I am just starting my doula/childbirth education business. My plan was to establish it here in the UK this year and next. Then since we have been and will be traveling to the US regularly, I can network with OBs there...and teach classes every time I am there. I specialise in caesarean births...and there is practically no one teaching those classes in either the UK or US.
So right now I go to the US, twice per year. I get about $200/couple. So if I taught two or three weekend classes with 15 couples each, then even after expenses I would make about $4,000 to $5,000. If I begin to show this separately on my taxes as income earned in the US. Then once I have my citizenship, I would make more frequent trips...probably every two or three months. I could not do doula clients except in the country where I am residing of course...unless/until I hire someone. My plan would be to do just that...have a back-up in the US and another in the UK. Then it would be like I had business offices in both countries. Of course it will be an absolute tax nightmare...but I would have an accountant do that anyway. So do you think that in those circumstances the income earned in the US would count? If so then I just have to balance my time so that in the last year, I was certain to earn enough US income.
As for the question of training for doula and/or childbirth educator, neither the UK or to date any US state actually regulates the training of them. There are several US and one UK voluntary professional organisation, most of whom recognise only their specific training programmes. I have actually looked at it quite closely before selecting the course that I am taking. I will be happy to forward the spreadsheet that I made with those...it includes web addy's, cost (from about a year ago), and my individual pros/cons.
The thing is that doulas are neither well-known nor very respected in the UK system. Midwives feel that they are competition...even though their roles are completely different. DH tried to get me to go the midwife route, but I just don't like the business end of birth (...sometimes having to make life and death decisions in seconds). I more enjoy supporting the emotional side and working with new parents to bond with their babies. So I actually realise that marketing of my doula and childbirth education services will be much easier in the US. I am already identifying OBs in the Orlando area and will start networking with them sometime next year. By 2011, after I have my UK citizenship my plan is to be almost 50/50 so I think that we won't have much trouble with the 125% thing for 3 people.
Any big holes with the plan...other than a tanking economy in both countries?