it extends the horatio alger story from wealth to help. we all have the potential to be healthy, we just need to work at it, exercise the mora moral fortitude. we need to pull ourselves up by the bootstrap and we will succeed. so this is privatizing responsibility for health. i think this is another way in which breast-feeding fits conveniently into an american health paradigm that increasingly blamed individuals themselves for poor health outcomes, and for the soaring cost of american health care. but it's not just a matter of blaming individuals, the point i was making before. when we blame individual lifestyle choices for the crisis of american health care, we are not only blaming random unhealthy individuals in our society, we are consistently blaming some category of people. the unsafe sex, for example, is associated with th gay men, prostitutes and iv drug users. smoking is more prevalent among people who are poor. obesity is more prevalent among people who are african-american. and the failure to breast-feed is the failure of women,