Pam,

I heartily agree with the process of getting rid of the formula gifts -
however, this hospital is not counting that as the cost of formula - they
have lots of NICU babies and lots of moms who choose not to breastfeed.  I
guess until they get 80% of their moms to choose to breastfeed, the
question is moot...

Thanks for your input.  I'll try to see if the administration would allow
me to go there to make a "study" of how much formula is really "necessary"
vs. how much is just formula put in baby's crib and mom takes it out and
puts it in her purse for a friend..  How much is given to staff,  etc.  

In California I just learned, MediCal is willing to pay for Breast Milk for
babies who are in need of supplementing - NICU babies whose mothers are
unable to pump enough, twins and  triplets whose moms are working up to the
supplies they need.  

Some insurance companies also pay for breast milk, but the MD's
prescription must read for "medical treatment" not for "nutritional
supplementation".

The United States is a large, complicated, diverse country.  So each area
must practically design its own way of working to the Baby Friendly
goals...  Even though the goals are universal, the process to get there is
another story.

Jeanette Panchula, BSW, RN, IBCLC
Vacaville, CA
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