I am very libertarian so I'm naturally opposed to central control of pretty much anything not explicitly listed as being primarily the concern of the central go

I am very libertarian so I'm naturally opposed to central control of pretty much anything not explicitly listed as being primarily the concern of the central government (Enumerated Powers and the Tenth Amendment). When it comes to medicine I think competition is good and that either State or regional self-regulating bodies should oversee doctors, medicine, and credentialing, and that there should be defined minimum requirements a body should meet but that exclusive authority of any body (eg: the AMA) should be abhorred. Fair competition leads to better solutions, better care, and lower costs. We need minimum adequate regulation, and more qualified bodies (perhaps at each medical school?), not more "regulation" in the commonly understood sense.