Actually, it is "what do you call the person who graduates at the bottom of his or her medical school class"

But here's another one for thought in the context of this thread.

"What becomes of a medical doctor who fails to get board certified?"

He will likely find something, but he will be excluded from many practice opportunites and will be denied hospital privileges at most hospitals throughout the country.[/QUOTE]

You call that person one less scam artist who wants to make as much money as he or she can through the sale of drugs and health insurance instead of helping sick people...(health insurance is a another topic). There are too many things regulated in the United States, too many rules, laws, litigation, Licenses, etc.. read or listen to George Carlin.

There are plenty of qualified bike mechanics out there... you just find one by talking to them and by word of mouth, years of experience is a good indicator also. I have a friend who is a mechanic who can fix anything, he used to work on heavy duty trucks and construction vehicles... I would trust him to do anything on my bike or my heavy duty clutch. I wish I could do what he can. I am jealous of his abilities.