I need help in choosing between a direct entry midwife and a CNM. I want to be a CPM and then go to school later and become an RN. The autonomy of the job as a CPM is what I like, but not having a steady paycheck and health insurance scares me. After all, I don't want to live paycheck to paycheck. For all you direct entry midwives, would it be hard to make a living as a CPM? Any advice would be greatly appreciated. :)