Recently we received a phone call from another licensure consulting company asking for our help in getting an applicant through licensure – I wanted to laugh, but didn’t and gave the young lady a few hints on when to call, how to send things, etc. but I ended our conversation by telling her that we, G&M are not miracle workers. Now we are pretty darn good at getting things through CAR at the Texas Medical Board but even we can’t overcome 3000 pieces of mail, emails that are over 45 days old, mail that even when it gets to an applicant’s file in CAR may sit for 2-3 weeks. I don’t think anyone could have imagined that adding the four license types that Senator Nelson and the Texas legislature did in 2015 would have this kind of effect – but it has truly crippled physician licensure. The only remedy that I see is a complete reorganization.