Over the last decades, the midwifery community has been struggling to increase the number of mothers who choose midwives and out-of-hospital birth. It seems to all of us (and our clients) that physiologic birth is obviously a safer, greener, more fulfilling option. So why don’t people get it? Why don’t people understand? Why do they put up with a 30%+ cesarean rate? Why don’t they read the research and convert? Why, indeed….