Laura, I don't think you have confused the appropriate roles of an LLLL vs.
an  IBCLC.  I think you have got it right.

My point is that:  if the mother thinks she is "getting" an LLLL, that is
ALL she should be getting.  The Leader should provide compassionate
support, information and encouragement  to the mother.  That's what Leaders
do.

If the mother thinks she is "getting" an IBCLC, then the IBCLC must fulfill
the requirements of the allied health care provider than an IBCLC is.

My entry to the IBCLC profession was as a Nursing Mothers' Advisory Council
counselor (same idea as LLL; different organization).  NMAC does not have a
No Self-Referral rule.  I have heard LLLLs in different states give
different answers on the topic of whether they "can" self-refer a mother
... or even see her at all (as an IBCLC), no matter who made the referral.

Note, however, that such rules are a function of whether one is complying
with the rules of the organization of which she is a trained volunteer
member.  Indeed -- it rather makes my point:  if LLL has rules about when
and how one can put on her IBCLC hat, then they recognize there is a
difference in the legal and ethical responsibilities one has as an LLLL,
and as an IBCLC.

-- 
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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