Alcohol and cannibis producers enjoy regulatory moats from "sin" taxes, and I can't install a septic tank or get antibotics without someone who has a license.
And I couldn't buy and AR in Colorado without a Federal Firearms Licensed dealer who used to bitch about regulations to high heaven while they sell me just the serialized receiver for a weapon I would have bought online without those regulations.
Noting those instances doesn't mean I don't understand why they exist. I spend some time volunteering as a health care provider and am happy that people have some standards around that care even if those "moats" can't quite keep MAHA people from bufo-toxin-ing their unvaxed children.
At the same time, it's important to understand that professional organizations creating "standards" are still industry-oriented organizations and are motivated by those interests regardless of how much folks complain about higher-levels of regulation.