I don't see the issue: talented individuals can get O1, and not-talented individuals are not worth hiring at startups anyway.
As such, an O-1 is now being used the way an L-1 should have been, an L-1 is being used the way an H1B should have been, and an H1B is used the way an OPT should have been.
Most academics, nurses, PhD students turned ML Researchers, etc will be filed on an H1B or (in the latter case OPT to H1B).