The Powell House Press

The Powell House Press

The Politics of Women's Health

The 'Big Beautiful Bill' - Now the Law, Will Hurt Women and Babies

Joshua Powell's avatar
Joshua Powell
Jul 17, 2025
∙ Paid
3
1
Share

greyscale photo of medical operation
Photo by Patricia Prudente on Unsplash

With all the talk about God and family and with the push for women to have more children, there is a missing discussion point: there are fewer and fewer safe places to have babies. Hospitals are abandoning maternity wards and it is only going to get worse.

Every few weeks in America, another maternity ward permanently shuts its doors. This is not a gradual decline—this is a healthcare emergency that has already eliminated obstetrics departments from 300 hospitals since 2018, making maternity care the single most eliminated medical specialty in the United States. Now, with $1 trillion in federal Medicaid cuts targeting the exact funding stream that supports 41% of all American births, this crisis is about to explode into a catastrophe that will leave millions of women without access to safe childbirth services.

The statistics are staggering and accelerating. Chartis data reveals that 217 hospital obstetric units closed between 2011 and early 2023—an …

Keep reading with a 7-day free trial

Subscribe to The Powell House Press to keep reading this post and get 7 days of free access to the full post archives.

Already a paid subscriber? Sign in
© 2025 Joshua Powell
Privacy ∙ Terms ∙ Collection notice
Start writingGet the app
Substack is the home for great culture