So many of the issues discussed in the article are apparent in a more traditional ‘brick-and-mortar’ setting; they’re not unique to a start up. Sure, a start up taking advantage of a lack of standards or meaningful oversight by boards of nursing (and no oversight by medical boards) is bad, but they’re extraordinarily late to that particular party.<p>NPs having autonomy to diagnose or start and stop medications is ridiculous, even if under ‘supervision’, and even if there were educational standards that not only existed but were actually enforced.