I saw my wife before and after an Epidural so I could not dispute it's effectiveness.
But I generally can't see a reason why we need to spend 12 years in school to learn how various needles and rules of thumbs work.
Only the US has such an education burden, and only does the US have such a strong physician cartel to mandate it..
Edit, and even with midwives you will be hitting max out of pocket with 1 night stay.
There's more to it than you think, and it's easy to think that it's a simple procedure whenever you don't know what can go wrong, why things can go wrong, and how to fix things if it does go wrong.
Also, the doctor isn't why it's expensive. Doctors don't set the prices, hospitals and health insurance companies do.
I watched the one on my son, and while it wasn't nothing, it was a tiny amount of skin and it was healed up very nicely before even his umbilical cord had fully dried and fell off.
Another thing that seems to be pushed a lot is epidurals. They expect everyone to get one and are very surprised when someone does not want it.