Licensing Would Reduce Access to Lactation Support Services
Dec 10, 2024
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Jeff Singer, a Cato scholar and co-author of a pivotal paper, dives into the contentious topic of licensing for lactation consultants. He argues that while breastfeeding offers significant health benefits, government regulation may reduce access to essential support services. The discussion highlights the dubious influence of lobbying groups pushing for exclusive certifications and questions whether such measures really improve breastfeeding outcomes. Singer advocates for less governmental intervention to ensure that women have more options in lactation care.
The historical evolution of lactation support showcases the effectiveness of community-driven efforts over state licensing in promoting breastfeeding.
Licensing lactation consultants could hinder access to care and create monopolies, stifling competition and raising costs for new mothers.
Deep dives
Evolution of Lactation Support
The development of lactation support began in the 1950s with the establishment of community groups, notably the La Leche League International, which provided education and peer-to-peer support for breastfeeding mothers. Over the decades, this organic growth led to the formation of multiple organizations aimed at helping women with breastfeeding challenges, eventually resulting in the establishment of formal certification standards by the International Board of Lactation Consultant Examiners in the 1980s. Various certification paths emerged as the profession evolved, offering mothers access to trained lactation consultants. This historical context highlights the importance of community-driven efforts in promoting breastfeeding without initial government interventions.
Impact of Licensing on Access
The push for state licensing of lactation consultants raises questions about access to necessary breastfeeding support for new mothers. Research indicates that states implementing such licensing laws do not show significant improvements in breastfeeding rates compared to states without these regulations. Important organizations have even recommended against licensing due to concerns that it may limit access to vital care rather than enhance it. This situation underscores the potential negative consequences of governmental regulations in a field that has traditionally thrived on community-based support and flexibility.
Monopoly and Innovation Stifling
The movement towards licensing lactation consultants often results in a monopoly granted to specific accrediting bodies, like the International Board of Lactation Consultant Examiners, which stifles competition and innovation within the field. This creates barriers for new consultants entering the profession, raising costs for consumers as additional certification expenses are passed along. Historical evidence suggests that multiple accrediting organizations can provide necessary flexibility and responsiveness to changing needs. The ongoing debate emphasizes the need for informed choices among mothers regarding lactation support rather than relying solely on government-sanctioned providers.
Evidence suggests breastfeeding protects babies against short- and long-term health problems, so why license those who would help women do it? Cato's Jeff Singer and coauthor Sofia Hamilton discuss their new paper.