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I think this is the thing that is being challenged. That they're basically not even doing quality control. It's license control, not quality control.
I'd note from my previous comments regarding the book, they had examples from other industries, too. One that stood out was doctor malpractice that the boards would just kick the can on. "Better to have a bad doctor than no doctor." (But definitely not a foreign doctor!) IIRC, they talked about a case where the board just kept kicking the can and stringing it along, and nothing happened to "control this guy's quality" until he was arrested on criminal charges by the county prosecutor for the utterly obscene stuff he was doing (completely separately from the board's proceedings).
Different industries probably need different changes, because sure, there should be some sort of standards/quality control, and what that looks like can vary. But as it is, it seems to be pretty clear that they're not really doing that.
Unironically yes, which is precisely why occupational licensing is evil.
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