What a license proves, and what it does not
A license proves the doctor finished medical school, passed the national exams, and completed at least part of a residency. It is a floor. It does not say whether they keep up with the evidence, whether they sell what they prescribe, whether they tell patients to skip vaccines, or whether a board in another state took their license last year. State boards act on complaints, slowly, after harm. They do not read a doctor's Instagram.
What changed
Reach. A generation ago a doctor with unusual views affected a few thousand patients. Now the same doctor can affect millions, and the economics reward it: a supplement line, a membership program, or a compounded weight-loss drug at a markup pays far better than a generic statin and a careful explanation. The incentives online favor the clinician with something to sell, and the tools patients use to choose, star ratings and follower counts, reward the same thing.
What vetting means here, step by step
- Identity and license: verified live against the federal NPI registry; name must match, record must be active, specialty must be one we list.
- History: anyone who has ever lost, surrendered, or had a license restricted for cause is out, in any state or country.
- Public record: a web-search screen of state board actions, news coverage of ethical violations, criminal matters, and public anti-vaccine or anti-guideline statements, before a person reviews the file.
- Website and socials: screened for peptides, compounded drugs, supplements as treatment, online stores, and anti-evidence content.
- Attestation: a dated, signed statement naming the guidelines they follow for each condition, plus a declaration covering license, ethics, products, and evidence. We then spend up to three business days confirming it.
- A human decision: the AI screen advises; a person approves or declines.
Why it has to be continuous
People change. Practices add a supplement shelf. A clinician who was careful in 2024 starts a peptide program in 2026. So the attestation renews every year, websites are re-checked monthly, a random sample of listed clinicians is audited each month, and anyone who breaks the pledge is removed without refund. A listing here is not a certificate earned once. It is a standing claim that is checked.
What it costs, and who pays
Vetting is work, so listed clinicians pay a monthly subscription after they pass, and sponsors buy labeled placements. Neither buys a pass or a rank. Patients pay nothing. The trade is a smaller directory in exchange for one where every name means something.
Common questions
Isn't this just gatekeeping?
It is exactly gatekeeping, done in public with written rules. The alternative is a directory where the gate is a credit card.
What if a good doctor is declined?
Rules are applied the same way to everyone, and applicants can request a second look. Some good clinicians will be outside our rules, for example because they sell a product line. That is a choice they made and one patients deserve to know about.
References
- Nurses Continue to Lead in Honesty and Ethics Ratings (Gallup, 2026)
- DocInfo (Federation of State Medical Boards)
