I became a midwife because my own homebirths were such powerful and transformative experiences. I wanted every woman to have access to midwifery care and out of hospital delivery. I found my 14 years of practice as a CPM in rural Wisconsin very satisfying and deeply humbling. However I was disappointed that in the time I was practicing, access to out of hospital delivery had increased very little and in fact remained mainly an option for members of the privileged class. While I am no longer delivering babies, I hope that the work that I am now doing as an NACPM board member will increase access to midwifery care for all women, greatly expand and diversify the midwifery work force and help to end the shameful disparities in birth outcomes that are plaguing our maternity care system.