I used to have 33 state licensed and I was disciplined in Washington for prescribing ivermectin, this action triggered a cascade of consequences. My once-thriving telemedicine company Text2MD helped over 10,000 patients nationwide during the height of the COVID-19 pandemic. Now, that work hangs in the balance. This single disciplinary ruling has devastated my career, crippled my business, and threatened my livelihood. Multiple states followed with reciprocal actions, leaving me unable to renew or obtain new licenses.