ProPublica writes of extreme problems in California regarding professional regulation of nurses. One option for dealing with the problems is that of installing an “enforcement monitor” in the regulating agency to keep things moving along. The article says the California medical board had once done that for a period of time. Perhaps some such person(s) could help rectify the problems in Vermont’s OPR on the short term, with a State Ombudsman to have oversight in the long term. It could also work for child protective services (CPS), for that matter, given careful legislation to create and define the position, its mission, and its authority. The focus now is much more on “winning cases,” and not enough on serving the public interests. You can read the ProPublica article here.