2017 Candidate for Region VI Representative - Kim J. Cox, CNM, PhD, FACNM
Kim J. Cox, CNM,
Candidate Statement Related to Office:
Since I joined the ACNM 23 years ago, my ultimate goal has been to help establish midwifery as the standard of care in the United States. Many meetings, task forces, and standard-setting documents later, I can say with confidence that we are well on our way to achieving that goal. Most Americans now know what a midwife is. Our efforts to promote physiologic birth are gaining ground, women are seeking our services in record numbers, and ACOG’s recent Home Birth Committee Opinion is a big step forward. We have come far in 60 years, but we still have a long way to go! Independent practice is uneven across the country with 24 states still requiring some form of physician supervision. Even in states with independent practice, midwives continue to encounter restrictive hospital bylaws, inadequate reimbursement, and liability insurance barriers. We also face an uncertain future in terms of the current political environment. What will happen to the ACA? To reproductive rights? To support for midwifery education?
One thing is certain. We will be here with women, across the nation and in Region VI. Here in the “Wild West,” we have our own distinctive challenges. Many midwives in the region care for diverse, rural populations that are isolated by frontier geography. These midwives cope continually with the reality and threat of hospital L&D unit closure, VBAC bans, and a scarcity of physicians to provide obstetrical back-up. They serve communities with high rates of poverty, domestic violence, and substance use disorders. In order to address these issues at state and national levels, we need strong and knowledgeable leaders on the Board of Directors. If elected, I will work diligently to preserve the gains we have made and to address the barriers we face. Thanks for considering me as a candidate!