Big End Bob
The AME doesnt determine that you have to have a medical. The CAA does. The AME merely facilitates it so you can ply your trade
Just as you cant just get in a plane and fly fare paying passengers, so a doctor cant just see patients in his bedroom. There are massive requirements including diasabled access, fire assessment etc etc. The rooms have to be inspected by the regulator CQC at massive cost a bit like an AOC.
I agree prices were much lower, but health inflation has been over 10% per annum for years. Many of these requirements were foisted on us by nice Mr Blair. Another cute one was effectively banning us sterilising instruments in small autoclaves so we had to use a third party....
I have no axe to grind on this matter, but every industry thinks they are the only ones being
d by regulations / taxation / governments