This chapter explores the strengths of modern midwifery and identifies areas of concern for the future. A strong interconceptual role is vital to improving women’s health but the lack of diversity in the profession is hindering its potential. The chapter focuses on the work of the American College of Nurse-Midwives’ Midwives of Color Committee, the United States Midwifery Education, Regulation, and Association, and the International Center for Traditional Childbirth to explore the ways in which midwifery can stake a permanent claim in the lives of American women and maternity health.