The phrase “toxic maternal” refers to a mother whose milk delivers poison along with nourishment. If you turn away from the poison, you also turn away from the nourishment. Given that human breast milk now contains literal poisons, from paint thinners to dry-cleaning fluid to toilet deodorizers to rocket fuel to DDT to flame retardants, there is literally no escape. Toxicity is now a question of degree, of acceptable parts per unit. Infants don’t get to choose—they take what they can get, in their scramble to stay alive.