Project 2026’s pronatalist vision insists that America needs more babies—but largely ignores the conditions that make pregnancy and childbirth unnecessarily dangerous in the first place. In this interview with Ms., The Perfect Birth Myth co-authors Avital Norman Nathman and Deborah Wage argue that improving maternal health requires more than rhetoric about “family values.” It demands investments in midwives, doulas, paid family leave, prenatal and postpartum care, and policies that address the racial and economic inequities driving the nation’s maternal mortality crisis.
Drawing on surveys of nearly 3,000 parents and healthcare providers, Nathman and Wage dismantle persistent myths about birth while exposing the structural failures of the U.S. maternity care system—from hospital closures and Medicaid cuts to the medical establishment’s resistance to alternative models of care. They explain why Black women continue to face disproportionately poor outcomes regardless of income or education, why conservative pronatalist policies fall short, and what it would take to build a maternal healthcare system that truly supports families.











