NY State Government Department of Health provides a lesson in how the Federal Vaccines For Children (VFC) program gets enforced

According to the Federation of State Medical Boards, the 10th Amendment of the United States Constitution authorizes states to establish laws and regulations protecting the health, safety, and general welfare of their citizens.

The Federation asserts that:

The practice of medicine is not an inherent right of an individual, but a privilege granted by the people of a state acting through their elected representatives.

To protect the public from the unprofessional, improper and incompetent practice of medicine, each of the 50 states, the District of Columbia and the U.S. territories have enacted laws and regulations that govern the practice of medicine and outline the responsibility of state medical boards to regulate that practice. This guidance is outlined in a state statute, usually called a Medical Practice Act.

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