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Can you create and run a service that starts when phone is turned on, with a PWA app? Usecase is a backup daemon.

Does every app need to do this?

I make lots of "real" healthcare apps that are PWAs.

Much better installation and user experience, no dev cert nonsense, brain dead simple updates, no app store, etc...

Backup, file sync, and chat... very common and important use cases. Not everything can start with a user request.

You shouldn't need a service running all the time for chat. Just use push notifications.