Yeah, I don't know much about the US situation but there are jurisdictions in Canada, UK, Aus, NZ etc where the profession os self-regulated, degree based, self-insured and or some combination thereof. In my primary jurisdiction, I work under my own license and insurance - the service has a...
I think you have to look really carefully at your local legislation. Remember that those physicians that you are referring to are practising under their own licenses and insurance. In some places paramedics also practice under their own license and insurance and are part of self-regulating...