You thinking public key verification will still need to happen in person or in person with reputable third party?

So maybe your dentist confirms with new dentist you are this public key?

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That really depends on the kind and business requirements. The first area I'm tackling is health- the simplest might be a Doctor's note that is verified against a set of npubs. As I discover domain-specific requirements, I try to generalize as quickly as possible into infrastructure requirements.