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In low- and middle-income nations (LMICs), physicians organizations do not share energy just as. Second, in higher-income countries, fragmentation might occur along specialty or generalist outlines, and some doctors tend to be unionized. Most of the time, physician impact over reimbursement policy is paid off because of organizational fragmentation. 3rd, associations develop as genuine voices for doctors but their relationship to many other careers varies in higher-income nations