id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
inlawrev-28358	Khan, Fazal	From Pixels to Prescriptions: The Case for National Telehealth Licensing and AI-Enhanced Care	2024	31	.pdf	application/pdf	13860	697	38	The practice of medicine continues to be tightly regulated by states, and the restrictions imposed through medical school accreditation and residency funding have enabled physicians to retain elevated incomes, prestige, and a consequential role in shaping state policies—even though their relative affluence and influence may have waned since the 1980s.141 Because state medical boards and professional associations have wielded significant power to thwart perceived threats to physician autonomy and control over medical practice, they have consistently resisted ceding the perceived advantages of state-based licensure, rendering voluntary reciprocal arrangements both unlikely and fragmented.142 For example, the initial concept of the Interstate Medical Licensure Compact, envisioning true reciprocity, was diluted due to opposition from state medical boards.143 Absent compelling incentives or definitive national intervention, substantial reciprocity reforms seem remote and improbable.144 D. Expedited License Portability Processes A faction of reform proponents has urged states to introduce, at the very least, expedited license portability processes to facilitate physicians’ relocation between states.145 Such a mechanism would expedite license transfers and approvals, curtailing the delays that can disrupt care and deter interstate mobility.146 Additionally, licensure barriers that restrict physician movement undermine 138. [Vol. 57:581 a process that necessitates reducing arbitrary variations in licensing restrictions.79 However, the entrenched barriers of state licensing persistently obstruct the common-sense workforce flexibility that rural communities so urgently need.80 Fragmented state oversight, therefore, perpetuates a system of disjointed medical regulations that disproportionately diminishes healthcare access for rural populations, leaving them at a disadvantage compared to their urban counterparts who are endowed with greater resources and provider choices.81 E.	cache/inlawrev-28358.pdf	txt/inlawrev-28358.txt