----- Original Message -----
From: "Elizabeth Brooks" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, March 12, 2009 9:08 PM
Subject: [LACTNET] ILCA's positions and decisions
**Hello Liz and others,
> So -- for argument's sake, let's say one of these
> Doesn't-Pass-My-Smell-Test
> vendors gets a booth at ILCA. Let's say they paid $5000 -- more than
> twice
> the highest rate. I don't know what JHL's ad rates are, so let's just put
> a
> huge pretend number on it: $10000. That $15000, ploppedinto ILCA's
> coffers
> by one company, represents a mere 0.009% of ILCA's annual budget of $1.6
> million.
>
> I can assure you: this level of financial "gain" is not powerful enough
> to influence Board decision-making, and it hasn't induced the ILCA Board
> of
> Directors to abandon its by-laws driven requirement to support the
> International Code of Marketing of Breast-milk Substitutes and all
> subsequent relevant WHA Resolutions.
**With all due respect... I don't think we can say that the fact that an
amount is relatively small and does not affect decision making, is enough
ground to say it is okay. What if that small an amount of money came from a
tobacco producer or from the weapon industry: would it hold true, the
remark: "Oh, it's not much money compared to what we deal with in total, so
it won't influence decision making"...?
I read and read and read and have said before: if the Code is so complicated
and for many of us so hard to analyze and draw conclusions from that relate
to daily practice... something must be wrong somewhere, although I am not
fully sure what it is. Some say it is all very clear and simple, but if a JD
has to explain again and again, with all kinds of hypothetical situations,
what would be okay and what would be not... I don't know, then something
must be 'wrong' or at least there must be a very big grey area or else we
would not have so much trouble finding out how to deal with it.
I have a very clear-cut question and would be interested to see if you can
answer it with a clear-cut 'yes' or 'no', as I could not with 100% certainty
distill it from your earlier posts this week.
I'm a PP-IBCLC and rent and sell Medela-pumps. I don't sell bottles, just
the sets that come with renting a Symphony. On my website, I only state that
I rent and sell pumps, no brand mentioned. I might start selling and renting
another brand in the future, for the sake of offering an alternative, but I
don't, not yet. Medela is prominent in this area and I hear that Ameda Elite
does not have the same results as the Symphony (correct me if I'm wrong).
People need rental pumps when they are in trouble with their breastfeeding
situation and I don't want every conversation with people in trouble to turn
into a sales talk. I just have one brand for now, so I offer my knowledge
and expertise to get them going when in trouble. I hardly make any money
from it, have no contract with another boss, so spend my time on promoting
the abolishment of a stupid CIO-guideline and related issues, as you know
(so no conflict of interest, I dare say, as I am hardly interested in money,
being fortunate enough to have my husband provide for our family). I'm not a
pump seller, offering good advice on the side; I'm a knowledgeable IBCLC,
incidentally offering a pump if necessary.
SO, HERE COMES the question, a 'yes' or a 'no' please: Am I Code-compliant?
Warmly,
Marianne Vanderveen IBCLC, Netherlands
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