Sure, I’m Paranoid by Pat Conrad MD

Are we heading toward a National Medical License program?  Michigan has just become the 25th state “to join the Interstate Medical Licensure Compact, which allows physicians to more easily be licensed in multiple states.”   “‘The expansion of the compact to half of all U.S. states is an incredible achievement and testament to state medical boards’ efforts to innovate and improve license portability,‘ said Humayun Chaudhry, DO, president and CEO of the Federation of State Medical Boards.”

The basic idea is that if you meet the compact’s eligibility requirements, they can avoid more lengthy application processes state by state.  Which sounds pretty reasonable, and a boon to those interested in locums work.  Making physicians more portable could certainly give them more earning opportunities, and might blunt (a little) the coercive reflexes of major health corporations.

 Of course, this convenience is bound to come with an annual fee, on top of fees for each state wherein licensed.  

 – If one surrendered a license in state “A,” would that be a question one would have to answer in all the other states?

– How would this compact deal with board certification?  Why do I already smell the ABMS and their loathsome subordinates creeping around, trying to make MOC currency a mandatory eligibility requirement?  

The one governing body I would probably detest more than a state medical board is a federal one, so anything getting these generally bad groups to cooperate is worrisome.  And as bad as it can be to get justice out of a state board, what chance would a solo doc have at the federal level?  This is certainly laying the scaffold for federal oversight.  Just insert your NPI and turn.  And once a national medical license is created, it could demand adherence to all sorts of fun things:  Medicare/Medicaid participation, a reinforced MOC, politicized CME requirements at the federal level (you mean you haven’t finished the “caring for the transgender geriatric module”??), proof of minimal charity care…add your own.  Naturally, Big Insurance and Big Hospital would say that such a system would save on credentialing expenses and leap to force all doctors into the ranks of the USDA Prime.  It would quickly be used to end any notion of Direct Primary Care.

 And I can’t think of a better major step toward the creeping single-payer system disaster that is coming.    

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  4 comments for “Sure, I’m Paranoid by Pat Conrad MD

  1. PW
    February 2, 2019 at 1:43 pm

    Retirement can’t come any too soon.

  2. LadyDoc
    February 2, 2019 at 10:01 am

    Looks like it will be the end of medicine for me. I will not comply with mandatory board certified, MOC, requirements.

    I can make money other ways. I’ve paid back my student loan principal in spades, so I have no qualms with letting the rest default with my death someday.

    I will not be a slave.

  3. Damd
    February 2, 2019 at 7:14 am

    If you read the law, you will indeed find that they define a physician as having taken Chaudrys exams and are board certified by the ABMS. Some states like Arizona have carved out some protections. The bill also spells out protections for life certified docs. Cute
    It also creates a primary license and conditional secondary licenses from the primary one with extra rules if renewal and switching etc. You are still held to the millions of requirements and fees for each individual state also.
    Additionally if you lose your license in one state you will in all states and can be required to pay fines etc for all. You lose.

  4. Thomas David Guastavino
    February 2, 2019 at 6:20 am

    Once again, the answer is a physicians union so that we have input into the decision making.

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