Maintenance of Certification is a monopolistic, anti-competitive requirement by specialty boards for physicians to waste time and expense on "maintaining" their board certification, akin to requiring someone to "maintain" his college diploma years after graduation.
A legislative analysis performed in Connecticut found that:
“ | Six states prohibit state licensing boards, insurance providers, and hospitals from requiring physicians to maintain a specialty certification through an MOC program (and South Carolina additionally prohibits all employers from requiring MOC as a condition of employment). Another nine states have partial prohibitions. Table 1 lists these states and briefly summarizes their laws.[1] | ” |