Marsha's description of the move by RDs in Indiana to protect their
profession is indeed an effective route -- it is what we are describing in
the lactation world when we are yelping about "licensure."

The RDs were a step ahead in that they probably already had a "license" in
the state in IN, for which they pay a yearly fee ... which provides for a
discipline/complaint process ... and which describes a scope of practice for
RDs in IN.  By having "RD" made a recognized, sanctioned designation, they
now fit into the reimbursement scheme, which is largley driven by the
insurance companies.

We IBCLCs are going to have to create licenses for ourselves, from
scratch, in each of the 50 United States.  We have come mighty close (think
TX, Barbara Wilson-Clay and Laurie Beck).  It will be a farily log process,
but I am convinced that it is critical for our profession.

I urge anyone with even a smidgeon of interest in this topic to contact the
United States Lactation Consultant Assn.  Volunteer to help the licensure
task force/committee.  Our profession needs this in the USA.

Liz Brooks JD IBCLC (automatic USLCA member by virtue of ILCA membership)
Wyndmoor, PA, USA

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