Health care (and its monumental reform) was incorporated into the exit polls on November 2 to help better understand voters’ motivation, and it was apparent that it had a major impact on how citizens voted. More than 50 percent of the electorate approved of the health reform legislation that passed, and more than half of those supporters would like to see the reform to go even further.

While just fewer than half the voters said they would like to see the health law repealed or overturned, there is little chance that will actually happen. With Democrats still in control of the Senate, and a President with veto power, attempts to diminish or destroy the law would likely not make it out of the House of Representatives.

It is also important to note that the law was created in such a way that many of the programs have built-in funding mechanisms, so overall budget reductions will not have an adverse impact on the pending improvements to the health care system.

Beyond the health law itself, we might find the new budget hawks of the House preventing appropriations, and thus funding, from making their way to our public health agencies such as the Food and Drug Administration or the Centers for Disease Control and Prevention.

By Sally Greenberg, NCL Executive Director

Sunday’s Washington Post featured a compelling – and sad – story that reaffirms NCL’s concerns about farmworker kids. In “A Harvest of Reduced Expectations,” by reporter Kevin Sieff, the youngsters interviewed describe constantly moving from town to town during the school year – following their farmworker parents, showing up at new schools in the middle of the year, and failing to enjoy any continuity in their education. As a result, many drop out.

One teenage girl talked about living in farmworker’s quarters, which are typically run down and lacking in the niceties so many of today’s teens take for granted – a good bed, a desk on which to do homework, regular hours for meals and bedtimes. One boy is pictured sitting on his bed reading over his homework; he has no desk and lives in a threadbare makeshift living quarters.

But most troubling in the teenage girl’s story is that though she is glad to be able to be with her father and take care of her siblings, she is often surrounded by farmworkers who are NOT there with their wives and families. During the weekends many of these men bring prostitutes back to the quarters where these children live.

Reid Maki at NCL has worked tirelessly with the other members of the Child Labor Coalition, which NCL co-chairs, to gain passage of the CARE Act, which will help to get farmworker kids out of the fields and in school full-time. This Washington Post article is particularly well headlined: A Harvest of Reduced Expectations; the piece does a great job of shining a light on the substandard and unacceptable living conditions of so many farmworkers – and their kids. Let’s pass CARE and get these kids into schools where they will be learning on a continuous basis and not exposed to a world that is hardly fit for adults, let alone children.

By Sally Greenberg, NCL Executive Director

Since our founding in 1899, the National Consumers League has worked hard to advocate for the better health of women and children. Florence Kelley, the League’s first leader, grew up in a family in which five of her mother’s eight children died from infection or disease. Babies during that time – the period right after the Civil War – were relatively safe while breastfeeding. Once weaned, they were exposed to illness from unsanitary food, water, and milk. Today, though we pasteurize milk and have access to safe drinking water, breastfeeding remains the best option for babies and their mothers, at least for the first 6 months of a child’s life.

That is why NCL was disturbed to read about an Internal Revenue Service decision that denies nursing mothers the ability to use their tax-sheltered health care accounts to pay for breast pumps and other breastfeeding supplies. NCL has written to the IRS to ask that the agency reverse its decision.

According to IRS Publication 502, reimbursable items include those that aid in the “prevention of disease.” The IRS apparently has determined that breast-feeding does not help in the prevention of disease. NCL could not disagree more. Medical evidence that far more widespread breastfeeding would not only “prevent disease” in the United States, but would save our health care system billions of dollars is overwhelming.

Consider the following evidence about the myriad health benefits to both breastfeeding mother and child:

• According to a Harvard study published in April of this year, if 90 percent of American families would comply with medical recommendationsto breastfeed exclusively for 6 months, the United States wouldsave $13 billion per year and prevent an excess 911 deaths,nearly all of which would be among infants ($10.5 billion and 741deaths at 80 percent compliance).

• The risk of infant death due to Sudden Infant Death Syndrome (SIDS) is lowered, and respiratory infections such as pneumonia, and necrotizing enterocolitis is nearly eliminated if mothers breastfeed their infants until at least six months after birth.

• The U.S. Department of Health and Human Services has found that breastfed infants have a lower risk of contracting ear infections, stomach viruses, atopic dermatitis, type 1 and 2 diabetes, childhood leukemia, and other health problems.

• Mothers also benefit from breastfeeding because of lower risk of contracting type 2 diabetes, breast cancer, ovarian cancer, and postpartum depression (PPD).

• Breastfed infants typically need fewer sick care visits; Congress recently acknowledged the importance of breastfeeding in landmark health care reform legislation by requiring that workplaces provide women with a private place to nurse or use a breast pump.

As Dr. Robert W. Block, president-elect of the American Academy of Pediatrics (AAP) noted in the New York Times this week, “The old adage that breast-feeding is a child’s first immunization really is true … So we need to do everything we can to remove the barriers that make it difficult.”

We agree with Dr. Block. And NCL reached out to our friends at AAP to share our letter and join forces with those who work to protect and improve the health of babies.

NCL strongly believes we need to encourage, not discourage, barriers to widespread breastfeeding. As in Florence Kelley’s day and ours, breast-fed babies get the best of all protections. Unfortunately, the IRS determination NOT to allow parents to use their tax-sheltered flex accounts to cover the cost of breast pumps has the impact of further discouraging women from breastfeeding and directly undermines what is by every measure a critical practice for improved public health. We believe the cost of breast pumps should and must be covered cost in these flex plans. We hope that NCL’s voice, along with the voices of AAP and so many others, will help to press the IRS Commissioner to reverse his decision.