SARAH VERBIEST: Expanding Medicaid saves mothers' and babies' lives. Will we do it?

At UNC’s Jordan Institute for Families, I have had the opportunity to collaborate with innovative, talented, and dedicated leaders. We have one goal in mind: to bring the best evidence and strategies to North Carolina to prevent maternal and infant death and sickness. As a result, North Carolina is nationally recognized as a trend-setter in maternal and child health.

We were among the first states to have a preconception health campaign, we led on the promotion of treatment to prevent recurring preterm birth, we had one of the early perinatal quality collaboratives, and our Baby Love Program (now Pregnancy Medical Home) is well known for providing care coordination to high-risk mothers. Whether accessing federal dollars to build our infrastructure for treating maternal depression and support community work through Healthy Start, studying regionalization of care, launching a maternal mortality review committee, and creating learning communities around racism, North Carolina has always brought it’s “A” game to this life-saving task.

Yet as hard as we work to maximize limited resources and build new partnerships, we continue to tread water while the current of growing racial inequities pushes us back. To be clear, this is very frustrating. And it’s tragic. Babies and mothers still die at a higher rate in the U.S. than in any other developed nation. Black families suffer at three times the rate white families do in North Carolina.

We know that clinical care is just one piece of the puzzle that creates health equity and well-being. This report underscores the impact this policy could have in North Carolina in supporting healthier young adults and families – opening the door to services to help them live their best, most productive lives.

Access to quality health care as conferred by Medicaid expansion has been proven to be a win for mothers, babies, families, and the economy. While programs and research are essential to the equation, until policies shift, we are going to be pushing boulders uphill. And push we will, because Maternal & Child Health leaders always do whatever is in our power for North Carolina’s mothers and babies.

If I could wave a magic wand and get our state’s leaders from across party lines to sit down together for a conversation, I would. Policy makers have the opportunity to open the gate for North Carolina to be one of the best places in the country to be born. This report offers a call to action to go ahead and make it happen! Our mothers and babies deserve it.