The cost of not breastfeeding: a commentary
1School of Nursing, Wichita State University, Kansas, USA.
Insights
Breastfeeding significantly reduces infant healthcare costs, preventing diseases like diarrhea and otitis media. Supporting breastfeeding offers incalculable societal benefits, including enhanced child development.
Area of Science:
- Public Health
- Pediatrics
- Health Economics
Background:
- Breastfeeding is a natural method promoting infant and child health.
- It offers significant healthcare cost savings by preventing common infant illnesses.
- Managed care models incentivize preventative health strategies like breastfeeding.
Purpose of the Study:
- To quantify the additional healthcare costs associated with non-breastfed infants.
- To estimate the economic impact of specific infant medical conditions linked to not breastfeeding.
- To evaluate the financial implications for federal programs like WIC and for families.
Main Methods:
- Estimation of annual national healthcare costs for four specific medical conditions in non-breastfed infants.
- Calculation of additional federal funds required by WIC to supply formula.
- Comparison of formula costs versus breastfeeding support costs for families.
Main Results:
- Non-breastfed infants incur over $1 billion annually in extra healthcare costs for diarrhea, RSV, diabetes, and otitis media.
- The WIC program requires an additional $2.6 million yearly for infant formula for non-breastfeeding mothers.
- Formula costs for families are double the cost of supplemental foods for breastfeeding mothers.
Conclusions:
- Breastfeeding provides substantial economic benefits through disease prevention and reduced healthcare expenditures.
- Enhanced breastfeeding education and support are crucial components of healthcare, particularly within managed care systems.
- Societal benefits, such as improved child intellectual development, are significant though not easily quantifiable.
Abstract:
Breastfeeding, a valuable natural resource, promotes health, helps prevent infant and childhood disease, and saves health care costs. Additional annual national health care costs, incurred for treatment of four medical conditions in infant who were not breastfed were estimated. Infant diarrhea in nonbreastfed infants costs $291.3 million; respiratory syncytial virus, $225 million; insulin-dependent diabetes mellitus, from $9.6 to $124.8 million; and otitis media, $660 million. Thus, these four medical diagnoses alone create just over $1 billion of extra health care costs each year. Breastfeeding may also enhance intellectual development of children according to at least one medical research study. The potential societal benefits of more intelligent children is incalculable even though it cannot be directly measured in terms of dollars. Finally, it was calculated that an additional $2,665,715 in federal funds is needed yearly in order for WIC to provide infant formula to nonbreastfeeding mothers. For the average family, the cost of purchasing formula is twice the cost of supplemental food for the breastfeeding mother. Breastfeeding education and support should be an integral part of health care, especially under managed care which rewards the prevention of health problems and reduced use of health services.
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