Why I Am Starting This Petition:

I am a Physician Associate with over 20 years of practice. In 2024, the North Carolina Medical Board issued me a public letter of concern—a non-disciplinary caution, not a punishment. No fine, no suspension, no probation, no reprimand.

But what happened next reveals a broken system that threatens every medical professional in the U.S.:

The State Medical Board of Ohio “bootstrapped” onto that letter, imposing a large extortive fine, forced a CME/CUE course, and imposed a suspension, thus forcing me to hire an attorney, despite no patient harm. The Florida Department of Health is also currently piling on, demanding hearings and penalties and CME's/CEU's of their own—again, not based on any new evidence, but only because two other states have acted.

Each action has triggered mandatory reporting to hospitals, insurers, and the National Practitioner Data Bank (NPDB), or in the case with Florida; the current threat of another NPDB report. Essentially multiplying the consequences of a single, non-punitive caution into a national scarlet letter. 
This is called bootstrapping—and for me it amounts to double and triple jeopardy.

The Bigger Problem
This isn’t just my story. It’s the story of thousands of U.S. Physicians, Physician Associates, and Nurse Practitioners trapped in a 50-state licensing system that is:

1. Archaic: Created in an era before telemedicine and national healthcare networks
2. Punitive: Boards replicate each other’s penalties without independent review
3. Profitable: Over ⅓ of many medical board budgets come from fines and enforcement actions
4. Harmful to patients: Leads to unnecessary loss of medical licensure due to 'blacklisting 'by insurance and other mutliple other medical boards, Restricts telehealth ability, slows overall access to care, and limits provider mobility in crises/disasters.

Why This System Feels Criminal
If a private organization acted the way state medical boards do—duplicating punishments across jurisdictions, extracting millions in fines, and profiting from regulatory entanglement—it would look like a racketeering scheme. Under federal law, that’s called RICO: the Racketeer Influenced and Corrupt Organizations Act.

Yet in medicine, this behavior is normalized. A single caution in one state can metastasize into triple or quadruple jeopardy (basically to any state someone is licensed in!), enforced by other boards, with no new evidence and no due process. Each action must then be reported to hospitals, insurers, and the National Practitioner Data Bank, multiplying the damage for providers and patients alike.

This is why we say: If state boards weren’t government entities with immunity, their behavior would fit the textbook definition of a RICO case. And it’s exactly why we need to end the racket and replace it with a fair, transparent, and unified national system.

The Solution:

One License USA
It’s time to end bootstrapping and create a modern, national licensing system that truly benfits ALL Americans and empowers providers.

We call on Congress to pass the National Medical License and Federal Medical Board Act, which will:

1. Establish a single National Medical License valid in all 50 states and U.S. territories
2. Create a Federal Medical Board, run by peer approved medical professionals—not bureaucrats
3. Protect providers from duplicative punishments = Due Process Protections. No more duplicate punishments across states. This guarantees one fair due process event and freedom from multiple medical board cases and extortions
4. Expand access to care through Modern Telehealth and interstate practice and speeds critical care to areas in times of National disaster needs.
5. Universal Access and merit: Patients can be treated by top providers, no matter the state they each reside. 
6. Administrative Efficiency: Cut costs for hospitals, insurers, and eliminates government glut and cash grabs that prey on providers

Call to Action
Join me in demanding that Congress act now to bring American medicine into the 21st century.

Sign this petition and share it widely to show lawmakers that patients and providers want:

"One Nation. One License. One Standard of Care."

📌 Support the movement: #OneLicenseUSA

#OneLicenseUSA
#UnifyMedicalLicensure
#EndBoardBootstrapping
#Heal50States
#FixMedicalLicensing