It’s Time to Stop Acting Surprised by the Maternal Death Rate in the U.S.

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In the developed world, the United States stands out for having the highest maternal mortality rate, and there’s a clear reason for this troubling statistic. We’ve become so accustomed to seeing essential women’s health programs and services being slashed or debated by men who will never require them that we might be desensitized to the very real threats these decisions pose to our health and well-being.

This complacency is a grave error. The events of recent years have made it painfully obvious that many lawmakers, particularly those predominantly of the Republican party, are not prioritizing our needs. This is a concrete issue; the statistics are alarmingly clear: neglecting women’s health services translates directly to increased mortality.

The Impact of Cuts to Women’s Health Services

Take Texas, for instance, a state notorious for its inadequate support of women’s health initiatives. In 2011, the Republican-led Texas legislature made a devastating decision to cut funding for family planning, routine health screenings, and care for sexually transmitted infections by a staggering 66 percent. As a result, 82 clinics were forced to close—only about one-third of which were affiliated with Planned Parenthood—leaving many women without alternatives. The aftermath? Texas saw its maternal mortality rate double. Currently, Medicaid in Texas only provides coverage for mothers for 60 days after delivery. A task force was formed to address the soaring maternal death rates and recommended extending this coverage to a full year post-delivery. What might happen if Medicaid is dismantled, as many Republicans are eager to do?

Medicaid is one of the most misunderstood programs in America; it’s often wrongly associated with stereotypes of people who are lazy or unmotivated. In reality, nearly 1 in 5 Americans rely on it, covering over a third of the nation’s children and funding half of all births. The Affordable Care Act recognizes the importance of ensuring access to care for all women during pregnancy, even those with incomes above federal thresholds. This is critical—unless you believe that pregnant women and children should go uninsured.

The Dire Consequences of Refusing to Expand Medicaid

Texas exemplifies the dire consequences of refusing to expand Medicaid and limiting coverage for women postpartum. Between 2010 and 2014, 600 women died from pregnancy-related causes in the state. When we hear that the U.S. has the highest maternal death rate among developed nations, our instinct is to gasp in disbelief. But the explanation is straightforward: when we disregard the needs of women and the programs essential for their survival, they pay the ultimate price. If you’re advocating for cuts to Medicaid and the defunding of organizations like Planned Parenthood, you are, in effect, endorsing policies that lead to more deaths among pregnant women and those needing postpartum care.

Investigative Findings on Maternal Mortality

A collaborative investigation by NPR and ProPublica into maternal mortality in the U.S. revealed a shocking reality: “More American women are dying from pregnancy-related complications than in any other developed country, and the rate is increasing only in the U.S.” Their efforts to track down the 700 to 900 women who died from such complications in 2016 led them to uncover the stories of 120 lost lives. These women were everyday people: devoted mothers, eager parents, professionals, and friends.

The federal and state governments’ failure to adequately track maternal deaths has been described as an “international embarrassment.” To help bridge this gap, ProPublica and NPR spent months combing through social media and other sources, trying to learn more about those who died, their ages ranging from 16 to 43. They noted a troubling trend of maternal deaths occurring in the postpartum period, often linked to heart-related issues, severe depression, and missed opportunities for life-saving interventions.

How to Protect Women and Children

So, how can we protect women and children? If you’re fortunate enough to have Medicaid in your state, do everything you can to defend it. Write to your representatives, call your Senators, and make your voices heard. Advocate for Medicaid to extend coverage to mothers for a full year post-birth, as 60% of maternal deaths occur after six weeks postpartum. “Fight with everything you’ve got,” one advocate advises. Let your lawmakers know just how devastating cuts to such programs could be for families. Most importantly, recognize that programs supporting pregnant women, children, the elderly, and the disabled are vital, not burdensome. If we fail to care for our most vulnerable citizens, we must ask ourselves: who are we? And if we don’t take action to safeguard their well-being, we have no right to be shocked by the staggering statistics of maternal mortality in our country.

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Conclusion

In summary, the U.S. maternal death rate is not just a statistic; it’s a reflection of systemic neglect. As we continue to advocate for essential health services, we must remember that the lives of countless women and children depend on our efforts.

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