I don't get it. Why do you think a bureaucrat in a State capital knows who is and isn't capable and competent to practice medicine? Governments don't have physicians on staff, and if they did, I'd question why government is wasting that valuable resource checking license applications. Governments don't know the first thing about medicine, which includes licensing. Has malpractice and failed medicine disappeared? Not only has it not disappered, government licensing has shown to have no impact on the quality of care. All it impacts is the cost by limiting the number of practicioners - we have fewer doctors and medical schools today than 100 years ago despite the tripling of the population. Maybe THAT'S why medical care is so expensive.