Diane, great post. To answer plainly, I don't know. I suspect it has something to do with the fact that in a first world country babies can "get by" on formula. I suspect there is also a hesitancy to blame a problem on something the parents did when that something is socially acceptable. Kathy D? Also see the archives for Alicia Dermer's post about health care workers and their personal experiences. -Rob Rob Cordes, DO, FAAP, FACOP general pediatrician Wilkes Barre PA mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html