Public Citizen provides trends on doctor disciplinary information found on state websites. The report ranks all states based on Serious Doctor Disciplinary Action Rates by State Medical Licensing Boards. Assessment of state licensing boards as to how aggressive they are with doctor discipline information, was last updated 2021. Public Citizen is a nonprofit consumer advocacy organization founded by Ralph Nader and Sidney Wolfe, MD in 1971. Other political advocacy relative to quality of physicians, is included at this citizen.org website.