“We need more Indigenous midwives,” said Claire Dion Fletcher, an Indigenous Potawatomi-Lenape Registered Midwife and co-chair of the National Aboriginal Council of Midwives (NACM), at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the International Confederation of Midwives about Indigenous midwifery. Globally, Indigenous women experience worse maternal health outcomes than non-Indigenous women. In the United States, risk of maternal death is twice as high for Native women than white women, while in Australia the risk is four and a half times higher.

As a world still dominated by patriarchy struggles with a deadly pandemic, the countries that have successfully navigated the global COVID-19 pandemic are distinguished by the gender of their leadership.  Across the world, countries headed by women and representing diverse cultures—from Germany, Norway, and Finland, to Taiwan, New Zealand, and Namibia—have managed the crisis more effectively, with fewer fatalities and less livelihood loss than others. But what distinguishes these health winners is not just the female shape of their leaders but the feminist shape of their societies. Even more gender-balanced societies headed by men—like Canada—do better in health crises than their less equitable peers like the United States. On the other hand, the most patriarchal countries headed by regressive strongmen do worse at every level of development. Today, we see this in Brazil, which until recently had managed health crises well under less masculinist leadership.

The Columbia River basin—which spans four U.S. states, two Canadian provinces, and 32 Tribal Nations or First Nations—touches the lives of more than five million people each day. The basin’s 250 hydroelectric dams power everything from Google’s data center to irrigation pumps that spread water onto fields of alfalfa and potatoes. Steelhead trout and salmon rely on the river to spawn. Ships and tugboats transport millions of tons of cargo to and from the Pacific Ocean.

Without connections to wider electrical grids, communities in the remote, rural Arctic depend on diesel generators for power—which makes electricity “ten times more expensive” than in the rest of Canada or the United States, said Martha Lenio of the World Wildlife Fund-Canada Arctic Team during a recent Wilson Center Ground Truth Briefing. In addition, spilled diesel “can harm wildlife, impact food and water security, and compromise permafrost integrity,” said Lenio. These challenges have led some communities in the Arctic to seek cheaper, safer, and more innovative energy solutions, said panelists during the briefing organized by the Wilson Center’s Polar Initiative and Canada Institute.

Put simply, “the damn thing melted,” Navy Secretary Richard Spencer explained in recent testimony, referring to Arctic ice melt as the trigger for the new U.S. Navy Arctic Strategy that is to be released this summer. What the Navy planned as a 16-year road map is in need of updates after only four years, in part due to receding polar ice caps, which are “opening new trade routes, exposing new resources, and redrawing continental maps,” but also in part due to the rise of China as an “Arctic stakeholder” and increasing important player in the region.

For years, the primary approach to improving global maternal health was additive – to increase capacity to address shortfalls in clinics, doctors, supplies, information, and skilled care. Today, however, some women are experiencing issues related to the opposite problem: too much.