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[[File:The_Doctor_by_Luke_Fildes_(1).jpg|thumbnail|350px|left|<i>The Doctor</i> by Luke Fildes]]
In the 19th century, physicians lobbied state legislatures throughout the United States to pass medical licensing laws. Some doctors were more successful than others in passing these laws. Starting in 1870s, states began to slowly adopt medical licensing laws. In order to make these laws more palatable to skeptical legislatures, physicians often tied these laws to sanitation reforms. Still, physicians in some states struggled to accomplish anything.
Physicians in Oregon became increasingly frustrated with the status quo and sought to pressure the legislature.Physicians began to sound the alarm that Oregon soon would become a haven for quacks and incompetents from other states. Oregon’s physicians did not want physicians who could not get licensed anywhere else to flood into the state. In 1888, the Oregon State Medical Association (hereafter OSMA) made yet another dedicated push to pass some type of medical regulatory act.<ref>The Medical Society of Oregon changed its name to the Oregon State Medical Association a few years earlier.</ref> This time, the OSMA was willing to grease the appropriate palms with enough cash to push the licensing bill through the legislature.
===Forming a Committee===