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10.1038/s41586-021-03663-4 75 VriezeA.Van NoodE.HollemanF.SalojrviJ.KootteR

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MEDVi does not: Employ physicians, nurse practitioners, or physician assistants who make prescribing decisions Control, direct, or interfere with clinical decision-making or treatment protocols Practice medicine or provide healthcare services directly to patients Supervise medical professionals or dictate prescribing patterns Hold itself out as a medical practice or healthcare provider Independent Professional Responsibility: All healthcare providers delivering services through the platform are: Independent contractors operating under their own medical licenses Solely responsible for clinical decisions including prescription appropriateness determinations Operating under their own professional liability insurance coverage Subject to state medical board oversight and professional standards Making autonomous judgments about patient care without corporate interference Regulatory Compliance Framework: This structural separation addresses important legal requirements: State laws prohibiting corporations from practicing medicine or controlling physician decision-making Requirements that only licensed professionals provide medical care and make clinical decisions Professional autonomy protections ensuring physicians maintain independence from business pressures Liability limitations for technology platforms facilitating but not providing medical services Clear delineation of roles for patients understanding who bears responsibility for medical care quality Provider Relationship Clarification: While MEDVi's platform facilitates the initial connection and ongoing communication infrastructure, the actual doctor-patient relationship exists between the individual and the independent medical professional providing clinical services