Wow! Really eye opening to me. But then I play by the rules. Well, maybe 5mph over the limit. Thumb print for TX DL. Full photo and fingerprints in each state I've used my nursing license, same to get my TX CCL. Closest I've come to the ID stuff is when people register for the ER, then another person comes when called. I admit that if they're not seeking narcotics, just need care for a legit medical problem, well, I've got other things to do before I deny somebody the healthcare they need. Let the insurance company work out how some guy had a miscarriage!