VOA – CONNECT
EPISODE 121 ((first aired as EP 45))
AIR DATE 05 08 2020 ((first aired on 11 23 2018))
TRANSCRIPT
OPEN ((VO/NAT))
((BANNER))
A Birth at Home
((SOT))
((Gina, Mother))
A deer actually gave birth right in front of this window and I
thought, I’m having a baby in front of this window if I have it
at home. So, this is where it’s all happening.
((NATS))
((SOT))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
The main reason that women are choosing to have their
babies at home is because they want to have some control
over the process.
((OPEN TRANSITION))
((PKG)) HOMEBIRTH DURING COVID-19
((Banner: The following contains scenes of
childbirth. Viewer Discretion is Advised))
((Banner: A Birth at Home))
((Reporter/Camera: Gabrielle Weiss))
((Map: Montgomery County, Maryland))
((Banner:
Over the past weeks of the COVID-19 pandemic in the US,
some home birth midwives are seeing an uptick in expectant
mothers seeking to give birth at home rather than in
hospitals.
Before the pandemic, leading US medical groups stressed
hospitals are the safest setting for delivering babies. Local
conditions may now impact decisions.
Always consult local health authorities and doctors.))
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
So, there have been a lot of changes in our practice since
the pandemic started. For one thing, we really went into this
because we wanted to do the hands-on, low-tech, high-touch
approach to care. We spend a lot of time in our clients’
homes and they come to us for their community care group
visits. And then, when we go to them for their births, one of
the things we’ve always said jokingly is, you know, you can
have anyone you want with you at your birth. You can have
your entire graduating class with you if you like. And now,
we’re saying they can have their partner and really no one
else. So, it kind of feels like we’re taking things away that
we’ve always done. Water birth is now not recommended
and we don’t do all the home visits that we used to.
((PHOTO CREDITS))
((Courtesy: David Rothman))
((Courtesy: M.A.M.A.S., Inc.))
((Courtesy: Mattias James Martin))
((Courtesy: M.A.M.A.S., Inc.))
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
We’re doing a combination of virtual visits and hands-on
visits in our offices. Also, during the birth, we’re donning full,
personal protective equipment and it really makes us feel a
little bit removed from the client. It makes for some very
strange birth pictures as well. It’s our new normal.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
People tend to give mostly three different reasons for why
they’re switching to us because of the coronavirus. One is
that, they’re worried that going to the hospital is going to
increase their exposure to the virus and possibly get
themselves and their baby sick. They’re worried that with
the surge by the time they have their baby, that there won’t
be space for them in the hospital. And then the other is that
they’re worried that they won’t be allowed to have their loved
ones with them at their delivery.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
So, the birth that you are about to see, was filmed before the
coronavirus. So, it might look a little bit different now. The
costumes might be different and some of the equipment that
we use is different but the process is essentially the same.
A brand new human being is being born into the hands of a
midwife and placed in the loving arms of his or her parents.
((NATS))
((Gina, Mother))
So, I’m all ready with the baby’s room. She’s the first girl, so
we’ve gotten a lot of presents and stuff even though it’s my
second. Her closet is full and her drawers are full of clothes.
I’m 39 weeks pregnant and I plan to have a home birth, like I
plan for it to be, hopefully, peaceful. I plan to actually give
birth in the tub, in my living room, with the support of my
husband and midwives.
Before I announced that I was pregnant, a deer actually
gave birth in front of my house, right in front of this window
and I thought, I’m having a baby in front of this window if I
have it at home. So, this is where it’s all happening.
((Gunnar, Son))
I want to fly.
((Justin, Father))
You want to fly like Ironman?
((Gina,Mother))
I have a three year old. I had him in a hospital, a
conventional birth. I was induced. You know, everything
was so medical. I’m laying on a bed. I have monitors. I
can’t walk. It’s almost like the woman has no part in it.
Now that I am going through this pregnancy again, I began
to realize that I really didn’t like that first experience and that
I wanted to kind of take control of my labor. You know, it’s
my body, it’s my experience and that I wanted to own it.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Well, a lot of times people ask me why I went from being a
choreographer to being a midwife and my usual answer is
that the first time I saw a birth, I realized I could never make
a dance that good. I think I have a short attention span and I
don’t usually stay interested in things for a long time but I’ve
been a midwife for 21 years and I have never been bored.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Hey, puppy. Hi puppy. Hi. It’s Feeta. Come on, Feeta.
Good to see you.
You too.
((Gina,Mother))
Hi, I haven’t seen you in a while. How are you?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
So, how’s everything going?
((Gina,Mother))
Okay.
((Máiri Breen Rothman, CNM, MSN. Director M.A.M.A.S.,
Inc.))
Yeah?
((Gina,Mother))
Yeah.
(Máiri Breen Rothman, CNM, MSN. Director M.A.M.A.S.,
Inc.))
You feeling impatient yet?
((Gina,Mother))
Yeah. I mean I’ve been having a lot of lower back pain,
Braxton Hicks. I’ll like get up and walk and after an hour it’ll
go away and then I don’t call. So, it’s kind of like nerve-
racking because how am I going to know?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
You’ll know because it won’t go away. Yeah. And you
know, what sometimes happens is somebody will think, ‘Oh,
is this labor? I better call the midwife.’ And then they call
and then it goes away and it turns out not to be labor. And
so then, the next night that happens again and it turns out
not to be labor. So then, the third night when it happens
again, they’re like, ‘I’m not calling the midwife. This is not
real.’ But it is. So, if you ever, if it crosses your mind to ask
yourself, ‘Should I call the midwife?’ the answer is yes, you
should call.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Okay, so you can just sit back or lie down or….. That is a
really nice round shape.
((NATS))
Hello, little parts.
((NATS))
Hey, baby.
((Gina,Mother))
That sounds like a fast heartbeat.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Well, you know, when she moves, she’ll cause herself to
have a heartrate acceleration which is good. That’s a good
sign. Yeah.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Hi.
((Justin,Father))
Hi.
((Gina,Mother))
Hi, buddy.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
How are you, Justin?
((Justin,Father))
Good. How are you guys? Baby still in there?
((Gina,Mother))
Still in there.
((Justin,Father))
Still in there? Good.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Yeah, she’s very active.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Childbirth is really the last frontier of feminism. When the
feminist movement started, it really looked at, in terms of
reproduction, women’s right to not have a baby and to
decide whether or not they wanted to be a mom. But in the
urgency and importance of that issue, they kind of forgot
about women who are having babies. And we’ve just
accepted that as this is the way that birth is. And then I
began to see women giving birth at home and in birth
centers and I was enlightened into a whole other way of
seeing birth where the mom is the locus of control, where
her sovereignty is held and preserved by the people taking
care of her and she is seen as the expert in what’s going on
in her own body.
((NATS))
((Gina,Mother))
I think it’s very important to develop that relationship before
giving birth. So, I feel very comfortable. There’s the three
midwives at M.A.M.A.’s midwives. They kind of get to know
you, right? They know my son. They know my dog, my
husband, you know?
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Our team is comprised of me. I’m a full-time midwife and the
owner of the business. And then, I have two midwives
working with me, Katie Shannon and Kathy Peacock, who
together make up 1.5 positions. And Leslie Hill Jenkins is
the glue that holds our practice together. Stuff with
insurance and birth certificates, that’s all her department.
She deals with the paper.
Our model of care is, we call it community care and it’s a
hybrid of individual visits at the person’s home and group
visits at our place.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
This is when we start talking about, like, how is this actually
going to work? How is this birth going to come together at
your house?
When people first come to us wanting to have us attend
them in their pregnancy and their birth, we do an
assessment of their health history and their health status
currently. And then, that’s an ongoing assessment for any
risk factors that would indicate that it’s not a good idea for
them to be outside of a hospital.
((Gina,Mother))
So, when I was interviewing M.A.M.A.’s midwives, I had
questions about their transfer rate, what the plan of transfer
would be, what hospital, you know, do they prefer to transfer
to, you know, what if there’s an emergency. All of those
questions are very important to me and something that I
needed to know and feel comfortable with before finalizing a
decision.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
I would say that every good midwife, when she’s on her way
to every birth, is rehearsing all the motions that you go
through, if you have a shoulder dystocia or a hemorrhage or
a baby that doesn’t come out and breathe right away. We’re
just going through the motions in our head, preparing for the
worst and expecting the best and 99.9 percent of the time
you get the best, but that .1 percent, you need to be ready.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
I know it’s hard not to feel like, you’re, you know, failing in
some way or you’re defeated in some way but, honestly, I
really want you to hang on to the idea that your body is doing
exactly what it’s supposed to be. It’s not doing it on a
schedule that somebody else has decided on, but it is doing
exactly the right thing.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Oh, your baby’s really low.
((Gina,Mother))
Yeah, I feel that.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Please call us as soon as you feel like something’s changing
because your baby is only, like, this far away from the world.
((Gina,Mother))
Really?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Yeah. It’s really low, yeah. You probably feel like you’re
walking around with a bowling ball, right?
((Gina,Mother))
I feel very uncomfortable when I
walk.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Yeah, you’re ready. When the baby’s ready then you’ll both
be ready.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
This country has the highest infant and maternal mortality
rates in the developed world and only 1% of our births
happen at home. So, all of those people who are dying,
babies and moms, are not dying at home. They’re dying in
the hospital. And I think it’s really important to understand
that.
((Gina,Mother))
I had a complete breakdown yesterday, so that helped me
feel better today, I guess. Just like surrender, like, 'Ok, I
have no control over this.' I keep saying it and thinking I
believe it, but I actually don’t think I believed it until
yesterday, like, for the first time. I was, like, 'Ok, it’s going to
happen. There’s nothing I can do.'
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
It’s really common for women to feel like they’re late and that
somehow their body is failing them because they haven’t
had their baby yet. So, it’s kind of a challenge for the
midwife to help them come around to understand the fact
that normal human gestation is 37 to 42 weeks and
somebody who’s 40 weeks and five days pregnant is not
late.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
So, your due date was Saturday. So, you’re 41 weeks and
two days today. Any questions or concerns apart from…
((Gina,Mother))
The obvious.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Yes.
((Gina,Mother))
I mean, I’m definitely concerned about stillbirth at this point,
right?
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Your fetal movement counts are the best indicator that your
baby is doing just fine.
((Gina,Mother))
My fetal movement counts. I do them at night, right? So, I
think, I don’t feel a lot of movement, for instance, today so
far. Right, so it’s like, I feel her move at night, but I don’t feel
her move the whole entire day sometimes. And then I
wonder, there’s a point where, like, if it were to happen, if
something were to happen that was wrong, it would happen
at some point during the day.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Let’s listen to baby and do the auscultated acceleration test
and just make sure that baby is doing fine.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
You know, when I first was introduced to midwifery I thought,
well, home birth is really beautiful, but it seemed like we
were trading medicine for folk art and that I had this
impression that, I think, many people have, that home-birth
midwives come to your house and sprinkle you with herbs
and hope for the best, when actually, home-birth midwives
are practicing state-of-the-art maternity care, where they’re
combining modern health care knowledge and supplies and
equipment with that TLC [tender, loving care] of traditional
midwifery and it’s a magical combination because it yields
amazing results.
((NATS))
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Perfect.
((Gina,Mother))
She’s alive.
You want the baby to come out?
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Let’s schedule…..
((Gina,Mother))
A C-section?
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
No, we’re not scheduling…..we don’t do those in the home.
We’re monitoring you very closely but, just that you’re
pregnant at 41 and 2, it’s not a problem. It’s normal if
women are allowed to go naturally.
((Gina,Mother))
Yeah. I hear you but, but I challenge you. Second time
mom. Not Caucasian. They say Caucasian women gestate
longer, so I thought I’ve got that going for me for once.
Nothing.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
It’s just that your baby’s not ready yet.
((Gina,Mother))
I know.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
It’s not a problem.
((Gina,Mother))
I know and I’m really mad at her.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
You can talk to her all you want when she comes out.
((Gina,Mother))
She better be cute.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
She will be.
BREAK ONE
BUMP IN ((ANIM))
BLOCK B
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Let your breath come. Let your breath help you. Send it
right down into where it hurts. Breath right down into there.
That’s your last little bit of cervix going away.
((Rachel Cipryk, SM, student,
midwife))
Big breath. Blow it away.
((Justin,Father))
I am trying to be super cool and calm because that’s what
she asked me to do, like, 150 times. And, tonight’s the night.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Baby’s ROA.
((Gina,Mother))
I can’t.
((Rachel Cipryk, SM, student
midwife))
You can. Yes, you can.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
You’re doing it, Gina.
((Gina,Mother))
Is it happening? Are things happening?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Yes, yes. Let your legs be open so the baby can…..yeah,
that’s baby moving down.
((Gina,Mother))
Is she coming?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
We can’t see anything yet but I can hear her coming down.
((Gina,Mother))
I’m sorry.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
You have nothing to apologize for.
((Rachel Cipryk, SM, student
midwife))
This is exactly how she comes down.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Don’t apologize for being perfect. You’re going to have a
baby in your arms really soon.
((Gina,Mother))
Is anything happening?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Yeah.
((Rachel Cipryk, SM, student
midwife))
Your baby’s moving right down.
((Gina,Mother))
Are you sure?
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
It certainly seems that way.
((Gina,Mother))
I know but what if I’m just being dramatic?
((Justin,Father))
Still got jokes.
((Gina,Mother))
Shhh.
((Justin,Father))
Alright. Sorry.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
130’s
((Rachel Cipryk, SM, student
midwife))
Sounds good, Gina.
((NATS))
((Gina,Mother))
Oh my god. She’s coming. She’s coming. Catch her.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Ok, you’ve got her. That’s it. Here she comes. Reach down
and catch your baby.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Here she is. Perfect.
((Gina,Mother))
Oh my god. Oh my god.
((Rachel Cipryk, SM, student
midwife))
Turn her head so she can breathe. Good job.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Come over here dad.
((Gina,Mother))
Hi, sweetie. Hi, my love. Oh, baby. Oh, baby girl. Oh,
sweetie. Oh my god. I can’t believe I did that.
((Rachel Cipryk, SM, student
midwife))
You did it.
((Gina,Mother))
Oh my god. Oh my god I did that. Oh my god I did that. I
felt like it was never going to happen. And it just popped out.
She just popped out.
((Justin,Father))
You worked it.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
You did it.
((Rachel Cipryk, SM, student
midwife))
You did a lot of work to get there.
((Gina,Mother))
Oh my goodness. I want to see her face but I’m scared to
pull the placenta.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
You know what? If you have the energy, if we could help
you get up. Your whole job is just to hang on to the baby
and we’re going to help you get up, okay?
((Gina,Mother))
Hi, you stubborn, stubborn girl.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Let’s get you to the couch.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
There’s a saying that ‘peace on earth begins with birth’ and I
really think that that’s true, that the way you come into the
world is important.
((NATS))
((Gina,Mother))
Hi, sweetie pie. We did it. She’s nursing.
((NATS))
((Justin,Father))
To see the process like unfold naturally was, was just
amazing. You can’t do anything but just, you know, be there
and support and try your best not to talk and follow the
instructions you were given. But, she did, she just was so
amazing and I knew she would be but when you see it
happen, I don’t know, it’s something.
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
She’s 8 even.
((Kathy Peacock, CNM, MSN, Staff Midwife, M.A.M.A.S.,
Inc.))
Yeah.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
8 exactly. Alright, 8 pounds, zero ounces [3.6 kg].
((Gina,Mother))
Thank you so much, everyone.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
I’m so proud of you. You were so patient and you waited
until your body was ready.
((Justin,Father))
Thank you so much. You were great.
((Rachel Cipryk, SM, student
midwife))
You’re very welcome.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Alright, troops out.
((NATS))
((Gina,Mother))
I’m in shock still but I feel great. I feel great. I did not feel
like this with my hospital birth. This time, it hurt like crazy
but I did it, but I did it. Like, but look at her. She’s alert.
She’s nursing. Because she was born when she was ready.
((Justin,Father))
She’s ahead of the game, man. I feel like she’s going to
start talking soon.
BREAKTWO
BUMP IN ((ANIM))
BLOCK C
((Banner: 6 Weeks Later))
((NATS))
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Hello there, puppy. Hi. Good. How are you? You look
great.
((Gina,Mother))
Thank you.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Hi. How’s life with two kids?
((Justin,Father))
Twice as fun.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
So, thinking back on 6 weeks ago, it just feels so long ago.
((Gina,Mother))
It does seem so long ago.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
When you think about the birth, what are your thoughts?
((Gina,Mother))
Looking back on that moment where, you know, where I was
kind of huddled in pain and then all of a sudden, feeling this
moment of 'I’ve got this. I’m in complete control right now'
and it’s all me and I turned around on all fours and pushed
and then she came. And looking back on that is just like
incredibly empowering, right? Like, I did it. I did it.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Oh yeah. Nobody else. I often wish I could have a few
contractions for the person but, no, it’s all you.
((Gina,Mother))
No, you don’t.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
This is your last home visit for this pregnancy.
((Gina,Mother))
Thank you, Máiri.
((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
Thank you for choosing us to go on your journey with you.
((Gina,Mother))
She says thank you, too.
(((Máiri Breen Rothman, CNM, MSN, Director M.A.M.A.S.,
Inc.))
So sweet.
((Gina,Mother))
What do you think about having a sister?
((Gunnar, Son))
I like this baby.
((Gina,Mother))
You like this baby. Okay, there we go. That was a good
answer.
((Gunnar, Son))
She’s happy at you.
((Gina,Mother))
She’s happy at me. Ooh, yeah.
((Gunnar, Son))
She’s a baby.
((Gina,Mother))
Yeah, look at that smile.
((NATS))
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Near the Turkish Embassy
Washington, D.C.
May 16, 2017
President Erdogan’s bodyguard attacks peaceful protesters
“Those terrorists deserved to be beaten”
“They should not be protesting our president”
“They got what they asked for”
While some people may turn away from the news
We cover it
reliably
accurately
objectively
comprehensively
wherever the news matters
VOA
A Free Press Matters
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((PKG)) FREE PRESS MATTERS ((NATS/VIDEO/GFX))
((Popup captions over B Roll))
We make a difference
When we unmask terror
When we explain the impossible
When we confront an uncertain future
When we give voice to the voiceless
The difference is Freedom of the Press
We are the Voice of America where
A Free Press Matters
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