Quote Quoting llworking
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You have the right to your opinion, I have the right to mine. However one thing is absolutely true, stepparents who get overly involved in things like medical issues and educational issues cause more problems than its worth. If my husband needed me to take a child to a medical appointment I would be on the phone to the child's mother immediately to make sure that she was ok with it as well. If she preferred to take the child herself, I would happily bow out.

What if the mother wasn’t available but she didn’t want the step mother to take the child to the doctors office?

There is a huge difference between a step parent usurping the other parents position and simply acting like a blended family making life work.