This week’s reading from Lydia Dixon’s Delivering Health opened my eyes to the subtle ways women are conditioned to seek structured medical care in society today, revealing the humane and inhumane identity of infrastructure. This reading also made me reflect on my preconceived notions on midwifery and the profound positive impact and importance of it. As Dixon details, despite being made by people, for people, infrastructure “inhumanely creates the conditions in which many women are set up to fail,” augmented by the conditioning of women and both active and inactive infrastructural violence (171). The many examples of this violence-poor roads, overcrowded health centers, lack of local schools-struck me particularly sharply. Rural, poor, indigenous women bear the brunt of this blatant inequality by having their bodies “othered” by medical and political infrastructure. The need for and importance of midwives becomes especially clear when one considers the damaging conditions of medical care facilities, and further emphasizes the utility of good care delivered to women rather than women exhausting themselves over bad care. Irma’s story in the beginning, despite not being incredibly unique, was very thought provoking. The blatant lack of care she experienced was a product of the physical structures perpetuating inequitable care, but also the ways in which she was conditioned to only seek socialized medical care. Lack of education for reproductive health, family planning, and other essential knowledge is widely apparent. However, the ways women are further encouraged to seek harmful services revealed to me additional violence against women. The reframing of birth options for women is an extremely important concept that Dixon emphasizes. Moreover, the social exclusion that augments the active and passive inequitable infrastructure damaging women disproportionately harms rural and poor communities, reminding me of the vast intersectionality of the distribution of structural harm.