While reading The State of The Worlds Midwifery report there was mentions of the progress improved maternal health has had on countries. With better maternal health, in part due to midwives, economies have improved as well as other MDG’s. The report was mentioning some ways that midwives could continue to foster progress in nations that the MDG’s are aimed toward. One method for helping improvement mentioned was midwives having political standing. I think that would be a wonderful idea for there to be a group of people focused solely on policy and legislation for midwives and mothers. I think this group could focus on getting training to regions that practice midwifery in an unskilled manner, such as Guatemala. Providing instruments and education to places that need more skilled midwives or even education to places like that US that midwifery is still around and only beneficial to women and birth outcomes. That stated, I realize midwives have been around for quite some time and so has the government. I am not very savvy on how organizations like the one they have mentioned in the midwife report would start or carry on. So, I am wondering what has stopped this from not already being an established area of policy and what barriers would a coalition like this face? It is clear to see that midwives are beneficial to communities in more ways than just attending births. Also, on this report itself I think it is a wonderful publication and very important to show the strides the practice of midwifery makes in the world of health. I just wonder whom this publication goes out to, and are the parties that need to see it being made aware of the benefits that midwifery provides to a nation.