The Licensing Racket
How We Decide Who Is Allowed to Work, and Why It Goes Wrong

Description
A bottom-up investigation of the broken system of professional licensing, affecting everyone from hairdressers and morticians to doctors, lawyers, real estate agents, and those who rely on their services.
Tens of millions of US workers are required by law to have a license to do their jobs--about twice as many as are in unions. The requirements are set by over 1,500 industry-specific licensing boards, staffed mainly by volunteers from the industries they regulate. These boards have enormous power to shape the economy and the lives of individuals. As consumers, we rely on licensing boards to maintain standards of hygiene, skill, and ethics. But their decisions can be maddeningly arbitrary, creating unnecessary barriers to work. And where boards could be useful, curbing harms and ensuring professionalism, their performance is profoundly disappointing.
When Rebecca Haw Allensworth began attending board meetings, she discovered a thicket of self-dealing and ineptitude. Drawing on hundreds of hours of interviews with board members and applicants, The Licensing Racket goes behind the scenes to show how boards protect insiders from competition and turn a blind eye to unethical behavior. Even where there is the will to discipline bad actors, boards lack the resources needed to investigate serious cases. The consequences range from the infuriatingly banal--a hairdresser prevented from working--to the deeply shocking, with medical licensing boards bearing considerable blame for the opioid crisis and for staffing shortages during the COVID epidemic. Meanwhile, unethical lawyers who are allowed to keep their licenses are overrepresented among advocates working with the most vulnerable groups in society.
If licensing is in many arenas a pointless obstacle to employment, in others it is as important as it is ineffective. Allensworth argues for abolition where appropriate and outlines an agenda for reform where it is most needed.
About this Author
Rebecca Haw Allensworth is David Daniels Allen Professor of Law at Vanderbilt University Law School. Her work appears in the Atlantic, the Wall Street Journal, and the New York Review of Books.
Reviews
A pioneering investigation of a broken system.
[A] hard-hitting debut study... Filled with lucid analysis that cuts through the thicket of legal and economic issues, this is a persuasive critique of a pressing regulatory matter.
A thoughtful exploration of professional licensing in the United States.
An unmatched insider's look at how occupational licensing actually functions and perpetuates itself. A must-read manual for anyone who wants to reform this increasingly broken system.
Caution! Rebecca Haw Allensworth's exposé of petty and self-interested licensing boards may make your blood boil. This is a powerful call for rebooting how America regulates professional competence.
Important and timely. Allensworth weaves storytelling and interdisciplinary research into a deep and compelling explanation of the inequities of licensing and how it creates artificial scarcity in essential services.
A major contribution to scholarship and a gripping read. Allensworth shows that licensing boards are much better at keeping people out of professions than they are at protecting the public. Her account of the role that medical boards played in the opioid crisis is especially chilling.
With a muckraker's tenacity and a legal scholar's precision, Allensworth exposes the rotten foundations of professional licensure in America: the licensing boards that far too often put doctors, lawyers, and other professionals ahead of public safety and welfare. The Licensing Racket enlightens and enrages in equal measure.
A well-written, accessible, and valuable contribution to the understanding of occupational licensing, based on four years of in-depth interviews. The Licensing Racket deserves to be widely read.
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