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I don't think it has anything to do with the number of physicians anymore. Sure, it may have been easier for them to gain ground in those states with large rural areas initially. But now they're independent in populated areas like DC, Delaware, Rhode Island and Connecticut. It's easier for them to make the case to politicians and the public now that they're independent in a large number of states already.Exactly what my comments were about. Most states where they have the most autonomy are states that have large rural areas, which equates to a lesser amount of physicians wanting to practice there.