Although it is difficult to imagine a health care service that is more valuable to society than childbirth, US hospitals often lose money when they provide local childbirth services for healthy mothers.1 This discrepancy is a major flaw in the design of the maternal health system that may be the basis for lagging birth outcomes in the United States compared with other high-income nations.2
Shah NT. Eroding Access and Quality of Childbirth Care in Rural US Counties. JAMA. 2018;319(12):1203–1204. doi:10.1001/jama.2018.1646
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