We have the same type of problems here. One of the larger, more popular hospitals has "lactation consultants" on staff (not even certified, much less IBCLC). They tell their prenatal classes NOT to call La Leche League or lactation consultants in the community. Even better, they give their recommendation for the *best* pump on the market---Evenflow! :-( To make the situation even worse, they have all the political pull with the hospital admin folks and will continue to teach this type of thing. They refuse to participate in local ILCA gatherings, any breastfeeding CEU courses offered here, etc. You can imagine some the moms I see is horrible shape by the time they get to me!! Kathy Parkes, RN, IBCLC San Antonio, TX