Every night, Donna Young goes to bed with her pistol, a .45 Taurus Judge with laser attachment. Last fall, she says, someone stole onto her ranch to poison her livestock, or tried to; happily, her son found the d-CON wrapper and dumped all the feed from the troughs. Strangers phoned the house to wish her dead or run out of town on a rail. Local nurses and doctors went them one better, she says, warning pregnant women that Young’s incompetence had killed babies and would surely kill theirs too, if given the chance.

“Before they started spreading their cheer about me, I usually had 18 to 25 clients a year, and a spotless reputation in the state,” says Young, the primary midwife to service Vernal, Utah, a boom-and-bust town of 10,000 people in the heart of the fracked-gas gold rush of the Uintah Basin. A hundred and fifty miles of sparse blacktop east of Salt Lake City, Vernal has the feel of a slapdash suburb dropped randomly from outer space. Half of it is new and garishly built, the paint barely dry after a decade-long run of fresh-drilled wells and full employment. “Now, I’m down to four or five ladies, and don’t know how I’ll be able to feed my animals if things don’t turn around quick.”

Young, a fiftysomething, heart-faced woman with a story-time lilt of a voice, cuts a curious figure for a pariah. She’s the mother of six, a grandmother of 14 and an object of reverence among the women she’s helped, many of whom she’s guided through three and four home births with blissfully short labors and zero pain meds. And the sin for which she’s been punished with death threats and attacks on her reputation? Two years ago, she stumbled onto the truth that an alarming number of babies were dying in Vernal — at least 10 in 2013 alone, what seemed to her a shockingly high infant mortality rate for such a small town. That summer, she raised her hand and put the obvious question to Joe Shaffer, director of the TriCounty Health Department: Why are so many of our babies dying?