"Instead, we should be building a health care system that encourages ALL professionals to obtain certification that meets high-quality standards and practice evidence-based care."
So, you agree with doctor Dr. Amy. CPM's do not, by any measures , meet high-quality standards. Rather than saying essentially the same thing, but with a hug attached, how about forwarding pathways for lay midwives to obtain the certifications that lead to high-quality care? Nobody thinks these women are un-teachable or uninterested in the well being of mothers...a critique of competency is not a critique of character. Keep it simple: If these women want to support healthy birth in alternative settings, earn the nessesary credentails.