Dear Barb, Before we get all bent out of shape, I have to assume that this post is meant to be some kind of sarcastic joke (?) Are we supposed to substitute "formula company" for "breast pump companies" in order to get the real point of this message? If not, you really need to supply some specifics - place, time frame, etc. - and some solid facts which can be checked out before you start making such sweeping condemnations of a profession and the "two GIANT breast pump companies" (I wonder who you are referring to?) which are running what you are implying is a nation-wide campaign to defraud patients. Not to mention the fact that we would all like to know how your nurses got routine reimbursement for breastfeeding-related products. If this had really happened I would have to believe that somone else in the lactation community would have heard about it. What "major city" do you live in anyways? Sharon Knorr Lactation Consultant Services Rochester, New York mailto:[log in to unmask]