The birthing business is always evolving and changing yet one fact remains the same. The more things change the more they stay the same. Babies continue to be born everyday, with and without interventions. Women continue to push them out regardless of the setting. At home, in the hospital, a birthing center, taxi cab, elevator, you name it and its been done. So why is society still so afraid of birth? Why do interventions continue to be hailed as the next best thing since sliced bread when research proves for the normal healthy pregnancy simple rules? Why does our society with its shiny gadgets for the labor and delivery room still have one of the most embarrassing infant mortality rates? Why does lack of medical insurance or socioeconomic standing or ethnicity still create disparities in maternal and infant outcomes? Babies will continue to be born. Mothers will continue to push their babies out. And things in the birth world will continue to go full steam ahead. So what is the question? Not if, but how long before we change the system?