You can thank over-regulation for that. In countries with socialized care, there's one employer that dictates working conditions (the state). Over-licensing me

You can thank over-regulation for that. In countries with socialized care, there's one employer that dictates working conditions (the state). Over-licensing means it's a hassle to port a license to another jurisdiction (to be subject to a single employer again). In America, same issues mostly except it's not the state that employs but an organization that's given a monopoly over a region thanks to certificates of need. [0] [0] https://en.wikipedia.org/wiki/Certificate_of_need https://en.wikipedia.org/wiki/Certificate_of_need