All of you who are over working for your hospital on your time and energy need to read this mo JHL editorial. The title is "Closet Consulting and Other Enabling Behaviors". It says a lot that none of us want to hear about enabling the hospital powers that be to continue to use you. Yes, USE you! for FREE! It gives steps to implement to change your situation. Somewhere we have to come to the realization that our services are valuable and the health care system benefits from lactation services, therefore the health care system needs to pay for these services adequately. Letters from consumers are extremely important, both kinds ie: to say the LC helped me and my baby is BFing or the LC was too busy to help me and blah, blah blah happened and this is why I am so disappointed in delivering at your institution. Delivering a baby at a hospital is a way that the mom becomes attached to a hospital (loyalty). She will then come to same hospital for other services. Don't underestimate the power of the consumer - the hospital doesn't! The air is getting thin up here and I need to go to work as a HCP! Sincerely, Pat in SNJ