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Birth Home Inc. opened in 1982 as a freestanding birth center in Portland, Oregon staffed by medical doctors, nurse-midwives, and registered nurses. Its home-like ambiance provided an option for families seeking alternatives to hospital births. Throughout its short history, the founders' thoughtful balance of idealism and professional pragmatism characterized the Birth Home. Just four years after the Birth Home opened, it was unable to maintain professional liability insurance, and therefore was forced to close. The records of the Birth Home, located at Oregon Health & Science University Historical Collections & Archives, are in-depth documents of the medical and nursing professions' engagement in alternative health care. The collection also presents case studies in issues around grassroots organization of health services and reflects the dawn of insurance crises that would profoundly change health care in the late twentieth century.