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I like Efficient Administrator, Professionals to the Fore, and IT Mania.

The first two will help us handle general planning better. The third will help the nation adapt to the changes from automation much easier.
 
I don't know who the hell has an excess of doctors right now. We need more hospitals, medical equipment, medical supplies.

We might need to reach out to the west for that. Capitalism doesn't give a damn where the money comes from, and that might well be our saving grace.

Concerning. I have the feeling that once the US and Japan get out of their "Insane mecha that don't work" phase, we're going to be dealing with "Insane mecha that work exactly as advertised if not better."
Well I mean that's pretty normal with the US military industrial complex. Remember the Foxbat? Soviet Mach 3 fighter that terrified the west so hard that after pouring insane amounts of blood, sweat and tears into a counter came up with a counter? The F-15? The bar none absolute master of the sky before the development of the F-22? Even though the Foxbat turned out to be a piece of dogshit?

Trying to pull tricky buggers with the US military industrial complex never. Fucking. Works.

Never has. Never will.
 
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Though I admittedly don't know how it can be collapsing, tbh. Not doing well, that's easy to imagine, but collapsing? Like, the United States has spent decades systemically acting in ways that wouldn't have been worse if someone intentionally said, "Hey, US, bet you can't destroy your healthcare system?" and then was hit by mismanaged COVID and they're still not collapsing, even if they're edging closer to it.
 
Yeah either Professionals or IT Mania.

Yikes that Healthcare stat. We should make that a plan goal. Maybe we can invent an autodoc?

Pretty worried about rolling a 2 on the SSR negotiations.
 
edit: If you all remember, Sanctuary For All gives us a boost to all international diplomacy and a passive debuff to every nation that's less socially progressive than us.
OTOH, Professionals to the Fore gives us a boost to all our actions, not just international diplomacy at only the cost of the passive destabilization, while Efficient Administrator would give us more actions to conduct diplomacy/destabilization actions and fix our collapsing healthcare without having to cut back progress in our other sectors to avoid the overwork mali.
 
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OTOH, Professionals to the Fore gives us a boost to all our actions, not just international diplomacy at only the cost of the passive destabilization, while Efficient Administrator would give us more actions to conduct diplomacy/destabilization actions and fix our collapsing healthcare without having to cut back progress in our other sectors to avoid the overwork mali.

Except we have a more efficient means of gaining more actions: supercomputers. The 800nm process unlocks two more actions that we can gain from SCs.

And the bonus to international actions is even more useful to healthcare because where else are we going to be able to get a lot of doctors and medical supplies?
 
Except we have a more efficient means of gaining more actions: supercomputers. The 800nm process unlocks two more actions that we can gain from SCs.

And the bonus to international actions is even more useful to healthcare because where else are we going to be able to get a lot of doctors and medical supplies?
And if we take Efficient Administrator and do more supercomputers, that stacks to the point where we may get 15-16 actions per half year before mali instead of the 12 we have now. Or we could take Professionals and do more supercomputers to make Professionals worth even more, since it's applying it's bonus to even more actions.

I'm not trying to say that Sanctuary for All is a bad choice, I just don't think it's the only good option like I feel you're making it out to be. SfA boosts Int. Diplo actions to help us attract medical expertise and fucks over everyone less progressive than us (read: 90% of the other countries). PttF boosts every action we take, including Int. Diplo ones to help us attract medical expertise as well as any medical ones outside of Int. Diplo. EA doesn't provide any boosts to our rolls to fix healthcare directly, but gives us more actions per turn on top of any others we gain so we can throw more actions at fixing our healthcare problem over all. I think all of them are valid options to help fix our healthcare issue, but I'm leaning to EA or PttF because I'm personally more interested in the benefits those two options provide outside Int. Diplo actions than I am in the passive destabilization SfA gives.
 
And if we take Efficient Administrator and do more supercomputers, that stacks to the point where we may get 15-16 actions per half year before mali instead of the 12 we have now. Or we could take Professionals and do more supercomputers to make Professionals worth even more, since it's applying it's bonus to even more actions.

I'm not trying to say that Sanctuary for All is a bad choice, I just don't think it's the only good option like I feel you're making it out to be. SfA boosts Int. Diplo actions to help us attract medical expertise and fucks over everyone less progressive than us (read: 90% of the other countries). PttF boosts every action we take, including Int. Diplo ones to help us attract medical expertise as well as any medical ones outside of Int. Diplo. EA doesn't provide any boosts to our rolls to fix healthcare directly, but gives us more actions per turn on top of any others we gain so we can throw more actions at fixing our healthcare problem over all. I think all of them are valid options to help fix our healthcare issue, but I'm leaning to EA or PttF because I'm personally more interested in the benefits those two options provide outside Int. Diplo actions than I am in the passive destabilization SfA gives.

I like SfA because we're never going to be able to compete on the world stage if we rely only on ourselves. We just don't have the population, land, resources, or skillbase to do so.
Our best bet is to form alliances with other countries, and draw on their resources in mutually beneficial ways. SfA is our best option for that.
 
In the short term though, we need to start waving some money around to try and get medical supplies, equipment, and personnel. And if we're so short of medical care facilities, supplies, and professionals we probably don't even have enough for most "non-emergency" medical proceedures unless it's like dermatology or something.

Our trans population is definitely getting fucked over.
 
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I like SfA because we're never going to be able to compete on the world stage if we rely only on ourselves. We just don't have the population, land, resources, or skillbase to do so.
Our best bet is to form alliances with other countries, and draw on their resources in mutually beneficial ways. SfA is our best option for that.

I disagree because it doesn't help with alliances. It just improves immigration and destabilizes the other nations around us. Which is the exact opposite of alliance-building.
 
I personally will be voting to get +1 to all actions. Purly because I like having all actions having a bonus. Because suddenly It would be rolling 1-3 would be subpar. and if we roll a 12 on a roll with no other bonus's We will have a minor breakthrough. However I'm mainly going for it so that we decrease the amount of sub-pair actions.
 
I disagree because it doesn't help with alliances. It just improves immigration and destabilizes the other nations around us. Which is the exact opposite of alliance-building.
It does give a bonus to international actions through consulting expacts.
And the destabilization is focused more on those whom aren't as socially progressive, which is currently, admittedly mostly everyone but Guangchou thoughat the moment.
 
I like SfA because we're never going to be able to compete on the world stage if we rely only on ourselves. We just don't have the population, land, resources, or skillbase to do so.
Our best bet is to form alliances with other countries, and draw on their resources in mutually beneficial ways. SfA is our best option for that.
Cool. I'm all for more international cooperation, especially since we're working on restoring the Sino-Soviet friendship. But since both PttF and EA can improve our international situation too, in the form of its own boost to international actions and just being able to do more international actions in the first place, when I compare the three I'm looking more at what each individual option offers that the other two can't replicate.

For SfA this is the passive destabilization mechanic. While I'm of the opinion that this is a very strong ability, I don't think the thread and voter culture is such that we are going to be taking advantage of it to launch revolutions or other coups. When Thailand kicked off it's war, we didn't take Armed Solidarity and support the Communists, we took Brain Drain and looted them for all they were worth and then left them to the Reactionaries. We sent support to North Vietnam once, and then never touched them again. Even our most "offensive" international diplomacy action, the Liberation Theology that just caused the revolution in Afghanistan, is more aimed at subverting a traditionally Reactionary institution rather than outright overthrowing it.
 
I think our lack of using the international action more in the past has come down to the fact that we were otherwise committed to other actions, and the the thread's past behaviour is not necessarily indicative of us avoiding offensive international actions.

One thing that we should keep in mind is that our best rep generating actions right now are Brain Drain (+4) and Armed Solidarity (+7 !!!). Our medical actions are very rep intensive, with vaccinations and healthcare reform being -7 each. Having the bonus to international actions will help us recover that rep faster. Indeed, with more and more supercomputers, we're going to eat up rep more and more, so actions that help us recoup it as pretty valuable. Indeed, international actions are how we'll be able to establish trade relations that let us take advantage of our automation and manufacturing. We've had to focus inwards before, but now we're entering the phase where we can start to look beyond our borders IMO.

PttF is a very nice broad bonus, but I'll wager that SfA is a bigger bonus in it's specific area. And I think we can leverage that bigger bonus more effectively than a broad one. Basically, I'm advocating for a bit of min-maxing here.

I also really like the idea of Guangchou stealing America's schtick as the Land of Opportunity. I like the idea of becoming a haven for those who have nowhere else to turn. It will mean a very loyal population which makes us more resilient to infiltration (a important consderations since we're trending towards becoming the technological centre of the communist world), and a populace that's more committed to the ideals of the revolution.

Most of all through, I just like the idea of becoming the last, best hope of all those who have been left behind. It's shamelessly sentimental, but I think it's the right thing to do.
 
International news media reporter visits Guangchou medical care staff

colorized

View: https://youtube.com/shorts/SfaZ8sZthgk?feature=share


True to life. Glaucomenflecken always hits nail on head. *stamps with CCRN stamp of approval*

Though I admittedly don't know how it can be collapsing, tbh. Not doing well, that's easy to imagine, but collapsing? Like, the United States has spent decades systemically acting in ways that wouldn't have been worse if someone intentionally said, "Hey, US, bet you can't destroy your healthcare system?" and then was hit by mismanaged COVID and they're still not collapsing, even if they're edging closer to it.

We're collapsing. It's just invisible because they collapse is measured in outcomes that are only just picking up steam. I'd cite a national news article about "person dies of heart attack because no beds available in surrounding 5 states" but that's normal now.

Like... *accesses EMR*

High 20s-room ER at this hospital I'm on contract with, meaning normally you can treat 25-30 people at a time.

There are 6-8 people waiting transfers to other facilities, multiple for over 24 hours. One of them has been here over a week. There are over two dozen people in the waiting room and it looks like all the spots in the hallways where we can park stretchers and give suboptimal care to people with no cardiac monitors, vital signs machines, or even oxygen hookups are full. Shift change for EMS locally is at 6 o clock and they go on diversion every time like clockwork, meaning there are no ambulances available for the entire county. Hospital is about 20% short of staff tonight and we don't have a dedicated ICU doctor because that doctor is covering the entire hospital outside the ER and labor&delivery, because we have no night shift hospitalist either. Every single nurse in the hospital is taking more patients than their normal ratio except for a handful of critical ICU patients. One of the floors has one nurse for every 7 patients and no nurse assistants because they're all sitting with suicides or dementias, meaning that every hour the patients each get about 8 minutes of staff time assuming the nurse doesn't eat, drink, pee, or document for 13 hours straight.

*giggles maniacally*
 
True to life. Glaucomenflecken always hits nail on head. *stamps with CCRN stamp of approval*



We're collapsing. It's just invisible because they collapse is measured in outcomes that are only just picking up steam. I'd cite a national news article about "person dies of heart attack because no beds available in surrounding 5 states" but that's normal now.

Like... *accesses EMR*

High 20s-room ER at this hospital I'm on contract with, meaning normally you can treat 25-30 people at a time.

There are 6-8 people waiting transfers to other facilities, multiple for over 24 hours. One of them has been here over a week. There are over two dozen people in the waiting room and it looks like all the spots in the hallways where we can park stretchers and give suboptimal care to people with no cardiac monitors, vital signs machines, or even oxygen hookups are full. Shift change for EMS locally is at 6 o clock and they go on diversion every time like clockwork, meaning there are no ambulances available for the entire county. Hospital is about 20% short of staff tonight and we don't have a dedicated ICU doctor because that doctor is covering the entire hospital outside the ER and labor&delivery, because we have no night shift hospitalist either. Every single nurse in the hospital is taking more patients than their normal ratio except for a handful of critical ICU patients. One of the floors has one nurse for every 7 patients and no nurse assistants because they're all sitting with suicides or dementias, meaning that every hour the patients each get about 8 minutes of staff time assuming the nurse doesn't eat, drink, pee, or document for 13 hours straight.

*giggles maniacally*

Yeah, we're going to have to take a bunch of medical actions next turn. If you have thoughts on what you'd like to see as part of Healthcare Reform, or what we should prioritize to halt and reverse the collapse of our healthcare system, let us know.

These are the options we have on record right now:
-[] Found Department of Public Health (-4 Reputation)
-[] Found Nutritional & Pharmaceutical Standards Agency (-2 Reputation)
-[] Healthcare Reform (Sub-Vote) (-7 Reputation)
-[] Vaccination Campaign (Disease) (Extremely Helpful)
--[] Native Production And Doctors (-4 Reputation)
--[] International Production And Doctors (Helpful) (-7 Reputation) (+2 People's Opinion)
-[] Begin Public Sanitation Programs (Helpful)
-[] Implement A Social Policy (Write-In) (Helpful/Harmful) (+3 People's Opinion) (-2 Reputation)
--[] Industrial Health & Safety Policy (Triggers Sub-Turns) (Helpful/Harmful) (+/-? People's Opinion) (+/-? Reputation)
-[] Pharmaceuticals Plant (+2 Reputation)
-[] Medical Student Exchange with Cuba (Helpful) (-4 Reputation)
 
PttF is a very nice broad bonus, but I'll wager that SfA is a bigger bonus in it's specific area. And I think we can leverage that bigger bonus more effectively than a broad one. Basically, I'm advocating for a bit of min-maxing here.
I suppose that's the root of our disagreement then, since I'm personally not sure that's going to be the case. Coming at this vote with the assumption that each option is roughly balanced against each other, IMO the passive destabilization is going to eat up enough of the "power budget" of SfA that the pure bonus is going to be roughly equal to PttF. Because passive destabilization of every country that's less social progressive that Guangchou? I think we can count the countries that aren't going to be affected on our fingers.

Sure if we could leverage that destabilization as part of the goal for an international diplo action I think it SfA would come out ahead of PttF, but with the focus we're putting on getting an international Communist Alliance back together my gut feeling is that we're going to have more of our international actions be "constructive" actions (hashing out deals with Communist and Communist-leaning governments to build both of us up and further tie them into the international framework we're building, and where destabilizing them with SfA may not be in our best interests), rather than "destructive" actions to destabilize governments and spark revolutions in other countries.

These are the options we have on record right now:
Don't forget the general "Improve Infrastructure" action. Fluoridate Water and Build Vitamin Factory are both listed as Helpful and may count towards fixing Healthcare too.
-[] Improve Medical Infrastructure (Helpful) (+1 People's Opinion) (-3 Reputation)
-[] Fluoridate the Water Supply (Helpful) (-4 People's Opinion)
-[] Build Vitamin Supplement Factory (Helpful) (-1 Reputation)
 
I suppose that's the root of our disagreement then, since I'm personally not sure that's going to be the case. Coming at this vote with the assumption that each option is roughly balanced against each other, IMO the passive destabilization is going to eat up enough of the "power budget" of SfA that the pure bonus is going to be roughly equal to PttF. Because passive destabilization of every country that's less social progressive that Guangchou? I think we can count the countries that aren't going to be affected on our fingers.

Sure if we could leverage that destabilization as part of the goal for an international diplo action I think it SfA would come out ahead of PttF, but with the focus we're putting on getting an international Communist Alliance back together my gut feeling is that we're going to have more of our international actions be "constructive" actions (hashing out deals with Communist and Communist-leaning governments to build both of us up and further tie them into the international framework we're building, and where destabilizing them with SfA may not be in our best interests), rather than "destructive" actions to destabilize governments and spark revolutions in other countries.

You know, this is a good point. @HeroCooky, would it be ok if the Revolution Unending sub-options were included in this vote? It's hard to judge it against all the other rewards when it's like this, and it adds another vote that arguably isn't necessary?

edit: I will say this in favour of PtF - it synergies very well with Rainbow Road. It effectively means we get breakthroughs on every roll of 9 or more.
 
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I'm tempted to find the nearest American spy and have Wei just inlduge in his desire to go through a panic attack a out the Healthcare situation where said spy can observe. Keep the Americans off our asses by making it very clear that we are too busy with a Healthcare crisis to try shit.
 
"...I failed you," you whispered silently, a single tear running down your cheek as you realized she was serious in calling them merely 'Youth Scouts.' You couldn't even make a proper seven-letter acronym out of that!

Guangchou Association of Youth Scouts? :V

Also, look, our health system crisis is just in time for the HIV and AIDS scare of the late 20th century!
 
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