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I mostly dismiss the gatekeeping speech therapist model. Pay a person to improve speech capabilities based on their effectiveness, or don't. This is like those laws saying you have to have a license to braid hair, or some such nonsense. If your hair wasn't braided nicely, don't pay that person anymore. We don't need gatekeepers for most things, and for the things requiring gatekeepers, we should hold them to account.
My wife went through hades because of these corrupt organizations. They have no accountability and provide no meaningful service. If the AMA disappeared tomorrow, you'd not notice anything different except lower insurance premiums.
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