In the United States and the rest of the industrialized world, the average person, with a less than average education, would have no problem reading a Nitrox book and any manual from a Nitrox analyzer, and be quite safe to dive without a Nitrox course from an agency.
And while the instructor I had for Nitrox was well prepared and had a very comprehensive course, I obtained no new knowledge from the course that I did not read in the book. I did obtain experiance operating analyzer. That was not worth the price of the course or my time.
while I agree that understanding how to use nitrox safely is not that complicated, and many people could teach themselves quite effectively, agencies are in the business of selling courses, so of course their position is that a course is necessary.
However, it is not the agencies that are enforcing certification, they make recommendations, but the dive operations are the ones that require c-cards for a fill.