"So, can you tell me a little about your qualifications?"
"Sure! I've memorized the Brain Surgery Frequently Asked Questions list. I always read netnews from alt.brain.surgery. I've ftp'd and gophered hundreds of files about human brains. Plus, I have fifteen CD-ROMS about brain surgery. In fact, I've even put on a headset and goggles and performed virtual brain surgery, rehearsing the procedures hundreds of times in computer simulations. Plus, I work cheap! No union! When can you come on down to the lab?"
"So you're not an actual MD, then?"
"Sure I got a degree, I've got a nice printout diploma from Dr. Benway's Online College of Virtual Medical Knowledge. It's based in a website in Grenada. I downloaded and read every one of the lessons, so you don't need to worry. Software engineers don't have licenses, politicians don't have licenses, journalists don't have licenses either, and those are all important knowledge-based professions, so I don't see why you need to get all fussy about cutting people's heads open. This is the Information Age, and thanks to the Internet I possess all the photos and words and documents that any doctor has. Why should I go through a a lot of tiresome pro forma nonsense before I hang up my shingle? Let's do business."
"How about the Hippocratic Oath?"
"Look, that documentation is over two thousand years old. Get up to date, pal. Your pathetic nationalist government may not approve of our healthcare methods up there in stuffy socialist Canada, but not everybody has your health system. Here in the Turks and Caicos Islands everything we do is perfectly legal."