Patrick, I think you’re missing part of the reason why Mad people object to the (over) credentializing of our health supports. Pay-to-play peer work would be hurt many of us, no matter what its context. Even if these “exams” were free and not graded, even if the “hours of intense work” were highly paid, and even if some Mad people “chose” to standardize these hoops, they would still face a backlash from many Mad people. Most of what’s taught about Madness is #fakescholarship and #fakescience. That BS “education” will certainly attempt to place harmful on restrictions the scope of peer work. You call it a “supplement” to “medical care”, but many people can and DO need peers to *replace* clinicians. Some of them will die, if their peers are barred from working in the health care system. And it’s quite ominous to “extreme vet” people who want to and *should be* working ENTIRELY for – and under the direction of – the people they’re caring for. I’m fine with a “qualifying” process to become a peer worker, but that process must be set up by the service users – their REAL employers.