The Medical Techno-Federal Realm of Doctors Orvos is a massive, environmentally stunning nation, ruled by Grand Doctor Ervelesa no Sekai with a fair hand, and renowned for its museums and concert halls, state-planned economy, and zero percent divorce rate. The compassionate, democratic, devout population of 2.57 billion Orvosians love a good election, and the government gives them plenty of them. Universities tend to be full of students debating the merits of various civil and political rights, while businesses are tightly regulated and the wealthy viewed with suspicion.

The government — a sprawling, bureaucracy-choked morass — prioritizes Education, with Healthcare, Administration, and Welfare also on the agenda, while Defense and Spirituality aren't funded at all. It meets to discuss matters of state in the capital city of Besigheid. The average income tax rate is 75.7%, and even higher for the wealthy.

The very strong Orvosian economy, worth 128 trillion Meddygs a year, is driven entirely by a combination of government and state-owned industry, with private enterprise illegal. The industrial sector, which is extremely specialized, is mostly made up of the Information Technology industry, with significant contributions from Book Publishing. Average income is 49,866 Meddygs, and distributed extremely evenly, with practically no difference between the richest and poorest citizens.

Posters on 'Orvosian Values' advise against being proud of Doctors Orvos, liberals and conservatives try to disqualify each other's candidates on the grounds that "their ideas would never work in the real world", every new building project has to undergo a five-year environmental impact study before it can go ahead, and burning twigs to keep warm while lost in the wild is now a felony. Crime, especially youth-related, is totally unknown, thanks to a well-funded police force and progressive social policies in education and welfare. Doctors Orvos's national animal is the Tardigrade, which frolics freely in the nation's many lush forests, and its national religion is Secularism.

Doctors Orvos is ranked 230,351^st in the world and 434^th in The Free Nations Region for Most Advanced Defense Forces, scoring -12.65 on the Total War Preparedness Rating.