Linda Pohl wrote: Is this a California law or a federal one?
>
> -----Original Message  Nikki Lee-----
> This runs head on into an ethical dilemma. There are two pieces of
> legislation named after a legislator from California (a Mr. Stark) that
say,
> among other things, that a healthcare provider can provide either service
or
> durable equipment, but not both. For those of us who make money as both
LCs
> and pump rental stations, we are impaled on the horns of this situation.
> Doctors can't own the laboratories or x-ray facilities  or durable
medical
> equipment stores where they send their patients; so LCs can't rent pumps
to
> their clients. Either we give service for free, or give pumps for free,
but
> we
> can't do both. This is a professional challenge for us. What are some
good
> ways that we can ethically manage this situation? Warmly, Nikki
>

I was reading about this in latest issue of Nursing Management yesterday.
It presently applies to Medicare and Medicaid patients.  Are we able to
avoid this dilemma by say, working in a hospital and doing a pump
rental/sales outside of work?  Why there's another dilemma for us.  What's
the practitioner who wants to provide seamless care in one place to do???

Maurenne Griese, RNC, BSN, CCE, CBE
Birth and Breastfeeding Resources  http://www.childbirth.org/bbfr
Manhattan, KS  USA
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