My signature indicates affirmation and respect for people of all genders; full agreement regarding the use of gender inclusive language in the MANA Core Competencies and in all documents regarding the profession of midwifery and provision of midwifery care; and the welcoming of transgender, genderqueer and intersex people into safe, culturally sensitive, shame-free reproductive health care. I do not refute the "life-giving power in female biology." Rather, I support a larger vision that includes the provision of midwifery care to all pregnant and birthing people.