The practice of medicine in the United States is almost entirely based on national guidelines and regulations. Minor, inconsequential differences may exist from state to state, but nothing significant enough to justify the current requirement of comprehensive, redundant licensing of physicians in each individual state in which they practice.
Notably, in an uncommon example of federal common sense, physicians can work at any Veterans Administration facility, in any state, with any active state license. Why the exception? Because it just doesn’t matter.
Compare the situation to a driver’s license. Most citizens carry a driver’s license from their home state, for which they must meet requirements to obtain and maintain, and they freely drive from state to state (even internationally) with this license being recognized by local authorities. Traffic violations in any state are reported to the home state. Obviously, a driver’s license does not require the same stringent training as a medical license, but the application of the associated rights is the same: that is, once an individual has met the requirements, they should justifiably be able to exercise the rights of that license throughout the country. If those rights are ever revoked, they should logically be revoked nationally as well.
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