We don't have a national insurance system here. It's all about making money. It's probably not as financially rewarding to go into midwifery here because there isn't much money to be made off of natural births. It costs about 1/4 of a hospital birth, if that. They are also looked down upon by the rest of the medical community. They are nurses who have a specialty in midwifery.
I was really lucky with my DD to live near a birthing center with 3 full time midwives and several students. That was in 1999. People still think I'm crazy for using midwives and not using drugs. I know only one person who also used a midwife and I'm what people here would call a hippy. So even my so called hippy, all natural, vegan/vegetarian friends think I'm a nut job
I found this:
In 2003, approximately 8.0% of births were attended by midwives, more than double the 1990 rate of 3.9%. In six states (Alaska, Georgia, New Hampshire, New Mexico, Oregon, and Vermont), rates were at least twice as high as the national rate.
SOURCE: National Vital Statistics System, Natality File 2003. Available at
http://www.cdc.gov/nchs/births.htm.
My midwife didn't even know about gas and air.

We have such a backwards medical philosophy in the US- and you have to pay for it out of pocket
