heartbreaking. Yes, its confusing because, lets face it, adoption is never, ever going to be simple.

And then, many people ask this question: Isnt it a burden? Do you feel you owe it to the birth mother or something?

Im always a little surprised by this question because an open adoption is not something we were forced into. Assuming the birth mother mandated an open adoption against our will doesnt give her or us much credit about our intent to do whats best for the child.

We chose open adoption even before my sons birth parents chose us. My husband and I hoped for some degree of openness in an adoption. Of course, every situation is different, but we were fortunate enough that our sons birth parents are wonderful people who will be a good influence on his life. To us, it just made more sense to include them in his life. It felt natural.

Its also one of the hardest things Ive ever had to do as a mother. Before each visit, I still get a pit in my stomach. I worry if shell think Im going a good job. If shell regret choosing me. And on a purely selfish level, its hard to face the truth that my son is not mine biologically. Of course I know this, but day in and day out, he is mine and mine alone. And on the days of our visits, I come face to face with the weird, complicated reality of his life.

But that reality is also beautiful.

The reality is I deeply believe that fostering a healthy, open adoption with my sons birth parents will give him three important things:

Answers. My son is going to have questions. He will want to know where he came from. He will want to know why his birth mother chose adoption. While he could take my word for it, how much better is it for him to hear his birth mother tell him how much she loved him and how she wanted a better life for him than she felt she could give? Again, open adoption wont work in every case, but in this situation, I love that he will be able to find out about his Mexican ancestry, about where his dimples came from and how his birth parents rocked him when he was born.

Choices. My son hasnt had many choices in his little life. He didnt get a say when we were all in the NICU, hashing out the details of the adoption agreement. We decided for him. A judge declared him our son. We all did what we thought was best for him, but he didnt get to choose. But one day, he will. Because we have left the door open for a relationship with his parents, he can decide if he wants them in his life later or not. If I dont open the door now, though, he will have already missed years of building a relationship with them.

Love. My sons birth parents and extended family adore him. They have loved and supported him from the moment he was born. I would never want to deny him their love.

Ultimately, adoption is about love. In the short time when his birth mother was his legal guardian, she showed more love than some people do in a lifetime. She broke her own heart for his sake.

And when he passed from her arms to mine, my heart grew stronger and bigger. I felt the love for her and for him, the boy I knew was coming to our family long before he ever did. I get to be his mother, and this mothers heart can take a few bumps and bruises along the way because thats what a mother biological, adoptive, step and anything in between does for the children she calls hers.

And in that way, this open adoption could never be a burden, only a blessing.
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New Medicare cards are in the mail and scammers are on the prowl
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The Centers for Medicare and Medicaid Services has begun mailing new Medicare Health Insurance ID cards. The program no longer uses Social Security numbers to identify people. - photo by Lois M Collins
The federal government is beginning to send out new ID cards to the 58 million Americans who benefit from Medicare. But since many of the people who will receive them don't know they're coming or why, scammers are already gearing up to take advantage.

An AARP survey shows as many as three-fourths of Americans 65 and older have no idea the cards are coming, so some individuals may be duped with claims that they're supposed to pay a fee or provide personal information that will be used, instead, to defraud them.

The new cards are the first reissue in years, and the most striking part of the redesign is that the cards no longer carry the beneficiary's Social Security number. Congress mandated the removal of that number as an identifier for Medicare beneficiaries by next April. Instead, the card has a Medicare Beneficiary Identifier number, an 11-digit combination of numbers and letters.

The new Medicare cards are now being mailed out in batches, starting with the Eastern seaboard and moving west. Most Medicare beneficiaries will receive their cards over the next six months, as long as the Centers for Medicare and Medicaid Services (CMS) has their correct mailing address. Once the cards are in hand, people can share the new identification number with their health care providers. During a transition period, either card is valid.

The old cards, which used Social Security numbers as the personal identification number, should be destroyed.

AARP recently launched an education campaign to warn consumers about scams related to the new Medicare cards.

The membership organization's "Fraud Watch" consultant, Frank Abagnale reformed con man, scammer and the subject of the movie and book "Catch Me If You Can" tells senior citizens the only time they need to carry the actual Medicare card is to health care appointments. Otherwise, it should be left in a safe place. If they want to carry one in their wallet or purse, he says, make a copy and black out the first seven numbers.

Since the cards were announced, scammers have already:

  • Called seniors and asked for their bank account information so that money on their old card could be returned. There is no money on the old card and CMS never asks for personal information over the phone.
  • Offered to send the new card after Medicare beneficiaries pay a $25 fee to cover expenses related to the card. The card is free.
  • Said the card will be mailed out as soon as the older person verifies his or her Social Security number, mailing address and other personal information. CMS already knows the beneficiary's Social Security number and it's no longer being used in conjunction with health care.
AARP and the Federal Trade Commission will hold a free online seminar about the cards and the fraud attempts they have spawned on Thursday, April 19, at 7 p.m. EDT. Register at: www.aarp.org/FraudWebinar. CMS also offers a "frequently asked questions" guide to the new cards.

The AARP Fraud Watch Network says consumers can sign up for its Watchdog Alert emails that deliver breaking scam information, or call a free helpline at 877-908-3360 to speak with volunteers trained in fraud counseling. Abagnale also hosts a weekly podcast for AARP, called The Perfect Scam.
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