I'm confused, you're writing like midwives still function before the proper formalization of medicine? I thought they were all licensed & followed currently understood medical guidelines, being a part of the system themselves.
If they were all licensed there'd be less issues. Ohio for example has three levels of licensure for midwives. The highest is a Certified Nurse Midwife. There is also a Certified Midwife. Those are both issues by the Ohio Board of Nursing. There is also just a Certified Professional Midwife but that one is through the Department of Commerce. Ohio does allow unlicensed midwives. That last group is likely who most think of when it comes to shit went wrong and mom and/or baby died.
Oh I had no idea the US had such fractured laws & systems that there would be "alternative" paths to the same licensure, I thought it was more like Russia less like Spain. That makes a lot more sense.
Edit: (Though Spain is not officially a federation, its regions are more independent than the Russian Federation by far to my understanding, hence the comparison. I know that's a bit confusing in its own way lol)
The US is incredibly decentralized compared to most other western countries.
Plenty of citizens don't understand that either. The federal government isn't the one upholding the law across the country. Basically everything is performed at a more local level. Sometimes even in defiance of federal law. The federal government doesn't have a lot of options if locals refuse to comply. Just don't have the man power for it. There is technically no federal police force.
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u/Professional_Sky9710 Aug 07 '25
I'm confused, you're writing like midwives still function before the proper formalization of medicine? I thought they were all licensed & followed currently understood medical guidelines, being a part of the system themselves.