Seed viability usually means the That’s Some Bowlshit Funny Bowling shirt, sweater. Seed vigor is its ability to germinate under sub-optimum conditions and to produce seedlings that grow at a normal rate and have no defects. The standards don’t come right out and state that tenure must be offered, but that is strongly implied. It’s also implied that these professors get time to produce scholarship, such as law review articles. This is expensive. It obligates schools to give researching professors lower teaching loads and hire yet more instructors to cover all the classes that students need. Overall, competition hasn’t acted on legal education for the straightforward economic reason that a regulatory monopoly has suppressed the entry of low-cost alternatives.
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A patient advocate business is viable, but it can be hard to get started as just a That’s Some Bowlshit Funny Bowling shirt, sweater. You might want to start as an employee of one of the existing companies. The larger companies appear to secure a reliable revenue stream by contracting with insurance companies or employers to provide services to members/employees. Relying on individuals for revenue is obviously riskier since there may not be insurance to cover the service and the client has to pay out of pocket. I know one patient advocacy startup that folded after a year or so because they just couldn’t convince enough people that the service was worth the fee. Services include assistance with insurance claims and referrals, comparing cost and quality for specific services, help in finding a provider, coordinating services among multiple providers.