That’s why sexual relations between doctors and patients are mostly treated as an ethical issue (re medical license) and civil issue. Unlike statutory rape laws in most states based on the victim’s inability to legally consent to sexual activity based on age or intellectual disability, the “power dynamic” between a doctor and patient or employer and employee does not negate consent in the context of criminal offenses. There are some exceptions as laws vary from state to state, but the majority of states don’t criminally penalize doctor and patient consensual relationships.