06/14/2026
The phrase “breast is best” arose during a time when most people were not breastfeeding. This phrase was used as part of a public health initiative to raise awareness about the benefits of breastfeeding, for which there are many. Americans had been told for decades that formula was the superior way to feed a baby, so the slogan was meant to counter act that cultural notion as science proved the obvious, that human milk made for human babies is the best nutrition there is. This is fact, it is not up for debate. I’m not going to list the many reasons why, because everyone has Google.
Having supported many families in their breastfeeding journeys from the very start and often through the first 3-6 months, I truly believe that education and support is what leads to successful breastfeeding.
I have had a handful of clients who actually do need to combo feed or formula feed, primarily because of insufficient glandular tissue (breast hypoplasia). I find that parents who intended to exclusively breastfeed feel guilty, upset, or sad about the fact that their baby is dependent on a food source outside of them. You know what is far more comforting to these families than saying “fed is best”? It is hearing that any amount of breastmilk - whether it was only day 1 of life, a few ounces a day, or for a few weeks - is incredibly beneficial for their baby. Human milk, whether it is from the person who gave birth or a generous donor, is invaluable.
We can acknowledge that there are situations where formula is needed and the best available option without negating the incredible benefits of breastmilk.
My take is that formula should be treated as a medication, not just food. Here’s why:
1. Insurance coverage of the cost of formula for those who need it
2. Get rid of predatory formula marketing
3. Higher safety standards for formula (there have now been several recalls in the last year for botulism!)
4. I imagine that sharing breast milk would become MORE common and easier to access, both in hospital and in community
