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I have already discussed the importance of real certification for judging competence and safety. Sadly I have come to the realization that physicians are not ethically able to control themselves when it comes to self promotion for financial gains. I am in private practice precisely because I fiercely believe in being independent, but over the years incident after incident has lead me to the conclusion that we as a professional group need a federal body to police and discipline physicians. I welcome a thorough review of every physician’s training and clinical competence so that the public will enter medical offices with the confidence that their safety and health is not compromised.