I was called recently by another hospital in the US who also has a certificate of intent from Baby-Friendly (as we do). They received, as did we, a notice about a publication coming out listing hospitals in the US with Certificates of INtent. The letter stated that there was a fee to be paid to be included in this publication based on number of actual deliveries per year. Other hospital told me that when they inquired about what would happen if they chose not to be included in the publication, they were informed that their Certificate of Intent would be revoked. Has anyone else heard the same? Many of us who have acquired Certificates of Intent are struggling just to keep the Intention going. We are constantly being undermined but slick salesmen who are always thinking of new ways to "gotcha' the breastfeeding mother and supportive professional. Most medical personnel are blithely unaware of the amount of marketing they do for the sleazies. They think they are giving their mothers a "gift". And since 95% of HCP's are co-dependent (so they say) we ALL want to be helpers and good caregivers (caretakers). They want to be liked. If you withhold that freebie, you are being selfish and keeping mum from getting what is rightfully hers! All of this is besides the corporate marketing strategies that are self-centered and self-serving combined with a large dollop of ignorance about the bottom line of health care costs. With budgets being carefully monitored and hospitals with L.C.'s struggling to keep their programs afloat, it's hard to justify spending several hundred dollars for something that does not impact our program by increasing patient numbers or revenues or decrease costs. ANy body else encountering this? Please E-mail me if you prefer. Jane Kershaw e-mail to: [log in to unmask]