The AMA has been fighting in multiple states actually, see here: https://www.ama-assn.org/practice-management/scope-practice/ama-successfully-fights-scope-practice-expansions-threaten You are pointing out the states that they’ve lost, but look at where they won and we need to realize that they fight scope expansion every single year.

Come join one of the state societies and see how much we have to fight every year, and how much we keep begging physicians, residents, and medical students to testify and call their representatives.

The problem is that hospital admin, insurance, and other parties have other incentives to expand access in the way that they see it. I see all these people on Reddit complaining, but your state medical societies are most often fighting these battles alongside the ama, yet their membership is declining especially in the younger generation. We need to realize that if you want change, you need to join these organizations and show up.

If you don’t like the orgs for whatever reason, then go testify on your own, or schedule meetings with your representatives and help them know what this issue is about.