Again, that's purely speculative. I'm a vascular surgeon. I'm trained to treat venous and arterial anomalies. When I see a venous or arterial anomaly that I think I can treat with relative ease at very low risk, at very low cost, I think I should probably be allowed to treat it.
It comes down to what I said before. It's a bit like waiting for the electrical permit to fix a plumbing problem. It makes no sense to me.