For any medical high expense, they separate so the female can get Medicaid because they have to.
I understand that, but I also spent a lot of time at the local county hospital in Marietta when my second grand daughter was born. Used to go outside to smoke while waiting. Can’t tell you how many times I saw cars with non-English speaking Latinos drive up with a preggers and they’d wheel out a wheelchair to take them up to the maternity ward with my daughter who was paying full-fare, no insurance rates.
I remember at times people asking whether they’d seen a doctor at all or who their doctor was or something to get an idea of what went on with prenatal care. NADA.