Seems like a lot of hassle. And how exactly am I know to know that St. Augustine School of Medicine is really shitty? I called and they sound legit and the guy went there. How would I know the difference between a legit school and a fake one? Maybe some thing like the AMA would help.

One thing you can do is look at the reviews/popularity of the school. Another thing you can do is look at the standards that the school uses (e.g. how long it generally takes to get a certification). There's also the records of the school (e.g. graduation rate, employment rate of its undergraduates/graduates, etc). There's different things you can look at.

So does licensing. Licensing, I think, would be more effective. I also think outlawing dangerous behavior like practicing medicine without a license is a smart move. I think these laws came out of necessity, they didn't just show up because somebody felt like overregulating things.

One problem with licensing is that corruption can be involved. An example is when gun licensing was used (and is arguably still used) for racial discrimination. It can also be argued that a license issued by a government is not guaranteed to be anymore accurate than a certificate issued by a school. At least with certification you can do personal research on the credibility of the school that the certificate was issued from. Licensing, on the other hand, is about putting faith and/or loyalty into what the government declares.

That's basically all a government is. The people share ownership in some form over the land. I'm a resident of my city so our incorporation has a certain level of ownership over all the land allowing them to regulate certain activities on that land. It's just a community planning and deciding on things. The state is just a larger community.

The state involves hierarchy (I.e. an individual or group controlling another individual or group). It's not just about a discussion between individuals on how to manage resources.

In my state (the US) all the people share ownership of the land. it's popular sovereignty.

Land in the U.S. is either owned privately or owned by the corrupt plutocratic government. It's not owned publicly in any genuine sense.

Ever been part of a small community meeting trying to get people to decide on things?

What about it?