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The United States has the highest maternal mortality rate among wealthy nations, with Black women dying at 2.6 times the rate of white women -- even in the best-resourced hospitals. Evidence-based solutions from California's safety bundles to community doula programs show this crisis is preventable.

In thirty-one years of hospice work, sitting at over two thousand bedsides, I've learned that the dying carry an urgent message for the living: pay attention, forgive now, say the thing, hold the person, stop waiting.