by Max Barry

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Largest Insurance Industry: 4,191stMost World Assembly Endorsements: 5,531stMost Influential: 8,396th
The Medical Dictatorship of
Iron Fist Consumerists
Pain is for the weak
Queen Ava of Nightingale
Office of the Acting-President
Civil Rights
Unheard Of
Political Freedom
Unheard Of

Overview Factbook Dispatches Policies People Government Economy Rank Trend Cards


Population977 million

LeaderQueen Ava of Nightingale

AnimalGuinea Pig

The Medical Dictatorship of HMS NHS is a huge, orderly nation, ruled by Queen Ava of Nightingale with an iron fist, and renowned for its otherworldly petting zoo, frequent executions, and infamous sell-swords. The hard-nosed, hard-working, cynical population of 977 million Patients are kept under strict control by the oppressive government, which measures its success by the nation's GDP and refers to individual citizens as "human resources."

The medium-sized, corrupt, moralistic, well-organized government juggles the competing demands of Defense, Law & Order, and Administration. It meets to discuss matters of state in the capital city of Nightingale. The average income tax rate is 56.1%, and even higher for the wealthy.

The frighteningly efficient Patientien economy, worth 116 trillion Viruses a year, is fairly diversified and led by the Arms Manufacturing industry, with major contributions from Information Technology, Uranium Mining, and Retail. Black market activity is frequent. Average income is an impressive 118,861 Viruses, and evenly distributed, with the richest citizens earning only 2.4 times as much as the poorest.

Sailors spend their shore leave helping old ladies cross the street, cities are engulfed by smog, The Very Hungry Caterpillar has been banned for advocating gluttony, and the full weight of the law is being applied against hate speech. Crime, especially youth-related, is totally unknown, thanks to a very well-funded police force and progressive social policies in education and welfare. HMS NHS's national animal is the Guinea Pig, which teeters on the brink of extinction due to widespread deforestation.

HMS NHS is ranked 220,128th in the world and 265th in Confederation of Corrupt Dictators for Least Corrupt Governments, with 47.69 Percentage Of Bribes Refused.

Largest Insurance Industry: 4,191stMost World Assembly Endorsements: 5,531stMost Influential: 8,396thMost Corrupt Governments: 8,412thMost Politically Apathetic Citizens: 9,493rdMost Advanced Law Enforcement: 9,533rdLargest Arms Manufacturing Sector: 11,090thLargest Mining Sector: 11,204thTop
Most Conservative: 12,407thLargest Manufacturing Sector: 13,039thMost Advanced Defense Forces: 13,436thLargest Retail Industry: 15,877thLowest Crime Rates: 18,366thMost Developed: 19,069thHighest Poor Incomes: 19,280thMost Secular: 19,343rdLargest Information Technology Sector: 19,707th
Most World Assembly Endorsements: 26th in the region

National Happenings

Most Recent Government Activity:


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