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Because of his original purpose, it makes sense that the Doctor wouldn’t have held a Starfleet rank during Voyager.
However, in Prodigy, he still doesn’t have pips. This leads to my questions:
According to the STO wiki, he doesn’t wear them by choice but does have a rank. That might be a reasonable explanation; I can’t imagine Janeway not at least trying to field commission him.
Who could stop Janeway from field commissioning him?
Admiral Jellicoe, apparently.
The bor- no, no . . 8472? No wait.. her and Paris’ lizard kids coming to earth instinctively and for some reason hating the doctor?