Here is my answer. I thought it was worth posting here"
For one thing, I cannot have a CNM ("a midwife that does have a medical background") attend my birth in my home. CNM's can only attend home births in Missouri (or get hospital delivery privileges) if they have a collaborative practice agreement with a doctor. Only 2 CNM's have been able to accomplish that feat in Missouri; neither of them live anywhere near me.
Secondly, while Certified Professional Midwives are not trained in the medical model of birth, the Midwives Model of Care in which they are trained is an excellent model. Their training is extensive, and is specifically focused on assisting women in home births. No other certification requires training and experience with home birth, so they are the logical choice for families who decide to have their babies at home. Additionally, study after study has shown that planned homebirth with a CPM is at least as "safe" as hospital birth, with fewer of the interventions that some families wish to avoid.
We personally have had a baby in a Missouri hospital with a CNM. We appreciated the services of our CNM, but it was obvious that the hospital environment was not the birth environment for us, except in the case that we needed medical assistance. That is why we have chosen to return to Kansas for subsequent births - to legally have the assistance of a CPM in a home environment.
Those of us who are striving to legalize CPMs in Missouri seek to not judge those who chose to birth differently than we do. We simply would like to see more healthy birth options available to the families in our state, and would like for parents to be affirmed in their responsibility and ability to make well-informed decisions on behalf of their children (instead of having their rights to make those decisions limited by the state). If that choice for someone else is to go to the hospital, that's a choice that I respect.