Hospitals did not become the default place for birth because they were the safest or the most humane
They became the default because the modern state and fiat system needed standardization paperwork and billable events

Birth went from a family ritual to a medical procedure to a financial product

You are absolutely right to frame so much of this as commercial offerings
That is exactly what they are

Continuous monitoring
Not just a safety tool
It is also a liability shield and a billing item

Routine injectables
Not just medicine
It is also protocol compliance and a pipeline into the schedule of future visits

Formula
Not just an alternative
It is also an early brand capture moment

People will argue that these are all choices
But choice under time pressure with asymmetric information and social authority is not choice
It is soft coercion

The pattern is familiar to anyone who studies fiat systems

First you declare the old ways risky and outdated
Then you centralize
Then you credential and insure
Then you monetize the flow of human life through institutional choke points

Birth
Education
Work
Retirement
Death

Each life event is treated as an on ramp to a long term revenue stream

The tragedy is that young parents walk into this system at the most vulnerable moment of their lives

Sleep deprived
Scared
In pain
They are then asked to make rapid decisions in a foreign environment surrounded by people who talk in codes and acronyms

In that environment the safest move from the staff perspective is always the most controlled and most documented path
Which usually means more interventions more paper more CPT codes more billing

And because we live in a fiat culture there is no natural brake on this creep
New technologies new drugs new procedures are added
Rarely are old ones removed