Some creatures have no choices. Babies have no choice abut to whom they will be born, whether they will be born to parents who love them. I have a choice. Mary Breckinridge had a choice. She found her niche in developing a system of healthcare to improve the lives of babies, women, families.
Life is full of choices.
Some of which are scary. I can imagine how it was in the late 1920's. Money was coming in to support the FNS and the great depression struck. There was not enough money to pay staff. British nurse-midwives came and worked for the experience, room, board, a horse and stipend.