I thought this article was very interesting (ignore the title... horrible title that doesn't really relate to the content of the article.)
I have long believed that the greater society/culture has a much more profound impact on breastfeeding than the health care system. Why? Travel in any developing nation (most of my travel has been in Africa), where there is virtually no access to health care for mom or baby, no information about breastfeeding, no lactation consultants, no infant weight checks or jaundice checks, etc... and women almost exclusively breastfeed, and do it well! Why is this? Because the greater culture/society accepts this as normal and expected behavior.
Even in situations where a mother is unable to breastfeed due to health or separation from her baby, the baby is generally successfully breastfed by a relative or neighbor. Women don't need to be "taught" how to breastfeed because it's as natural to them as any other function of motherhood... because they have been constantly exposed to it from the get-go! Men don't need to be made to understand breastfeeding because they, too, have been constantly exposed to the practice since they were small children. There is no one barking about modesty and appropriateness because it is viewed as the natural, and often ONLY way of feeding a baby.
When breastfeeding is placed into the realm of a medical event, our minds process it like a medical event: is it better to treat my cancer with radiation, chemo, or a combination of both? Is it better to breastfeed, bottle feed, or a combination of both?
Removing it from that realm and placing it into the realm of "normal" function/activity removes the questioning: Is it better to breathe or not breathe? Silly question, right? Of course we do the normal, natural, life-giving thing. Doctors and nurses don't have to be taught that patients are better off breathing, that it is a better option than not breathing- they just have to be taught ways to help people with breathing problems have better breathing patterns.
We need to view breastfeeding in the same way: is it better to feed my baby or not feed my baby? Of course, it's better to feed them in the way nature intended. Healthcare professionals can be taught to assist in this process.
The barrier to this is the greater society/culture that continues to view breastfeeding as "not normal" rather than "normal." Which, of course, begs the question: how do we change societal and cultural norms?