A meaning question

"We lose sight of our resources, lose control over the environmental conditions which make these resources applicable, lose taste for self-reliant coping with challenges from without and anxiety from within. Take childbirth in Mexico today. Delivery without professional care has become unthinkable for those women whose husbands hold regular employment and, therefore, access to social services, no matter how marginal or tenuous, is denied. They move in circles where the production of babies faithfully reflects the patterns of industrial outputs. Yet their sisters who live in the slums of the poor or the villages of the isolated still feel quite competent to give birth on their own mats; they are still unaware that they face a modern indictment of criminal neglect toward their child." (Ivan Illich, The Right to Useful Unemployment)

I couldn't figure out what the emphasized part says, can you help me?