There are two potential harms to promoting infant formula in poorer communities: (1) the parents and families may not have dependable access to clean water, and (2) the ongoing cost is such a significant part of the family budget that parents are highly motivated to attempt to "stretch" the product, with risk of malnourishment to infant or child. An Indonesian pediatrician stated, "Selling formula is like the killing fields, in my opinion. The babies will die of diarrhoea and they will die of malnutrition."