I am also a British Midwife living in Houston - however i am not practising as a midwife. I practised as a midwife for 14 years in the UK prior to coming to houston.
We have lived in Houston now for about 6 years and we love it - apart from the Medical Issues ! I think you are correct - over prescribing and major insurance premiums - where is the choice here?
It is extremely different here and "Midwifery" is not viewed as the "norm" - woman see "Ob-Gyn's" - what is one of them i asked myself when i arrived
Well hope all goes well and let me know how you are doing