In my practice, I carry both hospital grade and down-sized pumps, but do not charge differently for them. I feel comfortable absorbing the difference in lease fees in order NOT to be the slightly influenced to give out the smaller pump when the larger one may be more appropriate. It would be helpful if the proprietary companies did not charge more, but they have to worry less about patient concerns than persons dealing with those patients. Perhaps if the persons leasing the pumps rose up in unison and COMPLAINED LOUDLYd they would change their position on this. Anybody willing to do so? %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %% "We are all faced with a series of great %% %% opportunities brilliantly disguised as %% %% impossible situations" - definition of a %% %% lactation consulting service. %% %% Kathleen G. Auerbach, PhD, IBCLC %% %% [log in to unmask] Homewood, Illinois USA %% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%