My understanding is that certification for CNAs was developed so that a) there would be some standardized training and minimum competence, and b)
so that the state could keep track of them. The CNA registry in my state doubles as a means of tracking and investigating allegations of abuse & neglect against specific individuals (much the same way the BON functions for nurses), so that CNAs who get fired from one place for mistreating patients/residents can't just go merrily from job to job without their histories following them. I'm not criticizing CNAs as a group,
at all, but there are a
few bad apples in every barrel ...
In my state, substantiated allegations of abuse or neglect are mandatory firing offenses, and facilities are required to check any new CNA applicants with the state registry to see if they have any history of substantiated allegations.
Don't feel slighted or left out because, as an MA, you're not certified! It's not a "higher" credential or recognition, it's about protecting the public. Frankly and bluntly, CNAs are certified and MAs aren't because CNAs typically work long hours, often with minimal direct supervision, with very vulnerable patients/residents. They have much more
opportunity to abuse patients than MAs, who typically work in outpatient offices and don't spend that much time with any individual patient. I'm sure that, if states started getting frequent complaints of abuse or neglect by MAs, a similar certification system would be put in place for MAs pretty quick (but that's not anything to aspire to

).