You should always, always, ALWAYS talk to your doctor re: birth control methods. What works for me may not work for you or your friend, etc. Yes, you can skip the sugar pills, but you must be taking the estrogen/progesterone pills for that to work (right?). Always talk to your doctor, and weigh the risks and benefits to yourself and your lifestyle. And don't knock the next woman for making a decision for herself that you wouldn't make for yourself. So long as she made an informed decision.