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Addressing the Crisis of Maternal Mortality in the United States
The subject of maternal mortality and maternal health has been a topic of discussion for centuries but has recently gained traction in population health initiatives within the late 20th century. The United States has one of the highest rates of maternal mortality of all high-income countries, however, studies show that four in five maternal deaths in this country are preventable. Pregnant people of color and low-income mothers are overrepresented within these statistics, a detail that has been prevalent for decades. High maternal death rates are being perpetrated by the growing nationwide shortage of the maternity workforce, following the rising number of restrictions to reproductive health care in many states. There have been many attempts to try and lower these numbers, but many of them have failed to gain much traction. To alleviate these numbers and address the overall issue, I propose applying an add-on payment through Medicaid mandating that providers give comprehensive education to their pregnant patients. This would incentivize maternity workforce personnel to put aside time to properly inform families of potential complications and resources that are readily available to them. Another recommendation would be that states reinforce that all maternity care providers receive anti-bias and anti-racism training as part of a curriculum. Quality of care from providers would increase drastically by enhanced patient trust in the medical workforce and any implicit biases potentially impeding on effective care from providers would be minimized. Innovative demonstration projects overseen by the Center for Medicare and Medicaid could also be implemented in select states to establish these recommendations. Pushing forth these initiatives would help many families and relieve the stress of maternal mortality within our healthcare system.