Should we make it easier for physicians to practice independently on one year of residency?

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Can NBME/FSMB and other organizations stop using medical students and physicians to fill their coffer?

I just ordered my USMLE transcript to be sent to a medical board for licensure application and it costs $70.00. Does it really cost $70 to print a piece of paper, put a stamp on it and mail it? On the other hand, it cost nothing to get my medical school transcript for the same purpose.

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