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[[File:Galenus.jpg|thumbnail|275px|left|Galen of Pergamon By Georg Paul Busch]]
Nineteenth-century medicine was characterized by constant competition among three major medical sects: Regulars, Eclectics, and Homeopaths.<ref>Sandvick, Clinton (2016)<i>''[https://www.amazon.com/Defining-Practice-Medicine-Licensing-Physicians-ebook/dp/B01LXWRYFB/ref=sr_1_1?ie=UTF8&qid=1476595295&sr=8-1&keywords=medical+licensing+sandvick Defining the Practice of Medicine: Licensing American Physicians, 1870-1907].''</i></ref> Each of these medical sects not only meaningfully disagreed on how to treat illnesses and diseases, but sought to portray their type of practice as the most effective and scientific. Arguably none of the three sects was superior to the others, but their adherents concluded that their sectarian beliefs were better than their competitors.
Regulars were the inheritors of Galenic tradition and were the largest and most established of the three sects. Homeopaths represented a new approach to medicine with a new unified medical system developed in the eighteenth century. Homeopaths were quite successful in the United States and represented the biggest threat to the Regulars’ dominance of medicine. The Eclectics were true to their name. They were a diverse sect composed of dissident Regulars, herbalists, and medical reformers. While the Regulars were the largest sect, their members constantly worried that they may lose their place at the head of the table of American medicine. In the later portion of the 20th century, Regular physicians would constantly lobbying state legislatures to create medical licensing to solidify their place as the preeminent medical sect.