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In 1925 Mary Breckinridge (1881-1965) founded the Frontier Nursing Service (FNS), a public health organization in eastern Kentucky providing nurses on horseback to reach families who otherwise would not receive health care. Through this public health organization, she introduced nurse-midwifery to the United States and created a highly successful, cost-effective model for rural health care delivery that has been replicated throughout the world.

In this first comprehensive biography of the FNS founder, Melanie Beals Goan provides a revealing look at the challenges Breckinridge faced...