The articles I found on "Birth Tourism" indicated that it was middle to upper class Chinese and Russians that were engaging in this activity. I hardly think that these women would cause the U.S. to have a 50% higher maternal mortality rate.
CONCLUSION: Despite the United Nations Millennium Development Goal for a 75% reduction in maternal mortality by 2015, the estimated maternal mortality rate for 48 states and Washington, DC, increased from 2000 to 2014; the international trend was in the opposite direction.
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