- Pronouns
- She/Her
No part 2 today. Today is sleep.
That Time I Became A Dictator Of A Small Asian Communist Nation
- Thread starter HeroCooky
- Start date
- Original
Saphire
Lurking dragon
- Pronouns
- She/Her
I know it's a little bit late for the question to add to healthcare stuff (or is it?)
But what is the state of "drugs" as in medically significant and recreational substances? And is nicotine (and thus tobacco) recognized as one?
From my.. rather lackluster understanding of things, availability of recreational drugs is rather inverse to drug abuse (well, that and "how shit is it to live there" V: ). But there's also a tiny little enormous point of some things requiring stuff like stimulants (ADHD, most primarily) or recreational drugs being able to soothe some issues (medical THC). And too much restriction on this all will definitely cause people to avoid the "way too much bureaucracy", etc. And don't forget therapies for these currently dependent on non-necessary drugs, etc. So I am curious as to the "current" state of this all, and what will it be under the new proposed plan?
Unrelated to the plan...
What's the state of the following things?
- World Wide Web, as it is around now it's starting to exist, mostly in USA?
- PERSONAL computing availability to a common citizen of Guangchou? E.g. none, some availability on timesharing high performance supercomputers, personal computing, etc?
- Proliferation of computers and IT in education - none, purely theoretical, some limited availability, or purposeful allocation? And how focused is it, "gifted children" only, elective, vaguely mandatory, DEFINITELY mandatory, or straight up tech propaganda to the point of choking out "soft" sciences? *glares at the state of IT industry in USA and how much technological trends affect everyone unrelated*
But what is the state of "drugs" as in medically significant and recreational substances? And is nicotine (and thus tobacco) recognized as one?
From my.. rather lackluster understanding of things, availability of recreational drugs is rather inverse to drug abuse (well, that and "how shit is it to live there" V: ). But there's also a tiny little enormous point of some things requiring stuff like stimulants (ADHD, most primarily) or recreational drugs being able to soothe some issues (medical THC). And too much restriction on this all will definitely cause people to avoid the "way too much bureaucracy", etc. And don't forget therapies for these currently dependent on non-necessary drugs, etc. So I am curious as to the "current" state of this all, and what will it be under the new proposed plan?
Unrelated to the plan...
What's the state of the following things?
- World Wide Web, as it is around now it's starting to exist, mostly in USA?
- PERSONAL computing availability to a common citizen of Guangchou? E.g. none, some availability on timesharing high performance supercomputers, personal computing, etc?
- Proliferation of computers and IT in education - none, purely theoretical, some limited availability, or purposeful allocation? And how focused is it, "gifted children" only, elective, vaguely mandatory, DEFINITELY mandatory, or straight up tech propaganda to the point of choking out "soft" sciences? *glares at the state of IT industry in USA and how much technological trends affect everyone unrelated*
- Location
- 47° 09′ S, 126° 43′ O
Same question but about alcohol
Saphire
Lurking dragon
- Pronouns
- She/Her
Hmm
Okay the following is just me looking at "release" dates of the stuff, so throw a lag of a year or a few on stuff to be distributed, adopted, etc. Where applicable, though.
December 1974 - TCP, the protocol that allows computers to have a persistent enough connection. Also first mention of "internet" as in "internetwork". And it's wrapped in the Internet Protocol, then v1, of 1973. More or less where it all started for what we have today. And we are still stuck with both of them!
First ever BBS is 1978. Damn, that's early... Also caused XMODEM protocol to exist. Was limited for a while until faster and cheaper modems arrived (or existed at ALL in a standard enough form).
Ethernet cable is 1980, and standardized in 1983.
DOS is 1981 for the first version, initially exclusively licensed for IBM PC. The said IBM PC is 1981, "Starting at US$1,565 (equivalent to $5,040 in 2022)", and I /think/ it had MS-DOS come with it?
SMTP is 1981, and based on stuff from before that (it's punchcards! There's a reason for that weird line break requirement after all).
One of first modems and the thing that gave us the AT command set is Hayes Microcomputers' Smartmodem, released in 1981 with a speed of 300bps. But not exactly... consumer grade. Enthusiast grade enough though, especially updates through the years. The "fast" stuff was (supposedly, allegedly to Wikipedia) thanks to a much much cheaper and faster modem was released in.. decade later in 1992 apparently?
DNS was created in 1983, and became more common about two years later, I think?
Internet Protocol (IP) standardization was March 1982, with full move of ARPANET being "done" in January 1983.
You can more or less consider this being the start of "global internet", or rather its larval but now stable enough form. Most of what we consider internet today is built on IPv4, TCP, BGP and HTTP. Just a decade more from this point.
Except that's standardization. The actual thing was first written in 1973, and IPv4 was made in 1981 to replace RFC 760 (IP for DoD) of 1980. Said RFC already has the 32 bit addresses we all love. So we already have a draft of the plague that will haunt everyone for next half a century at least, hah...
FidoNet is 1984.
IRC is 1988, made to replace a "Multi-User Talk" on OuluBox BBS
HTTP is... oof, damn, 1989 from CERN, with "WWW" the first browser being out a year or so later.
BGP, the core protocol of modern internet backbone address allocation, and also a security nightmare, "was sketched out in 1989 by engineers on the back of "three ketchup-stained napkins"", but only started to be used in 1994. Prerequisite for it is IPv4.
The following is hardware, rather than protocols described above.
PDP-8 is 1965 while PDP-11 is 1970. They are kinda "business computers", do not know enough to say why exactly they are notable, but keep hearing of them. Both rather popular. Also PDP-11 is the smallest computer that could run Unix for a while?
Speaking of Unix - started in 1969, public announcement in 1973
6502 processor is fucking 1975. That's the basis for Apple II (1977), BBC Micro (1981), Commodore 64 (1982) and a bunch of others.
Zilog Z80 is 1976.
Original Macintosh 128K is January 1984.
Amiga is 1985 and onwards. A bit far, but still good to keep a note of.
x86 is sadly already here (1978), or at least the 16-bit version is. x86 for 32-bit was made in 1985, and still haunts us to these days (well, kinda, in part).
ARM architecture and processor was first produced as a sample in 1985.
Anyways - internet is, if nothing changed at all, basically in the state of being rapidly gestating at the current turn. So is personal computing... Though need to note the lag in consumer vs business vs enthusiast availability. So I guess right now it's "some people are basically building a precursor", with nerds piling in every year more and more. But wider market availability won't be for a decade if nothing goes weird.
Damn, though. Stuff was changing rapidly in 80s and 90s for computing huh.
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HeroCooky
Unverified Monstergirl
Smoking is banned, alcohol has a rather high tax, and most others are in various stages of legality based on "how addictive/harmful is this substance" for non-medical use.
Mostly as is OTL.Saphire said:
None at all. You only interact with computers if you are in a connected factory/industry and then it is purely work-related.Saphire said:
Higher education is when you get a chance to learn how they function and be part of new research, while the focus for general education on them is on how it will guarantee the dream of communism within the current children's lifetime. So, political and ideological.Saphire said:
Saphire
Lurking dragon
- Pronouns
- She/Her
Ah fuck
Quick someone develop an IPv4 alternative before it's too late!
... Wouldn't it be funny if we made communist internet and web before it was cool
TBH I can see someone taking a heavy reading through the manifest, go all in on "automated everything" and then seeing the 32 bit address stuff (4 billion devices total possible, less in reality) and going "Hey that's not enough for everyone". Like I imagine even just one automated factory probably has a shitton of devices connected to its own network? Hm
Hm... Actually does make me wonder how exactly the telecom network works in Guangchou? Like in terms of protocols, etc. Is it custom, is it just the goddamn TCP/IP, etc. Is it all still in the stage of "all user inputs are through a dumb terminal connected to a powerful mainframe" or are there computers that are single-user, even if they are big, etc?
Also cryptography and security... That's gonna be a fun one. Just please avoid the temptation to follow the USA and barf out the "wonderful" idea of "export grade cryptography". The fucking stuff is still soaked through everything and it's annoying to tear it out from old things.
Can imagine that when Guangchou gets internet forms they will be absolutely filled with """saucy""" literature, that will even have the most experienced Guangchous blushing from the contents of it, aka something like ao3 but 10 times its power which is better or worse depending on person's perspective.
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- Location
- Texas
So is there any kind of private healthcare in Guangchou? Considering the state of the healthcare at the moment. How is that gonna be handled?
Mostly because I don't remember how the economy is run.
Mostly because I don't remember how the economy is run.
HeroCooky
Unverified Monstergirl
What there is, is unorganized and without oversight, a "know a guy that knows an enby that knows a fae" kind of deal. Most of those that sell medical services are army medics using "surplus" supplies in exchange for luxuries and services in return (like priority for housing or favorable placements in the lists for rationed luxury goods).
And the economy is state-run agriculture and research, worker cooperatives for the rest, with some cases being mixes or other systems I am too tired to remember.
- Pronouns
- She/Her
Ok, I'm afraid this will be very halfassed because of low energy, but here are stages 2 and 3:
Housing
More Prevention
Refugee Integration
Medical Goods Manufacturing
Cyberdization
Medical Services
Expanded Medical Srvices
Pharmaceutical R&D
More Prevention
Vote is as follows:
[X] Healthcare Stageism
-[X] Part 1, Part 2
Stage 2
Rationalization, expand coverage to all the usual stuff so that we're consistently able to serve our people's common issues (outside of some really specialty care), involves the projects that require more resources to make work and have longer payoffHousing
- Guangchou's internal political factions remember well the funds that were thrown into education, and have all been looking to get in with the next megaproject - the housing people tried to do that with the Dragon Rail, but were rebuffed to to concerns about delaying the rollout, so they;ve come to the healthcare people who have a more sympathetic ear
- By moving people into housing with running water, proper ventilation, temperature regulation, and sanitation, the spread of many diseases and health conditions can be prevented altogether
- Build with an eye towards covering the worst agricultural spots, so that we're not building on top of our prime agricultural land
- With input from medical experts, the continuous improvements on the basic LSEEH design have continued with the addition of details like copper high touch surfaces and improved ventilation to fight the spread of infection
- Expandable ventilation measures for buildings - fancy filters can be put in later, but air flow is designed to be high to allow them to more easily deal with airborne diseases
- Built environment accessibility and safety measures: safety railings, anti-slip strips, high vis stripes, etc. (Did you know that the streets in Pompeii were lined with white pebbles that would reflect lamp light at night so that people could see the edges of the street at night?)
- Build a housing factory to enable more housing to be generated per action
- Piggyback on the prefab panel construction capacity to make new standardized healthcare facility buildings so that any doc will know how to navigate one when they transfer in, as well as reducing costs
More Prevention
- Vehicle safety, helmets, air bags, seatbelts,
- Grade separated trains/cars/pedestrian areas: So our cities will have passenger trains, roads for cargo and emergency vehicles, and pedestrian walkways, and ALL OF THEM WILL BE SEPARATE
- Veterinary care for animals to prevent diseases from crossing over form farm animals
Refugee Integration
- Between the Thai brain drain and the refugees we're likely to see from China, and the immigration reform we want to do in Stage 1, we're also going to actually set up facilities for integrating refugees smoothly into the general populace or we're going to have a bit of an Issue on our hands.
Medical Goods Manufacturing
- Glasses, wheelchairs, disinfectants, cleaning systems, etc.
- Standard ambulance chassis based on the modular skateboard - hopefully this time the safety issues at the plants will be fixed by our occupational health and safety drive
Cyberdization
- We've already cyberdized the medical industry sector, and we can continue this with the hospitals with some mainframe computers hooked up to timeshare terminals
- Digital medical records database with lots and lots of printouts
Medical Services
- Everyone knows that communism is when you have healthcare, and the more healthcare you have, the communister it is
- Mortuary and autopsy system to help early warning of infectious diseases
- Mental health expansion, including ADHD meds, accommodations, opportunities for work in fields of special interest, counseling, etc.
- Reasonable shift schedules ( to be determined by the medical labor councils based on their studies)
- Blood donation clinics
- Disaster and epidemic response preparedness in concert with the Army
- Evidence based substance use policies (smoking bad, alcohol ok in moderation, etc.)
- Opt-out organ donation, that is to say everyone is signed up by default but they can opt out if they want to
- Medical messaging channels for standard and crisis communications to populace
Stage 3
Expansion, delve into the specialized servicesExpanded Medical Srvices
- Therapists, lots of them. So many therapists. You get a therapist, you get a therapist, everyone gets a therapist.
- Peer reviewed medical journals and lifelong professional development
- Gender affirming and cosmetic surgeries
- Bioscience cluster to study the ancillary technologies from West Germany (exo-wombs for reproductive medicine, growing replacement organs, etc.)
- Offset costs of specialized care by clustering these services in Penglai, and by encouraging medical tourism from abroad
Pharmaceutical R&D
- Investigate trad medicine and isolate the active compounds into modern formulations
- Reverse engineering production processes of newer western pharma drugs through a mix of lab work and industrial espionage
More Prevention
- Housing Guarantee - this is a continuation of the preventative medicine we've been doing, everyone gets a palace to live
- Environmental Regulations - eliminate polluting processes if possible, move them away from population centers if not possible, surround with sinks such as bamboo and rubber plantations if they can't be moved.
Vote is as follows:
[X] Healthcare Stageism
-[X] Part 1, Part 2
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1982 - H1 - The Healthcare Revolution Revised
HeroCooky
Unverified Monstergirl
After several months of negotiations, arguments, debates, violent disagreements, hundreds of bruises, several broken bones, nervous breakdowns, two shattered pelvis, a rivalry ending in sweet love, and two new marriages, the Medical Conference of Guangchou has finally ended. The proposed changes and improvements in the Healthcare Sector go from the medical experts to the nation's accountants.
Several nervous breakdowns commence as copious amounts of tears are shed.
The proposed changes come in three Stages, intended to build up on each other and gradually improve the entire system in the short and long term without disrupting each other or the nation too much.
Stage 1 involves triaging the most significant issues, ensuring that the least resources are spent for the most effective impact while radically changing and preparing the bureaucracy to accommodate the following two stages. Additionally, the training of Medical Personnel will be rationalized and standardized to increase throughput and ease of apprenticeships. At the same time, a recruitment drive will take place to draw in foreign personnel with various efforts or allow the switching of careers of native workers.
However, an Additional Stage 1 Proposal requires further thought and approval.
It focuses on reducing the maximum work hours in a day or redistributing the working days to resting days ratio. Either would reduce the strain put upon the system by people out of work due to the ongoing cyberization and automatization, enabling the workers of Guangchou to spend more time enjoying the fruits of their labor. However, this would come at the cost of the currently budding worker-driven debates and initiatives on how to tackle the problem of unemployment by automatization and the resulting material abundance coupled with a perceived uselessness by the now-freed workers.
Stage 2 is dedicated to a general expansion of medical coverage, to service all the needs of the people's everyday issues, and take far more time with dedicated pushes in concentrated projects and programs that will take more time to pay off.
One thing already being worked on, and an issue slowly being brought up by experts, is the need for more LSEEH housing and a potentially updated design to incorporate advancements made since its inception. However, since we require more of these houses anyways, they have been dropped from the list except for the Medical Unions' support for more of the same, alongside improvements made in various areas that are quickly done and redone in existing LSEEHs. What isn't dropped is the MUs' desire for standardized Clinic and Hospital designs, with some variation to allow for local conditions so that pre-fabricated modules can be quickly constructed around the island.
Another issue is Prevention, Cyberdization, and Medical Goods Manufacturing, with the first and second being minor legislative issues that will happen with time. At the same time, the latter will deal with creating various Medical Goods and designing an emergency vehicle based upon the Modular Skateboard Chassis to transport injured workers from their place of injury or home to a clinic or hospital.
Two Additional Stage 2 Proposals require further thought and approval.
The first pertains to the separation of infrastructure between industrial, emergency, and public use to reduce potential harm, smog, and injuries and increase the speed and reliability of emergency services by building and re-zoning roads and tracks. Several Unions have already put in notes of protest, citing the massive disruptions such a move would cause, alongside the dubious benefits they believe will be caused by this action.
The second deals with the looming specter of a Chinese Refugee Wave once their civil war goes hot (signs point to it being inevitable), alongside the integration of immigrants gained by the Thai Brain Drain and Stage 1 proposals. Doing so is quickly done, but the Internationalists and Populists are making their objections known, saying that this narrow focus on those refugees whose integration will benefit Guangchou will not ensure proper procedures, integration, or acclimatization to native culture, norms, society, law, and language. While refugee camps will be a necessity, which will need medical attention, the overall structure is better suborned under proper bureaucratic oversight to ensure smooth throughput of arriving people and existing immigrants.
Stage 3 focuses on specialized services and slow expansion as needs require.
VOTE:
[] Stage 1 - Approve As Is
[] Stage 1 - Amend Proposal With:
-[] Stage 1 - Working Days Redistribution
(8 hours / 4 days a week, lose an additional and Special 5-Year Plan Reward created by the Workers of Guangchou.)
-[] Stage 1 - Working Hours Redistribution
(6 hours / 5 days a week, lose an additional and Special 5-Year Plan Reward created by the Workers of Guangchou.)
[] Stage 2 - Approve As Is
[] Stage 2 - Amend Proposal With:
-[] Stage 2 - Grade-Separated Infrastructure
(Separate roads and train tracks for cargo, emergency, and public use.
This will add 80 Actions to the Healthcare Reform Mega-Project, reduce available Actions by 2, and increase the required Actions for all Industry, Infrastructure, and Agri/Aquaculture projects by 1 (to a minimum of 2).)
-[] Stage 2 - Medical Refugee Integration
(Try to suborn immigration and integration of refugees and medical personnel under the healthcare sector and unions.)
[] Stage 3 - Approve As Is
[] Stage 3 - Amend Proposal With:
-[] Stage 3 - [Write-In]
Several nervous breakdowns commence as copious amounts of tears are shed.
The proposed changes come in three Stages, intended to build up on each other and gradually improve the entire system in the short and long term without disrupting each other or the nation too much.
Stage 1 involves triaging the most significant issues, ensuring that the least resources are spent for the most effective impact while radically changing and preparing the bureaucracy to accommodate the following two stages. Additionally, the training of Medical Personnel will be rationalized and standardized to increase throughput and ease of apprenticeships. At the same time, a recruitment drive will take place to draw in foreign personnel with various efforts or allow the switching of careers of native workers.
To do so, a mirror to Mingxiang will be built, the Penglai Open City, to focus on the bureaucratic and research aspects of the nation's medical, agricultural, and biological sectors. A Medical Regulation and Enforcement Agency will also ensure our doctors are honest and competent.
Medical Training Rationalization:
Expand Medical Personnel Pool:
Triage Efforts:
- It will involve constructing a new medical campus adjacent to the Twin Sickles and Twin Pearls institutes near the site of the old capital (Das Capital being on the north side of the Bay of Guangchou where most of the industrial capacity is located, while the south of the bay is the location of the old capital and a nexus for its agricultural capacity).
- Initially, it will act as a headquarters for the country's massive healthcare reform and expansion efforts and the location of specialized healthcare facilities that can provide services that require centralization to be delivered cost-effectively.
- As basic healthcare needs are met, it will expand to serve a similar role in the development of medical technologies and techniques as Mingxiang does for electronics and engineering. As it doesn't deal with matters of national security, this hub of research and innovation is open to researchers from all over CyPac and the USSR and, to a lesser extent, the rest of the world.
Medical Training Rationalization:
- The following professions shall be unionized independently and under the greater aegis of Medical Unions: Physician, Physician's Assistant, Registered Nurse, Nurse Assistant, Physical/Occupational/Speech Therapy, Radiation Technologist, Emergency Medical Technician, Paramedic.
- Physician: Five-year training path in education followed by variable training pathway post-graduate to independent practice, known as residency. Two-year general practitioner pathway for outpatient medicine. Other types will be more variable. At most, 80 hours per week can be worked, with an additional rest day assigned once 60 hours are passed.
- Physician Assistant: Two-year training path, but only accessible by those already credentialed. Intended to feed in Nurses, Therapists, and Paramedics who want to get away from the bedside. Limited scope of practice compared to physician, overseen by a physician. Intended to perform scut work duties for physicians that require more knowledge and independent capacity than a Registered Nurse or Paramedic can provide.
- Registered Nurse: General healthcare worker who provides the majority of hands-on care in all specialties, from working in the clinic to the intensive care unit. Two-year training path after schooling with a 6-12 month post-graduate residency program in a specialty area of interest. Leadership in most areas of medicine is provided by nurses with post-graduate training in leadership. Mandatory: all members of leadership positions with RN licensure must complete one (1) standard bedside shift caring for patients, regardless of seniority or leadership status, at least once a month. Your license will be struck if you can't work the bedside anymore.
- Nurse Assistant: Relatively minimally skilled healthcare worker. Under RN supervision, assists in providing hands-on care. Inpatient, cleans/toilets/feeds patients who need it, transports them in the hospital, etc. Outpatient, provides clerical and straightforward medical procedure skills for the physician under RN supervision. 3-month training pathway.
- Emergency Medical Technician: Provides first-on-the-scene primary care. Six-month training pathway.
- Paramedic: Advanced life support in the field. 18-month training pathway. Considered roughly equivalent to a Registered Nurse, but has training and skills tailored to a very high level but limited scope care in a precisely delineated area of practice. Six-month post-graduation residency training.
- Imaging Technologist: Operates medical imaging equipment. One-year training pathway for basic rads, 3-month post-graduation certification in a specific discipline (ultrasound, CT, MRI, nuke, etc.).
- PT/OT/SLP: Three-year degree pathway. Provides rehabilitation services. Works with and oversees nurse assistants.
Expand Medical Personnel Pool:
- Immigration Reform: Make immigration easier, with expedited entry for medical experts. There are bound to be plenty of queer professionals across the world who would prefer a fresh start in a nation where they're free to be themselves. Include settlement services where emigres can learn the language, get help settling into new accommodations, reduce culture shock, etc.
- Adult Education: We have an abundance of labor right now due to automation, and some of them will want to switch careers. There are plans to eventually expand our education system with more expensive adult education options, which will now be accelerated.
- Detectors for Doctors: We can produce high-quality medical imaging equipment and serology automation; these can be exported to secure medical supplies we have shortages of, and maybe even buy out some temporary contracts of foreign doctors who can come to Guangchou for a few years to tide us over.
- Student Recruitment: Coordinate with student councils about outreach and recruiting efforts to ensure enough students are going into medical training to have long-term sustainable turnover in the field as people retire.
Triage Efforts:
- A significant focus will be put on preventative medicine to control the need for medical services at the source.
- Significant educational outreach efforts through the school system to teach the next generation best practices and encourage them to pass along that information to their elders, as well as direct efforts aimed at adults via existing labor councils and mass media (mostly radio).
- Encourage masking when sick, especially during flu season.
- Keep up the excellent work vis a vis keeping the teenage pregnancy rate low. Condoms and pills for everyone. [Already being done by the GISS.]
- Drinking cessation programs that make obtaining alcohol more inconvenient while pushing public programming about responsible substance use and providing alternatives such as coaching and support groups for addicts.
- Food handling education campaigns, inspecting public kitchens, food safety standards on packaged food, and regulatory teeth to enforce the new standards. Food traceability programs to identify bad batches.
- Water safety campaigns, testing water sources, constructing public water fountains, and education campaigns about hygiene to reduce the spread of waterborne illnesses.
- Occupational Health and Safety: Work with labor councils to institute laws that cover safety in the workplace and a regulatory agency with the teeth to enforce said laws with a focus on remediation and preventing further incidents. [Already being done via Unions.]
- Sanitation to reduce fecal-borne diseases, construct public toilets where possible and distribute composting toilets to areas without sewage connections in the interim.
- Distribute mosquito netting to reduce the spread of malaria.
- Distribute vitamin supplements to combat malnutrition.
- Immunization campaigns for schools for children, target the adult population with pop-up vaccination clinics at prominent events and rolling workplace immunization events where doctors vaccinate a whole workplace one day, then move on to the next. Take advantage of the WHO's efforts to expand vaccination to get supplies from abroad. The vaccinations will continue at a steady rate until they taper off as we reach full saturation and shift to maintenance mode.
- Education campaign about reducing and controlling sun exposure to reduce the incidence of skin cancer (and keep our citizens' skin looking youthfully smooth).
However, an Additional Stage 1 Proposal requires further thought and approval.
It focuses on reducing the maximum work hours in a day or redistributing the working days to resting days ratio. Either would reduce the strain put upon the system by people out of work due to the ongoing cyberization and automatization, enabling the workers of Guangchou to spend more time enjoying the fruits of their labor. However, this would come at the cost of the currently budding worker-driven debates and initiatives on how to tackle the problem of unemployment by automatization and the resulting material abundance coupled with a perceived uselessness by the now-freed workers.
- Use our current labor shortage to reduce work hours (either 6 hours / 5 days a week, or 8 hours / 4 days a week, whichever is more appropriate for a given industry or workplace, the labor councils are best placed to figure it out). The aim is to create enough free time for people to take care of sick friends and family instead of having them take up beds in the hospital, as well as improve people's general health by reducing work stress and improving productivity and safety by keeping people fresh at work.
- Educational programs promoting exercise, especially among the more sedentary urban workers - exercise for which they now might have the time and energy since their work hours are lower. Focus on low-cost activities like bodyweight exercises, amateur sports teams, etc.
Stage 2 is dedicated to a general expansion of medical coverage, to service all the needs of the people's everyday issues, and take far more time with dedicated pushes in concentrated projects and programs that will take more time to pay off.
One thing already being worked on, and an issue slowly being brought up by experts, is the need for more LSEEH housing and a potentially updated design to incorporate advancements made since its inception. However, since we require more of these houses anyways, they have been dropped from the list except for the Medical Unions' support for more of the same, alongside improvements made in various areas that are quickly done and redone in existing LSEEHs. What isn't dropped is the MUs' desire for standardized Clinic and Hospital designs, with some variation to allow for local conditions so that pre-fabricated modules can be quickly constructed around the island.
Another issue is Prevention, Cyberdization, and Medical Goods Manufacturing, with the first and second being minor legislative issues that will happen with time. At the same time, the latter will deal with creating various Medical Goods and designing an emergency vehicle based upon the Modular Skateboard Chassis to transport injured workers from their place of injury or home to a clinic or hospital.
Housing:
Prevention, Cyberdization, and Medical Goods Manufacturing:
Medical Services:
- With input from medical experts, the continuous improvements on the basic LSEEH design have continued with the addition of details like copper high-touch surfaces and improved ventilation to fight the spread of infection.
- Expandable ventilation measures for buildings - fancy filters can be put in later, but airflow is designed to be high to allow them to more easily deal with airborne diseases
- Built environment accessibility and safety measures: safety railings, anti-slip strips, high vis stripes, etc. (Did you know that the streets in Pompeii were lined with white pebbles that would reflect lamp light at night so that people could see the edges of the road at night?)
- Piggyback on the prefab panel construction capacity to make new standardized healthcare facility buildings so that any doc will know how to navigate one when they transfer in, as well as reducing costs
Prevention, Cyberdization, and Medical Goods Manufacturing:
- Vehicle safety, helmets, airbags, seatbelts, etc.
- Veterinary care for animals to prevent diseases from crossing over from farm animals
- We've already cyberdized the medical industry sector, and we can continue this with the hospitals with some mainframe computers hooked up to timeshare terminals.
- Digital medical records database with lots and lots of printouts
- Glasses, wheelchairs, disinfectants, cleaning systems, etc.
- Standard ambulance chassis based on the modular skateboard - hopefully, this time, our occupational health and safety drive will fix the safety issues at the plants.
Medical Services:
- Mortuary and autopsy systems to help early warning of infectious diseases.
- Mental health expansion, including ADHD meds, accommodations, opportunities for work in fields of special interest, counseling, etc.
- Reasonable shift schedules ( to be determined by the medical labor councils based on their studies).
- Blood donation clinics.
- Disaster and epidemic response preparedness in concert with the Army.
- Evidence-based substance use policies (smoking bad, alcohol ok in moderation, etc.).
- Opt-out organ donation, everyone is signed up by default, but they can opt out if they want to.
- Medical messaging channels for standard and crisis communications to the populace.
Two Additional Stage 2 Proposals require further thought and approval.
The first pertains to the separation of infrastructure between industrial, emergency, and public use to reduce potential harm, smog, and injuries and increase the speed and reliability of emergency services by building and re-zoning roads and tracks. Several Unions have already put in notes of protest, citing the massive disruptions such a move would cause, alongside the dubious benefits they believe will be caused by this action.
The second deals with the looming specter of a Chinese Refugee Wave once their civil war goes hot (signs point to it being inevitable), alongside the integration of immigrants gained by the Thai Brain Drain and Stage 1 proposals. Doing so is quickly done, but the Internationalists and Populists are making their objections known, saying that this narrow focus on those refugees whose integration will benefit Guangchou will not ensure proper procedures, integration, or acclimatization to native culture, norms, society, law, and language. While refugee camps will be a necessity, which will need medical attention, the overall structure is better suborned under proper bureaucratic oversight to ensure smooth throughput of arriving people and existing immigrants.
Separated Infrastructure:
Refugee And Immigrant Integration:
- Grade-separated trains/cars/pedestrian areas: So our cities will have passenger trains, roads for cargo and emergency vehicles, and pedestrian walkways, and ALL OF THEM WILL BE SEPARATE
Refugee And Immigrant Integration:
- Between the Thai brain drain, the refugees we're likely to see from China, and the immigration reform we want to do in Stage 1, we're also going to actually set up facilities for integrating refugees smoothly into the general populace, or we're going to have a bit of an Issue on our hands.
Stage 3 focuses on specialized services and slow expansion as needs require.
Expanded Medical Services:
Pharmaceutical R&D:
More Prevention:
- Therapists, lots of them. So many therapists. You get a therapist, you get a therapist, everyone gets a therapist!
- Peer-reviewed medical journals and lifelong professional development.
- Gender-affirming and cosmetic surgeries. [GISS: Am I a joke to you?]
- Bioscience cluster to study the ancillary technologies from West Germany (exo-wombs for reproductive medicine, growing replacement organs, etc.) [Yeah...about that...]
- Offset costs of specialized care by clustering these services in Penglai and encouraging medical tourism from abroad.
Pharmaceutical R&D:
- Investigate traditional medicine and isolate the active compounds into modern formulations.
- Reverse engineering production processes of newer Western pharma drugs through a mix of lab work and industrial espionage.
More Prevention:
- Housing Guarantee is a continuation of the preventative medicine we've been doing; everyone gets a palace to live in.
- Environmental Regulations - eliminate polluting processes if possible, move them away from population centers, and if not possible, surround them with sinks such as bamboo and rubber plantations if they can't be moved.
VOTE:
[] Stage 1 - Approve As Is
[] Stage 1 - Amend Proposal With:
-[] Stage 1 - Working Days Redistribution
(8 hours / 4 days a week, lose an additional and Special 5-Year Plan Reward created by the Workers of Guangchou.)
-[] Stage 1 - Working Hours Redistribution
(6 hours / 5 days a week, lose an additional and Special 5-Year Plan Reward created by the Workers of Guangchou.)
[] Stage 2 - Approve As Is
[] Stage 2 - Amend Proposal With:
-[] Stage 2 - Grade-Separated Infrastructure
(Separate roads and train tracks for cargo, emergency, and public use.
This will add 80 Actions to the Healthcare Reform Mega-Project, reduce available Actions by 2, and increase the required Actions for all Industry, Infrastructure, and Agri/Aquaculture projects by 1 (to a minimum of 2).)
-[] Stage 2 - Medical Refugee Integration
(Try to suborn immigration and integration of refugees and medical personnel under the healthcare sector and unions.)
[] Stage 3 - Approve As Is
[] Stage 3 - Amend Proposal With:
-[] Stage 3 - [Write-In]
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- Location
- SEAsia
- Pronouns
- Thou
E-eighty actions...... I'll see you guys next year, then! 
HeroCooky
Unverified Monstergirl
Ah, forgot to add that this is a Mega-Project, so you will gain 7 Actions per turn automatically. It is not 8 due to the Military giving you a proposal next turn that they would like to focus on themselves for the coming decade.E-eighty actions...... I'll see you guys next year, then!
Well we may have revolutionized medicine
taovkool
Forever Gone
- Location
- The Library, Department of General Works
...But the cost, though.
Oh god, the salaryman in me is screaming at this plan.
- Location
- A haze of forgetfulness
- Pronouns
- She/Her
Separated infrastructure sounds kind of useless? I missed the discussion to propose it so why is it being considered?
Also can we vote for both of the working hours reforms and let the unions sort it out?
Also can we vote for both of the working hours reforms and let the unions sort it out?
- Location
- SEAsia
- Pronouns
- Thou
We ARE Medicine!
NO PRICE TOO GREAT FOR OUR PEOPLE.
But, yes we'd like to pay in installments, thank you.
Ah, yea, @HeroCooky maybe we can let individual workplaces choose which of these they'd like to adopt. Every workplace might face different working environments or situations that make only one of these ideal. No harm in giving them some flexibility.
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taovkool
Forever Gone
- Location
- The Library, Department of General Works
I'm not sure. I don't think is part of medicine. Isn't this more of an Interior matter?
HeroCooky
Unverified Monstergirl
Just vote for the both of them, and you'll be able to get both at the cost of not getting a special 5-Year Plan reward.
I am terrible, I know.
CyberFemme put that into the collated portion, and I see no reason why I shouldn't give you the option. Even if that option is to reject it fully
Edit: added Special before 5-Year Plan.
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- Location
- A haze of forgetfulness
- Pronouns
- She/Her
I want red-black reconciliation so this saddens me, i will vote this way.Just vote for the both of them, and you'll be able to get both at the cost of not getting a 5-Year Plan reward.
I am terrible, I know.
[X] Plan: 30 hour workweeks!
-[X] Stage 1 - Approve As Is
--[X] Stage 1 - Amend Proposal With:
---[X] Stage 1 - Working Hours Redistribution
-[X] Stage 2 - Approve As Is
--[X] Stage 2 - Amend Proposal With:
---[X] Stage 2 - Medical Refugee Integration
-[X] Stage 3 - Approve As Is
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taovkool
Forever Gone
- Location
- The Library, Department of General Works
I felt like it probably belonged to different dice though. Probably Infrastructure. That's one reason not to give the option.
Then again, it's not like there's a tab for Medicine in the quest category, so that's one reason to include the option.
I'll get back to you on this.
I dont see why separate infrastructure is a rhing here, it seems like a giant waste of resources and has very little to do with healtcare.
if we wanted to do an infrastructure project to create separate city buslanes which can only be used by public transit and emergency services(ambulances, police and firemen) i would vote for that as its really effective and takes very little resources. but that doesnt concern the healthcare ministry.
if we wanted to do an infrastructure project to create separate city buslanes which can only be used by public transit and emergency services(ambulances, police and firemen) i would vote for that as its really effective and takes very little resources. but that doesnt concern the healthcare ministry.
taovkool
Forever Gone
- Location
- The Library, Department of General Works
Yeah, probably best to not touch that project until later. Waaaay layer.
80 actions is an insane spending, however you look at it.
It probably is a plan vote, yes. Doesn't make sense, otherwise.
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[X] Plan: Focus on health with extrra naps
-[X] Stage 1 - Approve As Is
--[X] Stage 1 - Amend Proposal With:
---[X] Stage 1 - Working Hours Redistribution
-[X] Stage 2 - Approve As Is
-[X] Stage 3 - Approve As Is
the refugee problem should not fall into the remit of the healthcare ministry. we should prioritize a healthy population and let other ministries/taskforces to deal with inmmigration, integration and refugees. if we give too many responsabilities, nothing will be done. its better to keep them separate and then let them work together
-[X] Stage 1 - Approve As Is
--[X] Stage 1 - Amend Proposal With:
---[X] Stage 1 - Working Hours Redistribution
-[X] Stage 2 - Approve As Is
-[X] Stage 3 - Approve As Is
the refugee problem should not fall into the remit of the healthcare ministry. we should prioritize a healthy population and let other ministries/taskforces to deal with inmmigration, integration and refugees. if we give too many responsabilities, nothing will be done. its better to keep them separate and then let them work together