Stop me if you’ve heard this one: career Bush administration officials had an idea that would benefit the public; affected corporations balked and hired lobbyists, political appointees (“loyal Bushies”) scrapped the idea.
In the latest instance, it was a public-service campaign on breast-feeding scuttled by the infant-formula industry.
In an attempt to raise the nation’s historically low rate of breast-feeding, federal health officials commissioned an attention-grabbing advertising campaign a few years ago to convince mothers that their babies faced real health risks if they did not breast-feed. It featured striking photos of insulin syringes and asthma inhalers topped with rubber nipples.
Plans to run these blunt ads infuriated the politically powerful infant formula industry, which hired a former chairman of the Republican National Committee and a former top regulatory official to lobby the Health and Human Services Department. Not long afterward, department political appointees toned down the campaign.
The ads ran instead with more friendly images of dandelions and cherry-topped ice cream scoops, to dramatize how breast-feeding could help avert respiratory problems and obesity. In a February 2004 letter, the lobbyists told then-HHS Secretary Tommy G. Thompson they were “grateful” for his staff’s intervention to stop health officials from “scaring expectant mothers into breast-feeding,” and asked for help in scaling back more of the ads.
“Cherry-topped ice cream scoops”? Seriously?
Last month, we learned that the White House took public-health campaigns so seriously, officials politicized the Surgeon General’s office to an unprecedented extent. But this interference with a public-health campaign is even more ridiculous — instead of giving orders to a non-partisan official, this was the administration taking orders from corporate lobbyists who don’t want mothers to breast-feed.
The evidence seems rather unambiguous.
Rep. Henry A. Waxman’s Committee on Oversight and Government Reform is investigating allegations from former officials that Carmona was blocked from participating in the breast-feeding advocacy effort and that those designing the ad campaign were overruled by superiors at the formula industry’s insistence.
“This is a credible allegation of political interference that might have had serious public health consequences,” said Waxman, a California Democrat.
The national breast-feeding rate — which reportedly lags behind the rate in many European countries — was apparently unchanged by the industry-backed HHS campaign. And that, of course, was the point of the infant-formula industry’s intervention in the first place.
It seems to be, you guessed it, part of a pattern.
[C]urrent and former HHS officials say the muting of the ads was not the only episode in which HHS missed a chance to try to raise the breast-feeding rate. In April, according to officials and documents, the department chose not to promote a comprehensive analysis by its own Agency for Healthcare Research and Quality (AHRQ) of multiple studies on breast-feeding, which generally found it was associated with fewer ear and gastrointestinal infections, as well as lower rates of diabetes, leukemia, obesity, asthma and sudden infant death syndrome.
The report did not assert a direct cause and effect, because doing so would require studies in which some women are told not to breast-feed their infants — a request considered unethical, given the obvious health benefits of the practice.
A top HHS official said that at the time, Suzanne Haynes, an epidemiologist and senior science adviser for the department’s Office on Women’s Health, argued strongly in favor of promoting the new conclusions in the media and among medical professionals. But her office, which commissioned the report, was specifically instructed by political appointees not to disseminate a news release.
One political appointee at HHS reportedly gave explicit instructions that there should be “no media outreach to anyone” on breast-feeding research conducted by the agency.
I don’t imagine anyone will find this at all surprising, but it’s good to learn once in a while who’s calling the shots and pulling the strings.