







A new report reveals that 1 in 3 counties in America are considered maternal health-care deserts. Giving birth in rural areas is already especially high-risk, and public policy is about to make an already dire situation even worse.
Now, massive cuts to Medicaid, which covers more than 40% of US births and an even greater share in rural areas, could put further pressure on rural hospitals and force more to close. At the same time, dramatically higher costs for H-1B visas threaten another way rural communities have been addressing physician shortages. Rural counties rely on H-1B physicians at nearly twice the rate of urban ones. And these risks are not shared equally. Maternal mortality is significantly higher among Black and Indigenous women than white women, and 87% of maternal deaths are considered preventable. For people giving birth in rural America, access to care is already a matter of life and death. These policies threaten to make it even harder to get the care they need.