One concept in the text that I had not previously heard of was that of “infrastructural violence,” which is a form of structural inequity in which, in this case medical, infrastructure is denied or of lower quality either actively(with explicit intention to restrict infrastructure) or passively to certain groups. Within the context of midwifery and general access to reproductive health, rural and indigenous women were shown to be victims of infrastructural violence. While the most obvious reproductive health issue is the overcrowding of hospitals, it is compounded by upstream health inequities that rural and indigenous women also face. Dixion considers the role of midwives as possible combatants of the infrastructural violence but my concern is that while midwives are part of the system and can make change, the biggest potential for change is on the part of policymakers that control and can build new infrastructure, so I feel policy would be the most effective in generating material change.