By Paula A. Michaels
The question of the contraceptive mandate has garnered the lion’s share of attention regarding the impact of the Affordable Care Act (ACA) on women’s health services, most notably in the recent Hobby Lobby and Wheaton College decisions. As unquestionably important and pressing as these issues are, what has earned virtually no discussion is the opportunity that the ACA offers to improve the quality of care for women who choose to become pregnant. The potential for doulas—trained, experienced labor companions—to significantly improve health outcomes, raise patient satisfaction, and lower costs has not received the consideration it deserves.