The Case for Buidling Hospitals in the US: A Response to Tiacha

Day 589, 17:45 Published in USA USA by mngoose33

I haven’t written in awhile, but after reading the most recent Department of Education article about hospital construction, I wanted to add my own thoughts to the debate. If you haven’t read the article (and by all means you should, as it’s quite informative), the basic gist is that high-quality hospitals are very expensive, and building them in lots of regions doesn’t make sense in light of game mechanics. In Tiacha’s words:

“The more people there are in a region, the higher the wall that region will have when it is attacked. That’s one of the big reasons why the US is not buying more hospitals at this time. By having the population in one state [particularly an important state like New Jersey, which is an iron region], you make that region easier to defend…If the eUS bought more Q5 hospitals, it would spread out the population more, which would reduce the wall size of important regions such as New Jersey. This would make Q5 regions easier to attack by PEACE.”

This is a perfectly logical argument for preventing military takeovers. However, a few folks, including myself, pointed out that (1) consolidating too much of our population in a small number of states may leave us more vulnerable to PTO attempts and (2) a reasonable compromise might be to ensure each state has at least a mid-quality hospital to discourage excessive population clustering.

So, to test the theory that having mid-quality hospitals attracts population, let’s take a look at the data.

Hospital quality............Number of states...........Averag e population
............None........................ ............5....................... ...................57
..............Q1........................ ..............20........................ ................94
..............Q2........................ ...............6........................ ................206
..............Q3........................ ...............9........................ ................280
..............Q4........................ ...............9........................ ................458
..............Q5........................ ...............2........................ ...............2577

The data indicate that, on average, states with higher-quality hospitals attract larger populations. This isn’t surprising. But given that the 25 regions that have either no hospital or only a Q1 hospital (a near-majority in Congress) have only 14% of our population, it appears to me that these states are vulnerable to a PEACE PTO attempt.

So, just how hard would it be to PTO our Congress? Well, let’s look at data from the June Congressional elections.

Hospital quality....Number of states(avg)....Total votes cast (avg)...Total votes for winner (avg)
...........None................ ...................... 5...................................18.. ........................................ ...9
............Q1.......................... ...... .......20............................... ..20.. ........................... ............11
............Q2.......................... ..............6......................... ..........30............ ...... ................ .......9
............Q3.......................... ..............9......................... ...........47........................... ......... .....28
............Q4.......................... ..............9......................... ...........82............ ...................... .......52
............Q5.......................... .............2.......................... ..........699.................. ................. .....314

As the data show, a PTO attempt is certainly possible; the states with either no hospital or a Q1 hospital (which, again, are the least-populated states) require, on average, less than a dozen votes per state to win a Congressional seats. By contrast, states with Q3 hospitals require nearly three times as many votes to win a Congressional seat.

Now, some of you are probably thinking to yourself, “sure we’re vulnerable on paper, but if PEACE attempted a PTO of our smaller states, our government would see the voting anomalies and people living in Florida and New Jersey would buy moving tickets and vote in those states to stop it.” Fair enough. But given the current state of affairs in eUS politics, how confident should we be that our country would come together to fight off a PTO attempt and support an American, particularly if that meant voting for a party you don’t like? Additionally, if PEACE attempted a PTO near the end of the election, we may not have enough votes to fend it off or enough time to organize ourselves. If PEACE faked a PTO in another country earlier in the day and drew US votes overseas, we would be even more vulnerable.

Based on the data, I would recommend that HR, Emerick, Richard Brophy, or whomever else wins the Presidency should strongly consider placing more mid-quality hospitals in these 25 states that are currently underpopulated in order to attract more people. Do we want everybody to move there? Absolutely not; as Tiacha pointed out, population clustering is a good thing in Erep. But right now, our population is so clustered that we are leaving ourselves wide open to a PTO attempt. Fortunately, placing a few Q3 hospitals will go a long ways towards preventing a potential disaster.

EDIT: U.S. Naval War Collage raises some additional points about hospital placement in this article