Maternal deaths have dramatically increased in rural areas in particular. She specifically cites problems when women have to travel, say an hour, to another city for maternity care.
Basically, like all medical care, it should not be a for profit basis. Rural women’s lives are worth saving though (at least I think so).
Please note an important fact: the women die but the babies usually survive. The women die from hemorrhaging, one woman died because she began to have seizures while delivering after waiting (I think) an hour and a half for an ambulance to make the 90 minute drive to the hospital.
Another case noted that the 60 minute drive might, at first, seem not that far (to a man of course, not to a woman about to give birth, which is painful as well as life threatening BTW).
Driving down a mountain road or what they call mountains back east (still steep) with hairpin turns and vertical distances that double the route mileage. That is, the road is like a roller coaster, narrow, on a steep drop off, and enclosed by deep and thick trees. Add night and bad weather and the need for speed and it would seem that someone would recognize that needs a solution.
Rural Minnesota may not have steep hills but we have blizzards, black ice, and really heavy rain that make roads dangerous for short trips.
Do you still think “economic viability” justifies “consolidating” maternity care a 60 minute on a sunny day drive away?
Women’s lives are at worth geographically and timely accessible, available, maternal care.