In response to Kim's comments about HMO's and Lc's in Northern Calif. Many Northern Calif Kaisers do have LC's on staff. These include Oakland, Stockton, Hayward, Pleasanton, Walnut Creek, San Francisco, South San Francisco, Redwood City, San Rafael, Santa Rosa, South Sacramento. Not only that, we meet regularly to share and discuss breastfeeding at out respective facilities. We are planning a region wide CEU day on topics of breastfeeding this spring/summer and are looking at projects that will coordinate lactation services at all regional facilities. Some of us work just in-pt, some just out-pt, some both. Some are not official employees but are "contracted out to for lactation problems". Many are already IBCLC, others certified by well known programs and others in process. Kaiser feels quite strongly about promoting breastfeeding but like many things in life, change takes time. Hang in there, Kim!!!!! Thank you Christine Palmer, Kaiser SF