Jan writes:

That  said, hospitals that do not hire  anyone but RN IBCLCs do it for a 
VERY  pragmatic reason.  Staffing.   They can pull an RN IBCLC to  L&D, NICU, 
Mother-Baby -- wherever the need is,  and wherever her  particular expertise 
in Maternal Child Health lies.  To   administrations way of thinking, they 
get two for the price of one, and have  an  extra "on call" person to pull 
if needed.  A crisis in L&D  of low  staffing will always supercede 
lactation.  

It isn't  right -- it isn't fair -- it  isn't just -- but it is.   Period.
~~~ Thank you Jan for your insight. I wonder if this is going to be a major 
 shift in the profession. With 17 years as an IBCLC, and coming up on 25 as 
a  LLLLeader, being unable to make a living privately, and being passed 
over  for every hospital or clinic position I applied for trying for a more 
stable  work life, I left the profession a few months ago ( not taking any new  
clients, still "working" with "current" ones, which at this point are  more 
like "former" clients. ) Of course there could be other  reasons I wasn't 
hired but I was told twice, sorry they are looking  for an RN-IBCLC, point 
blank.  
 
I wonder if in other areas of the country it's any better for the non RN  
IBCLC as we are moving very soon, and not sure where we should go in the next 
 6-18 months. Again, thank you for your input on this. I keep an eye on the 
 profession because I have several CoLeaders who have made or could make  
wonderful IBCLCs, but I see a path ahead that looks very different than  when 
I started, and in some ways much more limited/limiting. 
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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