Natasha Singer writes for the NYT:
"I thought just because she does not have credentials here does not mean she is not a doctor," Ms. Sepulveda said. "But I learned my lesson." She then mentioned a cautionary phrase in Spanish. "Lo barato sale caro," she said. "Something that looks cheap can end up costing you dearly." While people like Ms. Sepulveda willingly visit unlicensed practitioners, other would-be patients in Miami believe they are seeing licensed doctors. In 2004 "De Maņanita," a Miami-based talk show on the Telemundo network, broadcast a series on cosmetic treatments featuring Luis Ayala, whom one talk show hostess referred to as "our own trusted plastic surgeon."