Lisa Uncles, a certified nurse-midwife who's the acting clinical director of the Family Health and Birth Center in Washington, visits a new mother a day after she gave birth. Clients of the center have fewer premature births, low birth weights and cesarean sections as compared with the city's African-American population overall. Andrea Hsu/NPR hide caption

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An employee at the American Disposables Inc., factory works on the assembly line in October in Ware, Mass. The factory, which has been producing diaper and paper products for more than 30 years, recently had to lay off most of its employees. Spencer Platt/Getty Images hide caption

itoggle caption Spencer Platt/Getty Images