significant disadvantaged educational funding for PA and APRN schools, and most significantly IMO, poor rigor via online programs that are more greedy cash grabs than actual substance. Probably most online programs are found within NP schooling, which often depend on student's previous clinical experience instead of focusing on building the student. The online programs could be reiterated and improved, but most often it's simply a way to enroll more students/$$$.
There's, of course, other things going on in healthcare at large that are at play, which is why there's a dumbing of medicine in general with demographic quotas, lowered attrition rates, and most importantly, less financial incentive relative to the past.