The type of service discounted may be the issue here. A professional service such as a BF consultation, a medical treatment (gyn exam), in my opinin should not discounted...that requires study and experience and is valuable. The rental of a piece of equipment is different and can be bartered, reduced in cost, etc. I don't know many physicians who rent or sell anything...many are generous with samples...but that brings us back to freebies! Over the t years I'vbe received vitamins, neck brace, cough syrup and a couple of free visits when I made the diagnosis! On the other hand, Many currently BFing and pumping MD's are sending their friends and I find that works out well. ..................................... Anne Andrianos, MSN, IBCLC 4340 Young Road, Syracuse, NY 13215 (315) 492-6437 [log in to unmask] r