The desirability of a uniform standard of qualifications for practice throughout the United States is self-evident and is recognized in the reciprocity clauses contained in the medical practice acts of many of the states. That these reciprocity clauses are for the most part ineffective is due to many reasons, some of them valid, others perhaps not so unqualifiedly so. Each state makes its own medical law and establishes its standards. Any legal differences in these or any assumed laxity in the execution of the law may be made the cause of refusal of reciprocity, even when this is provided for in the statute. So long as there is no co-operation between the makers of the laws there can be no reciprocity.
Each state law is more or less modified to meet the imagined special local needs or interests and without regard to those of other states where different conditions may
RECIPROCITY OR UNIFORM MEDICAL LEGISLATION. JAMA. 1901;XXXVII(20):1320–1321. doi:10.1001/jama.1901.02470460034003
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