Patricia: Because of the poverty in my area (1/3 of all deliveries are Medicaid, higher percentage on WIC), I try to avoid the cost benefit of breastfeeding twins altogether unless I'm sure I'm talking to a private insurance mom. I try to present it in terms of time saved, and how mom can leave a baby attached while burping the other, and how much more sleep mom can get if she bfs. The sleep issue really helps if mom has already had children and understands that infants wake in the night. Still the perception that bottles are easier is pervasive. Will she be working after the babes arrive? perhaps you can use the time argument successfully whether her answer is yes or no. It's unfortunate that this staff member is eligible for WIC, and that she apparently sees no appreciable difference between bf and ABM. I have similar problems with the hospital staff in my area. On the bright side, many of my long-term pump rentals have been to nurses and other hospital staff. Susan Betz