Are all feeding choices really choices?

Sometimes I hear people talking about feeding choices when it comes to 
formula and breastmilk.  I think it's important to remember that not 
everyone has a choice. It may seem to someone looking from the outside 
in, that moms can make any choice they want about how to feed their 
babies, but this is often not the case. I've met countless moms who 
wanted to have a choice, they wanted to breastfeed longer, but 
circumstances that were out of their control determined whether they 
had a choice. So many times moms tell me that their milk supply 
decreased when they went back to work, or that their supply wasn't 
sufficient for the baby.  Sometimes, there's a medical condition that 
requires medication that's not recommended with breastfeeding.  I've 
had patients who needed emergency surgery and one who was 
hospitalized.  They couldn't feed their babies.  Others have family 
emergencies and find that their supply diminishes.  So, is it a 
choice?  Sometimes moms have the luxury of having a choice of how to 
feed their babies and for how long, and other times, they don't have a 
choice, they just have to roll with the cards they get.  Sometimes the 
choice is to make the best of a situation that you didn't anticipate 
and do the best you can for your baby.