Constrained by Red Tape

Unnecessary red tape limits certified nurse midwives’ ability to implement their training—and endangers mothers’ health—writes New America policy analyst Alieza Durana.
Research in the Journal of Health Economics found more cesarean sections and induced labors in states that over-regulate certified nurse midwives. Such regulations are endorsed by the powerful American Medical Association. 
Maternal mortality in the US doubled from 2000 to 2014. High cost and limited access to prenatal care mean many women go without; out-of-hospital midwives are priced out of Medicaid by prohibitive liability insurance. Without this red tape, certified nurse midwives could offer life-saving services, reducing hospitals’ burden, Durana writes.

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