I must say I find this fascinating: it is the first time I have heard of someone not wanting portability of qualification. One of the reasons that the Australasian services have moved to a minimum Degree qualification for paramedics (with some have a post-graduate requirement to be "ALS" {whatever the hell that is}) is that portability between states/countries was not the same as with other health professions.
As professionals it is not a matter of "In this service, this monkey can perform this skill", but a matter of practicing good medicine wherever you are.
With proper education it doesn't matter if you work in Alaska or Timbuktu, you will simply adapt to the different logistics and cultures as necessary. An MI however, remains an MI irrespective of where it occurs.