“…16 -19 More than $3.6 billion in annual health care costs would be saved if breastfeeding increased to the rates endorsed by Healthy People 2020, and $13 billion would be potentially saved annually if 90% of mothers in the United States exclusively breastfed their children as recommended. 5 Younger, less educated, and single racial/ethnic-minority mothers in the United States and Puerto Rico are at risk for early weaning from breastfeeding, 2, 20 -22 perhaps related to breastfeeding-related technical issues (ie, latching issues and resulting sore nipples 23,24 ), psychosocial issues (ie, early introduction of formula milk, 18,21 perception that infants prefer formula milk, 25 desire to keep infants full longer, 26 return to work, 26,27 confidence in breastfeeding, 25,28,29 and social support 28,30 ), and economic issues (ie, distribution of free infant formula by the Special Supplemental Nutrition Program for Women, Infants, and Children [WIC] 18,23 ).…”