The licensing boards are informed by and read the Journal of the American Medical Association (JAMA) along with the New England Journal of Medicine (NEJM). Unless you imagine medical licensing boards are filled with MD's who aren't informed by that propaganda you can't say they don't have much power. Same thing goes for large medical groups, hospitals, their lawyers and compliance staff that issues directives for the doctors who practice under them, informed by JAMA & NEJM propaganda. More than 80% of doctors today work for large medical groups, hospitals and get their directives they must obey or lose their affiliation with them.
The entire notion and concept of "individual" physicians is a relic idea. It no longer exists for more than 80% of us. Licensing boards, corporate lawyers and regulators realistically dictate the practice of medicine unless your physician is in private practice and doesn't need hospital privileges. And they read, are informed by JAMA/NEJM propaganda.
I agree that in-group ideas and credentialling are important. JAMA is a pretty lightweight journal to be honest. NEJM has more impact certainly. You are right about the loss of the individual physician in recent decades. Medicare was the initial vector.
ACP is another woke political/social science-directed organization of medical practitioners. Their publication "Annals of Internal Medicine" is nonstop woketard/Big Pharma claptrap. If I saw that publication in any physician's office or their email inbox I'd run, not walk away. Same for pretty much all of them. Captured. What RFK and Battacharya were recently in the news for saying, medical journals today are full of shit. Problem is, most physicians are paid to practice what those publications describe as a matter of practicality. A bought mind is a spoiled mind. Their minds are bought. Every single one of them who aren't independent revealed themselves during pandemic to value their license and paycheck more than their patient's lives. And that's an inarguable, indisputable fact. They'd have been fired, lost privileges, licenses if they didn't follow procedures and protocols that were dictated by their regulatory compliance departments that issue memos and directives. The lives and health of their patients be damned. Obedient. Just like the Nazi doctors. Allopathy is exceedingly vulnerable to the obedient mindset that rationalizes and justifies health decisions, leans into utilitarianism for guidance on ethics, sacrifice the few for the benefit of the collective - as the leaders atop define "benefit."
The licensing boards are informed by and read the Journal of the American Medical Association (JAMA) along with the New England Journal of Medicine (NEJM). Unless you imagine medical licensing boards are filled with MD's who aren't informed by that propaganda you can't say they don't have much power. Same thing goes for large medical groups, hospitals, their lawyers and compliance staff that issues directives for the doctors who practice under them, informed by JAMA & NEJM propaganda. More than 80% of doctors today work for large medical groups, hospitals and get their directives they must obey or lose their affiliation with them.
The entire notion and concept of "individual" physicians is a relic idea. It no longer exists for more than 80% of us. Licensing boards, corporate lawyers and regulators realistically dictate the practice of medicine unless your physician is in private practice and doesn't need hospital privileges. And they read, are informed by JAMA/NEJM propaganda.
I agree that in-group ideas and credentialling are important. JAMA is a pretty lightweight journal to be honest. NEJM has more impact certainly. You are right about the loss of the individual physician in recent decades. Medicare was the initial vector.
ACP is another woke political/social science-directed organization of medical practitioners. Their publication "Annals of Internal Medicine" is nonstop woketard/Big Pharma claptrap. If I saw that publication in any physician's office or their email inbox I'd run, not walk away. Same for pretty much all of them. Captured. What RFK and Battacharya were recently in the news for saying, medical journals today are full of shit. Problem is, most physicians are paid to practice what those publications describe as a matter of practicality. A bought mind is a spoiled mind. Their minds are bought. Every single one of them who aren't independent revealed themselves during pandemic to value their license and paycheck more than their patient's lives. And that's an inarguable, indisputable fact. They'd have been fired, lost privileges, licenses if they didn't follow procedures and protocols that were dictated by their regulatory compliance departments that issue memos and directives. The lives and health of their patients be damned. Obedient. Just like the Nazi doctors. Allopathy is exceedingly vulnerable to the obedient mindset that rationalizes and justifies health decisions, leans into utilitarianism for guidance on ethics, sacrifice the few for the benefit of the collective - as the leaders atop define "benefit."