[iamnotlarry]

The supply of doctors in the U.S. is tightly controlled by interests best served when the supply is limited. This is not competitive pressure.

Allow doctors to be "certified" by private organizations, then watch how quickly medical schools change, residency allotments open up, and doctor ranks swell. As the supply of seats in medical schools and number of residencies rises, the cost of medical school will decrease. More doctors with less debt will put downward pressure on medical prices.

You may argue that quality would not increase under such competition, but I disagree. People who can't afford healthcare would be able to afford poor quality healthcare which is better than they currently enjoy. Rich people will still have vanity certified doctors. In general the cost of comparable quality healthcare would be lower.

TLDR; don't complain about disappointing results of competitive pressure in a market with very limited competitive pressure.