Bad government policy is fueling the infant formula shortage
382 comments·May 14, 2022
> infant formula is strictly regulated for very good reasons
> Also, of course, we shouldn't have let such a critical product mostly be made by 3 companies, but that's another rant.
Do you think these two are related?
Was just about to say as well. The more regulated an industry is the more consolidated it will become and the higher the costs will have to be, which either get passed on to consumers and/or in cutting capacity.
Why is that? I can think of "just so" explanations that would point in the opposite direction, that less regulation leads to more consolidation. For example, the less regulated an industry is, the fewer barriers there are to buying up competitors. Or the less regulated an industry is, the more companies in the industry will be forced to cut corners to remain competitive, decreasing resiliency and causing bankruptcy when conditions change.
I don't think that's true. Look at banks, to are highly regulated and there are almost 5000 of them https://en.m.wikipedia.org/wiki/Banking_in_the_United_States
Can't wait for VC to pump money in startups that will bring free baby formula to everyone through sponsored growth marketing /s.
Winner takes all outcomes are inevitable without regulation to preserve competition.
Orthogonal to administrative burden, regulatory capture, politics (dairy lobby, protectionism, whatever). Which are all also base states which must be actively thwarted.
The world is more complicated than Chicago School of Economics' Kiplingesque just so stories.
Just like the telecom industry, Making it ludicrously easy for an attacker to taken down communications during a war.
I hope the current world events forces the governments to rethink their strategy of keeping the telecom industry an oligopoly and decide that reducing the barrier for entry to the telecom industry is vital for the national security.
Capitalism will solve everything! Private business is efficient! Competitors will surely recognize this opportunity and swoop in to save the day! High demand and low supply == increased prices and everything still works great! /s
Not really no. Plenty of things are much less regulated and just as consolidated (in fact, many examples that are also consolidated into exactly this same set of companies). So it may have some effect but clearly isn't the main one since we see this result for all kinds of products at every level of regulation.
Regulation can also mandate a reserve stock.
The fact these regulations didn't reflects badly on these regulations, not regulation in general.
Well yes but would you suppose they deregulate infant formula ?
That's a perplexing blanket libertarian statement We shouldn't let the market decide what goes into baby formula, that would be crazy.
Although the linked article does not address it, the FDA is certainly working to mitigate any fallout from the plant closure. Much of the complexity is that WIC is administrated at the state level, so the FDA must work with each state individually to address the shortage.
Of particular note: >more infant formula has been produced in the last four weeks than in the four weeks that preceded the recall, despite one of the largest infant formula production facilities in the country being offline during that time.
>>> FDA is certainly working to mitigate any fallout from the plant closure.
This should not be the role of the regulator. Let the FDA set standards and check for compliance.
My mistake. The press release is actually from the USDA, and this is the only mention of the FDA:
>USDA has been working closely with FDA to ensure program participants and stakeholders have the information they need to keep infants safe
I apologize for any confusion.
Had they acted as if it was an emergency, they would have mobilized all available resources to clean and disinfect the facility, replace the faulty milk drying equipment, and get the facility back up and running.
But why wasn’t it a priority for Abbott? They don’t care about sales or making money?
They spent a lot of money on stock buybacks . Maintaining production capacity was not a priority. Never forget what Milton Freedman said, the first priority of a company is to increase profits for its shareholders. With the recent evolution of finance, that priority term is getting shorter. The value must be brought for the next quarter. What happens 6 months from now is becoming less and less relevant.
That makes zero sense.
They either had a profitable product line or not. If it was profitable, they had every incentive to fix the problem. Stock buybacks don't change any of that - in fact, they need profit to actually do buybacks.
And not thinking long term? I mean Abbott has been making formula for decades? You're telling me their CFO is like "meh, who care if that multi-billion dollar business goes under in 6 months"?
Well it’s not like they were compliant with regulations anyway. The only reason they got pinned here is that they killed multiple babies too quickly from their negligence.
It’s worth noting that Abbot claims to have sequenced the bacteria and disputes the claim that their facility caused the infant deaths.
They also left out a another key point. Trumps renegotiation of NAFTA into USMCA created significant restrictions on importing formula from Canada.
> Absurdly, provisions were added to the United States‐ Mexico‐ Canada Agreement (USMCA) to restrict imports of formula from Canada, supposedly because China was investing in a baby food plant in Ontario, and this new production might eventually enter the U.S. market (heaven forbid!). 
They did not left the point out.
It is at the end of the 4th paragraph
>>>>>"(Note to my MAGA readers: Trump's renegotiation of NAFTA helped make these products worse in an effort to "protect" American formula producers from Canadian producers"
Oh I’m sorry I must have missed that. Thanks for pointing it out.
Really want a chinese infant formula… you guys are not joking.
What an absurd statement. It's a factory in Ontario with a foreign investor, subject to Canadian CFIA oversight. Literally everything you rely on to live your life is made in China, this is a very strange place to draw the line as children are dying.
The issue is absolutely bad government policy. The Reason article isn't very good but its premise is correct. I'm surprised to find myself saying this, but Truthout wrote a much better investigative piece almost a month ago: https://truthout.org/articles/company-responsible-for-tainte...
This is why government policy is at fault:
- Around two thirds of all infant formula is purchased through a single government program
- The government requires that there only be a single supplier of formula for this program in each state
- Through the natural tendencies of capitalism this has led to consolidation where one provider, Abbott, enjoys government-mandated monopolies in 34 states and a controlling share of the formula produced in the US
- Through the natural tendencies of monopolies which are unchallenged by competition, they sought to maximize margins above all else, concentrated their production and poisoned their own product, leading to the production shutdown and the shortage.
The government screwed up. Rather than blaming the problem on hoarding moms, Vladimir Putin or whatever next week's appallingly self-serving disinformation will be, they should amend the law which maintains a monopoly in the formula market. If the industry was not so consolidated by the government's addiction to picking winners, Abbott's screwup would have been more disastrous for Abbott and less disastrous for moms.
Why don't we stockpile it, though, like other critical items like petroleum and medicines, for temporary shorateg relief? Surely that's a government failure.
It expires. I don't know at what point it becomes unhealthy/dangerous but infant formula is one of the few shelf-stable items that's illegal to sell past the use-by date. Many things are perfectly safe/stable past their 'sell by, best by, use by' dates (bottled water, most canned food) but I haven't read data on this specific item.
Who is we? You are free to stock your pantry as you desire.
What are we going to be short of in 5 years' time, that we should start stockpiling now?
Sure, it may not be possible to stockpile every niche product, but this is literally food, perhaps the most obvious thing (up there with water and medical supplies) for governments to stockpile.
Pretty much everything?
Lean does nothing but put cash in the pockets of those at the top at the expense of everyone else when there is a hiccup in the supply chain.
It's easy to see in hindsight that a certain item should have been stockpiled in anticipation of a shortage. What's hard is predicting what's going to be a shortage years into the future. Petroleum is an easy choice since energy is almost always in demand.
And then there's cases where there was good foresight in stockpiling certain essentials in some wiser countries, but then they go and decide to stop stockpiling. The craziness! ;) (see https://www.bbc.com/news/world-europe-50402048 https://www.economist.com/europe/2019/11/21/defending-switze...)
> it's a lack of urgency from the government and private sector to make sure a medically critical product is available.
Yes and no. But mostly no. It's that we're optimized for the best case scenario. We're in love with theory, of economies of scale and a world with no pot holes (so to speak).
That's profitable. But it's also ridiculous and stupid.
If Abbot being compromised can lead to this then that smells like a monopoly. Or at least a bad case of cronie capitalism. Three companies is not a rant. It's The Root Problem.
> If Abbot being compromised can lead to this then that smells like a monopoly.
where "Abbot" means "one facility". what are you going to do, break up the one facility?
So you believe the status quo is the best possible answer?
You're suggesting we opperate a mission critical application without a disaster plan. We all know that's foolish.
Seems to me that still falls under the umbrella of "bad government policy". So, you could say bad government policy doesn't explain the whole problem. There's also bad government policy.
This is Reason. Ther good government policy would be doing nothing, which wouldn't help poor families get formula either.
There's a case to be made about fine-tuning things in some ways as the article suggests, but it's still gross to frame this under the "government is bad" banner as Reason does.
This concern is especially relevant in the baby formula space, where Nestle killed thousands of babies by pushing their mothers off breast milk onto unreliably supplied formula.
> Their good government policy would be doing nothing, which wouldn't help poor families get formula either.
Sure it would. If baby formula were unregulated the price would be lower - this is obvious on its face. It would also (probably) be riskier, and the trade-off might not be worth it, but it would be cheaper.
We systematically underestimate how much poverty is worsened by regulation that increase the prices and/or reduces the availability of goods. The left has finally gotten religion here on housing ("YIMBY" just means "deregulate construction in order to drive down prices") so maybe there's hope.
> This is Reason. Ther good government policy would be doing nothing, which wouldn't help poor families get formula either.
Their good government policy would be to give the poor families money. This would have the great side effect of getting rid of the idiotic state by state monopolies but the justification is the same as every other tied benefit. This is stupid. Give people the money and let them decide what to spend it on. They have the information and motivation.
As a parent of a newborn, none of the mothers we talk to actually want to breastfeed. Breastfeeding is a huge PITA for women, especially if they work. Despite the advice to breastfeed for 2 years it's rare if a mother lasts 6 months.
I guess you could argue that if formula wasn't an option then mothers would _have_ to breastfeed but then they couldn't work.
My point is that formula is a very attractive option for women so it's not like Nestle is holding a gun to their head. It's just a product they know people will buy.
>This is Reason. Ther good government policy would be doing nothing, which wouldn't help poor families get formula either.
This is not quite true. There are plenty of libertarian thinkers that would be perfectly happy just cutting checks to poor people and letting them procure what the need.
It’s all explained here: https://mattstoller.substack.com/p/big-bottle-the-baby-formu...
Matt says ‘According to Healthy Babies Bright Futures, baby formula made by the big guys in the U.S. is full of dangerous brain-altering heavy metals. HBBF tested thirteen different baby formulas, and every single one had “detectable levels of arsenic, cadmium, lead and/or mercury,” which are all considered to be neurotoxic, interfering with brain development and “causing permanent IQ reductions in children.”’.
Rather unscientific heavy breathing about heavy metals, since some level must exist in all foods. Matt even links to a mommyhood101.com article in the above, which I guess is the secondary source for his opinion?
The question is: what are reasonable limits to exposure for babies? For example, what are the EU limits for baby formula?
Here is the original “paper”: https://www.healthybabyfood.org/sites/healthybabyfoods.org/f...
Healthy Babies Bright Futures (HBBF) paid laboratories to measure amounts, but superficially their analysis looks rather poor I think. Any good links to scientific critiques of their analysis?
> The question is: what are reasonable limits to exposure for babies? For example, what are the EU limits for baby formula?
Maybe the question I'd ask is "if you sample milk from 100 different human volunteers, what fraction of the samples also contain detectable levels of arsenic, cadmium, lead and/or mercury?"
I do think that doing analysis of household chemicals and publishing the results is a great idea. A consumer-testing company did some great ad-hoc analysis of sunscreens and found higher-than-acceptable levels of benzene, leading to widespread recalls, which I thought was awesome: https://www.valisure.com/valisure-newsroom/valisure-detects-.... Still confused about how they plan to make money from this (maybe they could lobby the government to mandate that labs like theirs must do testing on certain consumer products?). Also still confused about this led to regulatory action against them: https://www.consumerreports.org/product-safety/valisure-foun....
Some people in this space publish consumer advisory articles saying "we measured <X> in <Y> and found some <X>" and don't list a safe PPM, or their reasoning, and it's very tough to know what to do with this information. There's often extraordinarily little evidence about how much <X> is bad for you and sometimes we only get the evidence years after people have had hunches that it's not so good. (trans fats? https://www.vox.com/2015/6/17/8793937/why-fda-banned-trans-f... )
So it's tough to know what to do when the pesticide-in-food people publish an analysis which "does not incorporate risk assessment into the calculations. All pesticides are weighted equally, and we do not factor in the levels deemed acceptable by the EPA." (https://www.ewg.org/foodnews/summary.php).
I guess this is one reason to have a doctor and a pediatrician you trust -- because part of their job is to sift through the latest available information and have reasonable heuristics about safety and risks.
Here's the text:
It's technically allowed to have some other cost-containment structure than a single-winner contract, but there a bunch of criteria that I don't fully understand that make it sound like it's effectively impossible to actually do.
> "State agencies must support all waiver requests with documentation in the form of a State Plan amendment as required under § 246.4(a)(14)(x) and may submit such requests only in either of the following circumstances:
> The single-supplier competitive system would be inconsistent with the efficient or effective operation of the program. Examples of justifications FNS will not accept for a waiver, include, but are not limited to: preservation of participant preference for otherwise nutritionally equivalent infant formulas; maintenance of health care professionals' prerogatives to prescribe otherwise nutritionally equivalent infant formulas for non-medical reasons; potential loss of free or otherwise discounted materials to WIC clinics and other health care facilities; potential inability of a manufacturer selected in accordance with applicable State procurement procedures to supply contractually-specified amounts of infant formula; and the possibility of interrupted infant formula supplies to retail outlets as a consequence of entering into a contract with a single manufacturer."
So, you have to able to make a case that a single-winner contract won't work in your case, but you can't use the argument that a single bidder makes the whole system brittle if the single winner becomes unable to produce product. Wild.
I don't see any mention of breach of contract penalties if the supplier can't keep up with demand. Not sure if that means it's left to the discretion of the participating states.
I was wondering what legislation created this regulation, and it looks like it dates back to the Child Nutrition Act of 1966, though perhaps it's been amended since. It looks like the concept of "single source" contracts was there from the beginning.
How does that affect retailers being unable to get supply?
Imagine that EV tax credits worked the way infant formula works. Within each state, that state would produce a contract for supply of electric vehicles and open it up for bidding. The manufacturer with the cheapest car wins the bid. Let's say it's the Nissan Leaf. Within that state, Nissan agrees to sell the Leaf at a given price, and the state gives coupons to prospective car buyers good for $7500 off the price of a new EV (paid for through Federal grants to the state), but it can only be used if you buy a Leaf.
That's sort of okay as long as Nissan can keep up with demand (not everyone wants a Leaf but at least one cheap EV is on the market), but let's say they're hit with a supply chain issue and can't get a critical part. Other manufacturer might be able to step in, but they're not participating in the EV rebate program so customers have to pay full price. And in this alternate reality those manufacturers probably don't make cheap or even mid-range EVs anyways because it's not profitable -- they can't compete with Nissan because they're at a $7500 price disadvantage, so they focus on selling cars for rich people. The Tesla Model S might exist, but the Model 3 probably wouldn't. A system of artificial and completely unnecessary monopoly would stop a whole competitive industry from forming.
Who the hell thought that this system was a good idea?
Is it corruption?
Profit is just one of the many incentives that can and occassionally will cause great suffering.
Leaders and administrators of non-profit organizations won't be concerned about profit, but they are still imperfect humans and will be concerned about other things that may cross-interact with the original mission of the organization, like "staying in power", "winning an internal power struggle", "promoting their relatives or former students", "having 0 failures on their record and thus blocking any development that may lead to failure, even though there are big potential gains", "pushing certain political or religious viewpoints" etc.
Look at how dysfunctional the current scientific grant system is for a nice example.
> Oh look a Reason article where "government is bad." What a shock.
Let’s leave ad-hominem attacks on the publication out of this, shall we? I think we need more journalism that questions government and its efficiency. Not less.
It’s doing rather a disservice to excellent points you’ve brought up.
It’s only an ad hominem if Reason is ashamed of being libertarian. Which they probably are not.
It’s rather a wider point: this is where this publication is coming from. It’s part of their overall mission.
Sure. Only making this point can get tiresome. You just end up with a bunch of meta comments. But the GP also pointed out why this thing needs to be regulated. As in GP actually tried to counter their arguments. GP is staying on topic.
Pointing out media bias is just as important as pointing out inefficiencies in government.
Meta: We never like to point out media bias of NYT, but have a bias for pointing out how biased anyone else is.
NYT gets a free pass.
Can you imagine a comment that starts with something like this:
“Oh look a NYT article where government is good." What a shock.
—- But I digress. I agree, we should point out bias, but shouldn’t reduce the entire article to “What a shock”. Otherwise, we’d throw away every newspaper since they’re all biased. Right?
This is incredibly short-sighted and ignorant of any externalities. We lost American manufacturing not because of regulation, but because of trade policies that allowed global corporations to avoid those regulations and profit by outsourcing manufacturing to countries with laxer regulations.
I do not want 'America's entrepreneurs' to start producing infant formula without any safeguards. That is recipe for disaster.
>We lost American manufacturing not because of regulation, but because of trade policies that allowed global corporations to avoid those regulations and profit by outsourcing manufacturing to countries with laxer regulations.
So how is that not losing American manufacturing to regulation? If other countries have laxer and more favorable terms for businesses and those business are succeeding, that's sufficient evidence to demonstrate that regulation stifles manufacturing.
You phrase your statement as though regulations are naturally occurring substances rather than the wishful, bureaucratic, and often violent mandates of government that they are. If the government has enough agency to compose such regulations, it should have enough agency to acknowledge and accept the resulting consequences when businesses vote with their feet and their wallets.
What I am saying is that in order for regulations to NOT cause businesses to 'vote with their feet and their wallets', we must also enact trade policies so that it is NOT cheaper for businesses to seek the laxest regulation (i.e. enforce tariffs for the difference in cost).
If we do not care enough about the regulation to have a tariff, then the regulation should not exist.
>You phrase your statement as though regulations are a naturally occurring substances rather than wishful and often violent mandates of government that they are.
Lol, what is this even? I'll bite though. Regulations are naturally occurring insofar as any other human invention is naturally occurring. All laws are regulations on behavior, and all laws are wishful. There is still murder even though we have laws against shooting people. For me, at least, that is not a reason to do away with laws, but to each their own.
Deindustrialization is, in my opinion, just a natural phase brought on by the profit motive. Labor and raw materials are always going to be the most expensive parts of producing anything, and even if we converted the United States into Ancapistan tomorrow, labor in Asia would still be cheaper. Our countries are just at different stages.
Deindustrialization will hit China and the rest of south-east Asia in time too. China right now is experiencing the boom we experienced post war.
> If other countries have laxer and more favorable terms for businesses
The "laxer and more favorable terms" include the fact that people in those countries are willing to work for pennies a day.
Unless you're proposing a substantial decrease in wages in the US, companies are not going to decide, of their own will, to bring those low-skill manufacturing jobs back.
The US is extremely close to its peak in manufacturing.
> Total production of U.S. factories peaked in 2007 before falling by 18% during the Great Recession, according to the Federal Reserve’s industrial production report, which measures the volume of goods produced rather than the market value of those goods. The manufacturing sector has nearly recovered from the recession; output in 2015 was within 3% of the 2007 level.
We should also consider adjusting for population, if not consumption, when talking about how close we are to “peak” manufacturing output. GDP per capita means a whole lot more than straight GDP. We should apply the same logic to conversations about American manufacturing.
…and countries with massively cheaper labor. Imagine what MIUSA iPhones made with 100% MIUSA parts would cost (if they could even exist, given the realities of semiconductor manufacturing today).
> 'it took over a year for American masks to come to market, just in time for them to not be needed, in large part because of regulation'
What it really regulation that was at fault for masks being so delayed? The entire suplly chail for meltblown is missing.
There are more tooling engineers in the city of Shenzhen than in all of North America combined.
A basic masks that an average citizen had to wear to take the metro does not even come with any medical certification, what regulation was getting in the way, the need to file taxes?
I think you diagnosed the problem, but not in the way that you think.
We have huge price increases because the governments printed money for so long. Price increases were always predicted by free market economists. You don't make anyone wealthier by printing money. You don't build factories, make people smarter or increase resources. All it does is redistribute wealth to the first people that get to use the new money (banks and wealthy elites) and increase prices.
I'm well aware the cause of inflation is bad monetary policy.
But now we have two options: control inflation by causing a severe downturn that will be painful, or control inflation with supply-side economics.
We need to match supply and demand -- either by reducing demand with a recession, or by increasing the supply of goods and services. Increasing the supply side of the equation will be better for everyone.
> We have huge price increases because the governments printed money for so long.
Not really. The unemployment checks did result in inflation, but the huge increase since November is because higher order supply chain issues (that started with the pandemic, ships waiting for unloading for many days, longshoreman on sick leave due to COVID, lack of empty containers, trucking industry problems, big swings of spending from services to products due to working from home, semiconductor shortages completely fucking up manufacturing schedules, then a few new waves of COVID in China, and so on).
There's also a cascade effect that happens because if something is out of stock people will buy something else, so the price of that will go up initially, then it will also go out of stock, because the next batches are sitting in containers somewhere.
> You don't make anyone wealthier by printing money.
That's not how it works.
Public spending has a fiscal multiplier, if that's greater than 1 then it does increase wealth. Public services, infrastructure, education, healthcare, all have high multipliers. Of course some have less than one, eg. giving tax credits to Amazon for moving their HQ, end of life hospitalization is arguably overdone in developed countries, a large chunk of military spending, spending public money on sports/stadiums, etc.
On top of this printing money during a pandemic is extending credit in time, so the private sector doesn't start a contagious bankruptcy chain.
Then after all this the Fed did wait too much to increase rates. (Mostly because the unemployment numbers were/are still high.)
This isn't really relevant. Either formula buyers have more money and so they can afford formula, or they don't and so formula would not inflate as much as other products.
Inflation only hurts when some buyers of a scarce good are benefiting more from money printing than others. This doesn't apply to consumer commodities.
Is it really regulation? Anecdotally this appears to be a knowledge/capability problem. We haven't grown domestic industry in so long that I honestly don't think many still know how to actually build.
If you give money to businesses that for the last 50 years have simply become experts at dealing with international supply chains... You’re probably just going to have the money sent abroad.
The amount of paperwork and approvals even simple businesses require to get off the ground is mind boggling. Some make sense. Most, from Phoenix’s generic municipal business licenses to California’s foreign entity fees or New York’s entity publication requirement to Texas’s hairdresser licensing requirements or many HOAs’ aesthetic policies do not.
Have you researched why those regulations came about?
It's surprising how regs slow things down - it's just an accumulation.
Southern Cal wanted a desalination plant. Spent a TON of time in development. Shot down. Repeat time 100x, kind of crushing I think.
When the drought is extreme enough government regulations will be changed. Like how environmental reviews are being shoved to the side to export LNG to Europe.
But before we build extremely expensive desalination, more effective and lower cost actions must come first. Reforming water rights law to stop insane use it or lose it incentives (e.g. flood irrigation of almond trees). Renegotiating water treaties. Increasing water efficiency in agriculture. Xeriscaping. Higher water prices that will hold down demand and provide a self-enforcing incentive to reduce waste, leaks, and low value water consumption. And better finance water works.
Reduce, reuse, recycle.
> and yes fossil fuels too
It depends on your goals, if you want to absolutely destroy the global economy and wealth in 30 years for a short term shot in the arm, then sure.
Has there been a president more willing to burn regulations than Trump? If the delay happened despite him being in charge, perhaps the explanation is more complex than “it happened cuz regulation”?
Yes. Presiden Carter. He got the ball rolling, no small feat. Also accomplished more than Reagan, who nonetheless got all the credit. President Clinton was also committed to regulatory reform, but I can't judge how his admin compares.
> free trade alleviates these issues but only if you're not in global bottleneck
Which we are not with regard to infant formula; as the article notes, there's plenty in Europe that meets standards at least as stringent as US standards, the FDA just won't let US customers buy it because of stupid labeling requirements.
Also, your implication that in a global bottleneck, free trade doesn't work as well as other solutions, is not correct. Free trade has the least severe failure modes in global bottlenecks, precisely because there are no artificial impediments that get in the way of producers adjusting to market conditions according to straightforward economic incentives.
> the FDA just won't let US customers buy it because of stupid labeling requirements.
The labelling requirements don't strike me as that stupid; the Reason article links  with the text "formula available in Europe tends to meet or exceed the FDA's nutritional requirements, but not the labeling requirements", but it actually provides some good reasons:
"It was found that European formulas do not meet all FDA label requirements, including many not being in English, which may lead to the incorrect mixing of formula [mixing tends to be different for European formula]. The average listed nutrient levels of all but one of the identified imported European formulas fell within the minimum nutrient level requirements of the FDA. As the nutrient levels on the labels of European formula represents an average and not a minimal level, it is difficult to compare the actual contents with US formulas. In addition, it is important to note that hypoallergenic is defined differently in Europe than in the United States. Therefore, partially hydrolyzed European formulas may be labeled as ‘‘hypoallergenic’’ or HA, which is not appropriate for infants with CMPA and may lead to improper treatment of an infant with CMPA."
Expiry dates as being in EU formats (i.e. for the US' weird m/d/y thing) was also mentioned, as well as using US measurements rather than metric (whether the US date style and imperial units are a good idea is besides the point here: fact is it's what people use).
There were also some other much more minor issues, but these don't seem entirely unreasonable or "stupid" to me, especially the requirement that labelling should be in English, but also the different definition of hypoallergenic.
These problems are fairly minor and can be fixed without too much effort though.
I don’t believe labeling requirements are preventing anyone from exporting to the US. Printing a new label and slapping on top of the existing one isn’t something that would hold anyone back from exporting.
Labeling requirements are common practice everywhere. And the solution is for exporters to print a new label that conforms to the requirements and place it on the product.
It likely isn't the FDA's choice, there are a lot of statutory requirements under 21 USC 350a that requires inspections, audits and specific quality control measures that can't be set aside via CFR with an emergency rule making process. Changing these would require Congress to act, but bilateral food regulations on something as sensitive as baby formula is not a topic that lends itself to quick resolution.
You'll notice most of that law is giving authority to the Secretary of Health and Human Services, which is the same person that runs the FDA.
It does if the baby starves otherwise.
> there's plenty in Europe
Is that actually true? I would expect formula to be the kind of thing that has a very consistent demand profile, and there wouldn't be a lot of surge capacity in the European manufacturing plants.
Isnt that a really easy to spin up business slapping stickers on bottles and shipping them to the states?
IDK why are you getting downvoted. This is precisely how things are often done in Europe. On a continent with fortysomething major languages, you cannot possibly fit all descriptions in all languages onto the preprinted packaging. If I go to a Bulgarian store in Prague, all the ajvars, jogurts and kjufteta will simply have a Czech instruction label slapped on them.
The lack of a stockpile is due to limited shelf stability and long-term bacterial growth.
It's unfortunate Reason doesn't expand on the other side of this issue: the formula industry lobbied the FDA to reduce bacterial testing frequency (and inspections overall), with an emphasis on Cronobacter risks, arguing that the FDA "overestimat[ed] the expected annual incidence of Cronobacter infection". 
It seems that the regulatory system is broken and I don't know how to fix it other than to remove the barriers of entry to this industry.
Four manufacturers, consisting of 89% of the nations supply, have so much influence over a regulatory agency insofar that they can write their own rules. Four manufacturers are able to shape the competitive landscape because the government has deemed their voices vital.
> why does the government, federal or local not have a stockpile of well
Because the real issue is that we have no diversity of supply.
1) We have allowed everything to become monopolized such that losing a single supplier knocks out large chunks of supply. At this point, it is quite clear that for economic robustness, any company found to control more than 25% of the market for any product should be repeatedly broken in two until that is no longer true. But that would require robust anti-trust enforcement.
2) The suppliers are Always-Late(tm) Inventory optimized such that they can't absorb a significant uptick in demand without a long wind up time. Covid comprehensively demonstrated that industrial producers no longer have the ability to "retool". By removing as many humans from production and replacing them with automation, the productions lines have traded any flexibility for maximum profit.
In 1, what's the product that you're considering the market share of? An iphone 13 mini? All iPhones? All smartphones? Or any phone? Or any portable computing device?
A Macbook? Or a laptop? Or a computer? Or a computing device (to include laptops, desktops, tablets, and smartphones)?
I don't understand what the two have to do with each other.
You say there's already a monopoly but if we'd bought a stockpile from the monopoly at market prices, we'd... still have a stockpile.
The point is that you don't need a stockpile if you have supply diversity.
If you have two suppliers, one going down clobbers half of the market and the other company has to ramp up 100% to take over. That's simply not feasible.
If you have five suppliers and one goes down, the remaining four companies only have to increase 20% each to take over the load. That's not easy, but it's actually in the realm of being possible.
There are lots of crucial goods, right? I don't see how the government could stockpile all of them. And infant formula is only good for a couple years, right? So it would have to be an ongoing project to keep it good. n95s eventually degrade, but I believe they've got a much longer shelf-life.
Also, masks become unusually important when there's an epidemic, so we wouldn't expect the economy to have capacity to deal with that. We should expect that in a well balanced economy, the supply of baby formula should basically match the demand. It seems to me that instead of government stockpiles (since they can't stockpile everything and don't know what will be needed) it would make more sense to monitor the market more closely and keep tabs on inventory... and, actually, it is pretty surprising that they didn't catch this before it became an issue.
Stockpile to a point and then regularly auction off things that are nearing end of life (or, in the case of baby formula that is heavily provided by state programs, just give it to the states to distribute).
We have national oil reserves. Having reserves of other essential assets seems fine to me, especially in the case where there are few substitute goods.
Why is that necessary when it appears there is sufficient global supply and regulations are causing it to be unavailable to the US market? The issue isn't a shortage of production, as far as I can tell. And even if there were, a stockpile only absorbs a temporary shortage. A strong industry with many producers is what the government should desire, I imagine.
I was actually thinking of something like that as well. If nothing else, the cast-offs from a stockpiling program could be a nice social welfare program.
It’s also funny that the thread talking about how this problem results from one monopolistic factory/company is so much further down the front page compared to the one blaming government regulation
The government regulations enable the monopolies. It’s incestuous.
The classic, "if you're prepared and it doesn't happen, it looks wasteful" reason. Or even if it doesn't happen, because you were prepared and released the stockpile, folks don't realize that's the reason. So prep for some politician to cut it.
Although, if it's more of a buffer in the supply chain instead of a strategic reserve, the waste doesn't have to be that great.
Which takes us right back to JIT vs JIC.
Perhaps sensible regulation on just how lean manufacturing may be in critical industries. (It's a race to the bottom, so re-define the bottom & let the market re-optimize)
One fun thought: for identified industries, each production line maintains X days of inventory of any foreign dependencies. The implications are interesting to ponder.
Plus, if it does happen, but the other party is in charge, they take all of the credit.
Even if that happens, it's a good thing we filled up the oil reserves back when we did.
or worse, we have too much captivity and donate overages… the horror
Because like most things the govt stockpiles it would just go to waste.
Why not just get rid of the regulations? It’s free, and saves everyone money and alleviates shortages.
Personally, I love having moved to a country where no one relies on the govt for anything.
Because some of us don't want to buy infant formula that's full of lead, bacteria, cellulose, or whatever other garbage would end up in it?
Why not just go back before the FDA existed, in other words? Because it's generally frowned up when people mix things like plaster of paris, "bluish, white compound of true milk, pus and dirty water" and sell it as milk.
Risk isnt free, it's mitigated by insurance costs, and when the negatives happen, from the government stepping in as the last resort.
You don't save money by sending infants to the emergency room because they are bad formula
"Personally, I love having moved to a country where no one relies on the govt for anything."
So it can be like supply of cocaine, laced with horse manure and rat poison?
I can assure you the cocaine here has far fewer impurities here than your FDA regulated / CIA sponsored coke in America.
> why does the government, federal or local not have a stockpile of well... the stuff you feed infant children with?
Isn't infant formula a solution to a problem that is in large part created by infant formula manufacturers?
There are a number of reasons for a mother to choose formulas:
- baby has special diet needs
- mother doesn't produce sufficient amount
- mother is on medicine, supplements or drugs that would be expressed via breastfeeding
- mother works and preparing / preserving pre-pumped milk isn't feasible
- mother is dead
- mother chooses to use formula
Only in the last case is the availability of formula itself to blame, and even then the notion that it shouldn't be an option is somewhat cruel.
It seems to me like it could be prescription (though first a real health system would be needed) if there is a shortage. I mean I think the last one is 80% of the market and putting the other 20% of infants at risk.
This is just wrong. A non-insignificant fraction of women can't produce milk in high enough quantities to feed infants. This is an undisputed fact.
The only alternative to robust infant formula supply is to accept pre-modern levels of infant mortality. Period.
Wet nurses exist. Period. I know of more than one woman who donates breast milk. They both have continued to pump as their kids grow to give back to the community.
“Wet nurse” is a phrase for this very reason.
Can you elaborate on this? I've always been surprised at how many families use formula. Do mothers just not breastfeed much anymore?
Exclusively breastfeeding is very challenging to do while working, for one. Even at my megacorp with a dedicated space, a hospital grade pump, and 2 hrs a day dedicated only to that, it was a substantial hit to supply. Considering that most women don't have those amenities and support I'm not surprised they don't breastfeed exclusively after their mat leave (for most women in the US, 6 weeks unpaid)
Not to mention - it can be painful (if I had no option of course I would endure pain for my child, but there is no shame in looking for something less painful) or the baby can not learn to latch (formerly known as "failure to thrive" and a driver of infant mortality)
> Do mothers just not breastfeed much anymore?
Mothers who can't breastfeed adequately don't have any of slaves, paid wetnurses, or children that die of starvation as much as they used to.
Nursing is nearly a full time job. When I was doing it with a six month old via pumping, I tracked my hours spent one week and came up with 30 hours. With another baby, I was nursing in the evenings when home from work, and it was literally 3-4 hours a night. Every night. And often almost a full hour in the morning before work. It varies from baby to baby, but it's a brutal time commitment.
Also, when you're nursing full time, you can't leave the baby. Ever. Getting a haircut requires significant planning because if the baby gets hungry, it is your problem and yours alone. If you want to go shopping or see a movie or just leave the dang house for any reason at all, if you want to do any activity that occupies you for a length of time and is hard to interrupt, you need a baby plan. And for a period of months, when in love with a newborn, this seems totally fine and totally worth it. But somewhere on the road to a year? Being able to hand a baby to someone to watch for an hour or two and go do things is amazing.
Don't get me wrong, nursing is a wonderful experience and very important for the health of mother and baby. But the value diminishes over time. With a preemie, it is downright lifesaving. With a newborn it has proven lifelong benefits. But somewhere around the time they're eating cheerios and licking the floor and snacking on apple juice, and you have other things to do, you ask yourself if it's really worth what it costs. At least, I did.
Where you come down on the value of breastfeeding vs formula really depends a lot on your life circumstances and the relative priorities you place on mothering via milk, and mothering via other activities. When and where you leave off is very personal. Some women want to nurse toddlers, and I support that. Some women want to use formula from day one, and I'm not crazy about that, but life is varied and sometimes circumstances dictate and when they do, I'm glad we have the option. In particular, I think this is really common after a C-section, which makes sense -- mom is recovering from surgery and breastfeeding can involve resting a baby on a recovering wound! I'd certainly never second guess someone who thought it more important to have the energy to be emotionally present with the baby, even if that meant feeding baby a different food than they'd wish for in a perfect world. Milk has its benefits, but having an emotionally healthy mom counts for a lot, too. Probably more. And it's a long journey. Trying too hard to do everything perfect can result in mental health issues for mom, which isn't good for anyone, baby included.
Some women transition early, and I support that, some do late, and I support that, too. All parents try to do right by their children, and for some that looks like laborious custom homemade food and for some that looks like neighborhoods and education and opportunities. I do think we'd be better off as a society if it were more practical to nurse for the first year--I think a lot of women would choose it if it were easier. But that involves understanding it like the full time commitment it is. Can I put a year of "full time mom" on my resume? Three times? Can I take a year off of work? Is spending a year nursing seen as a normal and honorable career choice? That's essentially the ask. Whether the gap is made up by state or society or family or whatever, the world would have to look pretty different for me to find it a practical option to make such a commitment to nursing that formula was entirely unnecessary. For some people it's that important. Some would like to, but it's too hard. Some people aren't cut out to be full time moms. And sometimes even full time moms think it's better to use their energy for other things.
Not surprising at all in a country with very little to no paternity leave. The mother is not with her infant 24/7, and the baby has to eat.
Check the female workforce statistics. We decided as a culture it was more important for women to be working than “wasting time” raising and caring for their children.
How exactly is it a problem caused by infant formula manufacturers?
Infant formula makers market their goods aggressively to new mothers. The formula makers fully understand that once a child is on formula, a mother will soon stop being able to create her own milk and the baby will have to use formula from then on.
Not every new parent fully understands this, especially in places that don’t have a lot of marketing dollars spent influencing people at one if the most vulnerable times of their life.
This can, and does, lead to situations where the mother’s milk dries up “early” and then formula isn’t available and the baby dies.
Some mothers want to breastfeed but don’t produce enough milk.
There are excellent reasons to generally forbid the import of certain critical items such as infant formula- as a matter of national security, for example. It's important that this industry exist domestically.
However, in extraordinary cases such as we are in right now, the appropriate thing to do would of course be to import formula from other countries to make up for the shortage.
Seems to me that this is the sort of thing that should have already been approved by the FDA, and controlled purely via import restrictions/tariffs, so that more can be quickly imported if needed.
>>> as a matter of national security
If this was a national security issue, someone from NIH and FDA and welfare departments would be having public service announcements extolling the virtues of breast feeding.
Mostly like the Biden administration will start doing this in the next two weeks. It will quietly sweep under the run the problem and say it's the population that's not following the science.
Two things to know as well. WIC only pays for certain sizes for formula purchased at retail because they're afraid that poor women will stock up on formula or resell it. Also women have to pay part of the cost of the formula for the same reason.
> Many others have simply switched to Enfamil. Increasingly, they reach for the 12.4-ounce cans, the only size paid for by WIC.
> “I’ve gone to stores in Long Beach, I’ve gone to Rolling Hills, Carson — I’ve gone to Inglewood just to see if I could get lucky,” said Landers. “If they do have it, it’s the larger size; it’s not the size that’s approved.”
I was frankly alarmed something like half of kids qualify for WIC.
Don't get me wrong, feed em, but why is child poverty so bad in the US ?
WIC eligibility can vary by state, but is between 100% and 185% of the federal poverty level (I spot-checked a few states, and all I saw was 185%). 185% comes to ~$50k per year for a family of 4. And most people have children relatively young, which usually means they aren't earning a ton of money.
This is the sort of program that I'd rather 'too many' people be eligible for than exclude anyone who might be helped (it is not just about adequate nutrition, but also providing information on healthy eating and referrals to health care).
Part of it is the exact federal poverty line depends on the family size. An income that's just over the poverty line for two adults would be under the line once it's two adults and one kid. Something like a third of adults in poverty would not be if they were childless. And then of course their kid(s) are a statistic.
I'd argue the poverty line in America is very low compared to what it really takes to live.
Most people can't significantly save money, so when you have a bad month it's hard to catch up.
You have to be poor or very affluent to afford children in many American cities. And many of the affluent aren’t procreating.
> And many of the affluent aren’t procreating.
Has the relative, inflation-adjusted average wealth of new parents changed substantially?
My understanding is that it mostly goes to immigrants.
edit, probably being touchy about a misunderstanding, nvm
Pretty sure the gp was saying that it's surprising/appaling so many people in the US are living in poverty. Not that relying on welfare is bad, or that buying food any particular way is bad.
It only seems odd that the article ignores X and emphasises Y until you look at where the article is from.
'Reason' has an ideological hammer, and goshdarnit they'll go find some terrible government nails for it, whether that's the actual problem or not.
Did the linked article change? You seem to be quoting: https://mattstoller.substack.com/p/big-bottle-the-baby-formu... which is not the article here, nor linked in the article as far as I can tell.
You're right, I am quoting Stoller. His article, though, is linked to in the comments. I should have commented on that comment, not at the top level.
Or maybe in real life, most markets aren't well functioning.
Significantly increasing production capacity would take time, and companies would only do it if they thought the shortage would be long-term. There's no use making a long-term investment in response to a temporary shortage.
In the short term, the market would "address" the problem by increasing prices. Poorer parents would respond by buying less infant formula. Better-off parents would accept the price hike. Infants in poor families would suffer.
This is the sort of thing you'd expect a modern society to prevent. Just letting the market solve the issue by letting prices spike - and consequently risking malnourishment in infants - is a bad idea.
I wish more people would wake up to the impact that monopolies have on their economic and wellbeing security.
Legalizing imports would break, or at least put strong pressure on, such a monopoly.
A president is usually better at doing this via executive orders... Simply because it's one president who has to sign the order vs many congressman who have to agree to pass an act... So it's unclear why this has not happened...
Don't worry they've formed a committee to look into maybe doing something about this. Meanwhile babies are starving. I wish I were joking.
>Don't worry they've formed a committee to look into maybe doing something about this.
Yes. You have to 'form a committee' to understand the problem, instead of just winging it.
Sometime in the future, there will then be a commission tasked to determine why the committee failed.
What is it specifically about European countries that makes inspection of their foods unnecessary, but foods from other continents does need inspection first?
Is this a real question? They have higher food standards, regulation, and inspection regime than the US does itself. Other countries are a mishmash, but I'd imagine at least Canada/Australia/UK/etc would meet or exceed the bar too.
Europe has different standards. I don't believe you can say that we have higher standards since IMO that claim would require every component of our standards to be objectively higher. But standards can have different effects in different places. Witness for example the fact that unwashed (high grade) eggs are banned in the US whereas washed (high grade) eggs are banned in the EU, but both of these bans are based on local conditions. US authorities believe that washing is necessitated by conditions on US farms, whereas EU authorities believe that washing eggs damages the protective coating of eggs. Both authorities believe that the opposite regulation would be the worse option in their respective situations, hence the status quo.
Is that really true? Unless I'm missing something, American food standards and regulations are usually just as good as europe/canada/UK's , if not better. If anything I'm a bit puzzled by your claim, considering just how many food related scandals europe has had in the past few decades. Fake olive oil, horse meat, poison tainted wine, mad cow disease... and that's not even getting into the mishmash of "cultural/local exceptions" to food regulations (which are a good thing, but still undermine your point!).
But maybe I'm wrong, it's just that I've never heard any expert or anyone else really claim that the USDA/FDA are too lenient, more so than their europeans/CANZUK counterparts. It's usually the opposite actually!