Medical negligence claims in the developed world have become so numerous that doctors often refuse to take difficult cases or perform unnecessary procedures rather than risk the danger of a lawsuit. Other doctors are paying exorbitant rates to insure themselves against this risk. These factors contribute to already skyrocketing health costs, without providing any appreciable increase in the quality of healthcare.
Largely because of the increase in negligence claims one in four births in the USA are performed by Caesarean section. Also in the US insurance companies are talking about premiums of $50,000 a year for midwives who have an average income of $25,000 to $30,000 a year. Many general practitioners are refusing to have anything to do with delivering babies.