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The processes leading to doctors becomming professional were not until recently compared on an international scale. There is, however, still no such comparison for doctors practicing alternative medicine. The national homoeopathic doctors' association of Germany and that of the United states of America are taken here as examples to examine the similarities and differences on the road to recognition and influence. The respective institutional frameworks of these two medical markets have a considerable effect on the possibilities of homeopathy and for those practicing homeopathy to organize themselves as a recognized profession.