To expand further on the absurdity mentioned in my other comment: Before germ theory was known, maternity wards where baby deliveries were done by doctors had higher mortality rates for mothers and babies than wards where the deliveries were done by relatively "untrained" midwives (because doctors worked with cadavers and didn't wash hands).

However, from a certain economic standpoint, the midwife service would be considered "inferior" to the doctors service due to the difference in training and licenses.