The US is facing a shortage of OB-GYN care providers in the US, with estimates that the shortage could reach up to 22,000 by 2050. Over 35% of US counties are considered maternity care deserts, meaning there is no single birthing facility or provider of obstetric care in 1,104 US counties. The March of Dimes notes that women living in these areas often have poorer health prior to pregnancy and higher rates of preterm birth and pregnancy complications. The author argues that empowering family practitioners to provide maternity care widely and investing in the midwifery infrastructure in the United States would help address the maternal child crisis. The article suggests that the US has the most expensive maternal-child healthcare among all industrialized countries and that the current system is neither efficient nor cost-effective.