Skip to main content

Massage Therapy Licensing: Violating the Pursuit of Happiness


In a way, America at least partly owes its independence to the conviction that granting exclusive market privileges is an illegitimate function of government. In a free country, no-one has an exclusive right to a market over anyone else.

Yet, two and a half centuries after the American Revolution, the old-fashioned kind of monopoly, wherein government grants exclusive privileges, is experiencing something of a revival. In Oklahoma, legally bestowed market advantages are commonplace, and take many forms such as Tax Increment Finance Districts, various special tax credits unrelated to core government functions, and occupational licensing.

Today, people use the word “monopoly” to refer to a business that has achieved total domination in a market as the result of laissez-faire processes, but not so long ago, a “monopoly” was a business that was bestowed with artificial market-domination and insulated from competition by a monarch. That’s the kind of monopoly conferred on the East India Company for most of its history. It is perhaps best known for its legal monopoly on tea, which backfired with the Tea Act of 1773 and precipitated the Boston Tea Party, an early skirmish in the American Revolution.

Today’s government-granted economic privileges are more subtle, but no less worthy of a free people’s condemnation. Take Oklahoma’s Massage Therapy Practice Act of 2016, for example, about which I recently wrote a paper for 1889 Institute. It creates a massage therapist license, meaning anyone who wants to work in the industry first needs the state’s permission to do so.

But obtaining a massage therapy license is tedious and expensive. Among other things, applicants must (1) satisfy a 500-hour formal education requirement, which can take 50 weeks (a year) and cost up to $18,000, and (2) pass the Massage and Bodywork Licensing Exam, which costs $195 and must be taken multiple times by a third of Oklahomans who attempt it.

Most don’t have that kind of money or time, so it’s unsurprising the number of massage therapists has dwindled by almost a fifth since the Act passed, sharply reversing a decade-long growth trend in the industry. Further, every state bordering Oklahoma (except Arkansas) has more massage therapists than Oklahoma. Kansas, with no license requirement, has twice as many practitioners as Oklahoma, despite being half Oklahoma’s size.

But of course, this is good news for the established practitioners whom the Act grandfathered and for affluent applicants who can afford to invest the time and money. Less competition means higher prices for them.

Now, not all occupational licensing laws are intentionally anti-competitive. Licensing is justified when an occupation is both (1) potentially dangerous and (2) so complicated that customers can’t easily judge the quality of the service they’re receiving. That’s why many consider physician licensing justified; the profession is indeed potentially dangerous, and average customers, lacking expertise in medicine, are limited in their ability to assess the qualifications of physicians.

However, massage therapy isn’t dangerous at all. Frankly, to claim that massage therapist licensing somehow keeps the public safe is laughable. Safe from what, exactly? A google search for massage accidents produces a few bizarre examples, but none of them are remotely likely to recur, and licensing couldn’t prevent any of them in the first place.

Of course, some support for the Act stems from a desire to combat human trafficking, which pervades the wider massage industry. However, while that’s a nice goal, the idea that licensing will somehow advance that goal begs the question: Why would a trafficker be more afraid to break a licensing law than an anti-trafficking law? By its own admission, the Massage Therapy Advisory Board (MTAB) is neither authorized nor equipped to police trafficking in the industry. Further, according to Polaris, a leading anti-trafficking organization, licensing laws unfairly target victims of trafficking, rather than the perpetrators. Clearly, licensing is the wrong answer to the human trafficking problem.

Why, then, are massage therapists licensed? Perhaps lobbyists who support the Act seek not to benefit the public but to revive the antiquated practice of legally granting market privileges to some practitioners at the expense of both other, prospective practitioners and consumers. That hypothesis is supported by the fact that the Oklahoma chapter of the American Massage Therapy Association has opposed reducing the formal education requirement from 500-hours to 300-hours on the grounds that such a reduction would cause a “crisis” for massage schools, as if government exists to ensure the financial security to massage schools.

Some Oklahomans still believe that practicing a perfectly safe occupation, in pursuit of the happiness that self-reliance and work produce, is a God-given right, not a privilege bestowed at the state’s behest. According to the MTAB, this viewpoint is “radical,” but a better word would be “revolutionary.” An immediate repeal of massage therapy licensing by the Oklahoma Legislature would be a first step in showing that legislators take God-given rights seriously.

by Luke Tucker, 1889 Institute Intern and PhD candidate in Philosophy

Popular posts from this blog

The Problem of Diffuse Costs and Concentrated Benefits

Do you ever find yourself observing a seemingly illogical government program , spending decision, or other strange practice and ask “how is it that no one has fixed that?” If you are like me, you encounter this phenomenon regularly. This often takes the form of a curious headline (Save Federal Funding for the Cowboy Poets!) that most people see and can’t believe is real. I would like to suggest that this phenomenon often results from the problem of diffuse costs and concentrated benefits. To understand this concept, consider a hypothetical law that assessed a $1 tax on everyone in the United States with the proceeds to be given to one individual for unrestricted use as he sees fit. The people harmed by such a law—the individual taxpayers—will not be very motivated to spend the time and effort to convince Congress to change the law. They might resent the dollar taken from them for a silly cause they don’t support, but the lost dollar isn’t worth the trouble of doing something about i...

About Those Roads in Texas

A s Sooner fans head south for the OU-Texas game next week, they will encounter a phenomenon most of us are familiar with: as you cruise across the Red River suddenly the road gets noticeably smoother. The painted lane stripes get a little brighter and the roadside “Welcome to Texas” visitors’ center gleams in the sunlight, a modern and well-maintained reminder of how much more money the Lonestar State spends on public infrastructure than little old Oklahoma. Or does it? Why are the roads so much, well… better in Texas? Turns out, it isn’t the amount of money spent, at least not when compared to the overall size of the state’s economy and personal income of its inhabitants. Research conducted by 1889 Institute’s Byron Schlomach reveals that Oklahoma actually spends significantly more on roads than Texas as a percentage of both state GDP and personal income . And that was data from 2016, before Oklahoma’s tax and spending increases of recent years. The gap is likely gr...

OKC Public Schools Elevating a Privileged Elite over Oklahoma Taxpayers

The hypocrisy of the Soviet Union’s pretense of egalitarianism was well known enough to be the subject of mockery and parody. Ronald Reagan never tired of the jokes . Soviet communism espoused equality, but the reality is that party apparatchiks and government officials enjoyed special perks that no one else had access to. This special class wasn’t officially paid much more than the average skilled worker, but enjoyed privileges like dachas on the coast or countryside, special stores with imported goods and without the endless lines that were commonplace everywhere else, and more advanced medical treatment. For all their talk about eliminating class distinctions, the Soviet nomenklatura —those “doing the people’s work”—could feather their nest with the best of ‘em. Apparently, a similar attitude reigns in our government schools. Our friends at OCPA report that Oklahoma City Public Schools (OKCPS) will not offer in-person instruction to students for the first nine weeks of school this ...

If Data Is Supposed to Be Our Guide, the Great Coronavirus Shutdown of 2020 Should End

According to the most widely cited model projecting the course of the coronavirus outbreak, today is supposed to be Oklahoma’s peak in daily deaths. Now is a good time to go back to the beginning of the Great Coronavirus Shutdown of 2020, review the goal of our policy, and assess our current status. If our policy should be “data-driven,” as we are constantly told, then let’s actually look at the data and determine our next policy steps accordingly. Spoiler alert: according to the terms set out by those advocating for the shutdown policy, the policy’s continuance is no longer justified. The stated goal of the shutdown policy was to “flatten the curve” so as to prevent hospitals from becoming overwhelmed with COVID patients. The fear was that the virus would spread so fast that at its peak, the number of cases would exceed the overall capacity of the healthcare system. If that peak could be stretched out over a longer period of time, lives would be saved. This concept was il...