Minnesota law permits a small group of health care providers—traditional midwives—to independently manage home births without a license from the state or any malpractice insurance. The concerning lack of oversight and accountability in the traditional midwife community is a threat to patient safety. The public has no say in the level of care expected of these midwives, and when tragic mistakes happen during home births, families often will not have the financial resources necessary to pick up the pieces and move forward with their lives.