Totally. State by state differ. One state could actually care and have better medical standards, while a different state could have a medical bias on the patient and refuse to diagnose them. It's almost reached a underground repeat of bad history. Bring actual evidence against these monsters in court and the state and feds protect doctors and the pharmicutal companies with the laws, like stupid law that have no exceptions in one state but have exceptions on another. Let's say a person gets a pace maker for example. Although it's a medical device, the pharmicutal company classifies it as a prescription. The doctor places it without the knowledge of how long the battery will last, or if the components will stay in tact. Sown the road the product fails and harms the person requiring open heart surgery. The person goes to court to find that the doctor was responsible for warning the patient, when the company failed to warn the doctor and patient. Because the doctor has multiple pace makers to choose to place, the chosen the easiest one to place vs the one that had better maintenance options. I find it crazy that a patient could go into the emergency room, and come out of the hospital weeks later with a pacemaker that is irretrievable, and unremovable. All to find out 3 months later that the device cannot be removed without major open heart surgery. If only the doctor cared enough to inform the patient of this be fore the surgery.