ow did this wealthy nation drift into the twenty-first century with such a backward and class-divided healthcare system? The United States certainly has world-class centers of medical research and teaching, but it also has “the highest rate of maternal death among its economic peer nations,” according to “State of Maternal Health 2025,” a report from The Century Foundation published in April of this year. Moreover, the same report notes that “the black maternal death rate is more than twice that of other races and ethnicities,” and that “maternity care is becoming more scarce as health care systems close their obstetric units or hospitals close altogether.”

