This thread is really interesting. I'm going to share my thoughts although I'm sure some will disagree.
I was really shocked to read that cost is a factor giving epidurals in some cases/locations. I live in the US and pay an insanse amount of money out of my paycheck every week to have health insurance coverage and I am fine with that because I truly do have excellent coverage. I had 4 sonograms by the time I was 14 weeks (2 scheduled, 1 when they couldn't find the heartbeat via doppler, 1 when I had some bleeding, all right then and there in the office). The care I have received so far has been amazing and the piece of mind it has given me through my pregnancy I can not put a price on that. I am very grateful to have the option to choose a health care plan right for me, it's quite costly but in the end I wouldn't have it any other way. So when I hear cost being brought up as a factor it truly appalls me. It is my right to have pain relief as I pay for my healthcare coverage and pay into the federal healthcare (medicaid) system for others.
As far as if it's safe and the risk of complications goes, I chose an OBGYN doctor that I have the upmost confidence in. I rely on her to make the calls as to what's safe or not as she attended medical school and I did not. She has been amazing and gives me choices and options with no judgement. My birthing plan is compiled of my decisions based on the education I have received from my doctor.
I realize that it's very different in other countries and maybe more limiting than what I am used to but in the end if a woman WANTS pain relief, there should be no judgement. No one should have an epidural forced on them just as no one should be judged or denied one if they want it. Medicine has come so far in the last hundred years, it's insane to imply that someone should do something old fashioned (against their will) just because it was done that way before. Everyone should be able to choose the way they want to bring their baby into world and be supported by for their decision as we are all doing the same wonderful thing, becoming mothers.