Warren Wins Applause for Addressing High Black Maternal Mortality Rates, But Experts Say Plan to Fix Crisis Needs Work

While Sen. Elizabeth Warren drew praise for calling attention to the high rate of maternal mortality in the U.S. and the disproportionate number of black women who die in childbirth, some progressives pushed the 2020 presidential candidate to ensure that inequities aren’t worsened through her plan to fight the crisis.

At the She the People Presidential Forum in Houston late Wednesday, Warren spoke about her plan to reduce maternal mortality rates in hospitals through financial incentives.

“I want to talk to the hospitals, where most births take place, and I want to talk to them in the language they understand: money,” said Warren. “Because here’s the deal. Right now the way that most medical procedures are treated, including those of childbirth, is that hospitals get fee for services…and they get it no matter what the outcomes are.”

Under her plan, Warren said, using the “bundled payments” approach administered by the for-profit system, “the hospitals are just going get a lump of money and if they bring down those maternal mortality rates they’re going to get a bonus and if they don’t, they’re going to get it taken away from them.”

Monifa Bandele, vice president of the grassroots group MomsRising, had asked Warren about black maternal mortality at the She to People forum and was impressed with the senator’s action-based response while also warning that her proposed plan may require more consideration of its long-term effects.

“It was definitely a detailed yet brief response,” Bandele told Common Dreams, “but when it actually comes time to make policy, you have to bring all the stakeholders to the table…Many of the interventions that have already been tried have increased disparities.”

The proposal drew cheers from the audience at the event focused on political issues affecting black women. A number of political observers applauded the senator for addressing the issue of racial disparities in childbirth deaths and for having researched potential solutions. 

The rate of women who die in childbirth is on the rise in the U.S., according to a 2017 study by NPR and ProPublica. The number of women dying in childbirth over the past three decades in the U.S. has gone up—even as it’s declined in other developed countries.