Doctors fought to prevent drugstores from giving shots other than influenza vaccines. They required schools that stock epinephrine pens to follow protocols developed by a hired physician. In 2007 the North Carolina State Board of Dental Examiners wrote a cease and desist order to salons and spas offering teeth whitening using peroxide preparations, accusing them of the unlicensed practice of dentistry and asserting they could be subject to criminal penalties. What was good for patients often seemed to be an afterthought.

