by Max Barry

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Most World Assembly Endorsements: 3,951stLargest Insurance Industry: 4,742ndMost Corrupt Governments: 8,036th
The Medical Dictatorship of
Iron Fist Consumerists
Pain is for the weak
Queen Ava of Nightingale
Civil Rights
Unheard Of
Political Freedom
Unheard Of

Overview Factbook Dispatches Policies People Government Economy Rank Trend Cards


Population1.006 billion

LeaderQueen Ava of Nightingale

AnimalGuinea Pig

The Medical Dictatorship of HMS NHS is a massive, efficient nation, ruled by Queen Ava of Nightingale with an iron fist, and remarkable for its otherworldly petting zoo, avowedly heterosexual populace, and pith helmet sales. The hard-nosed, hard-working, cynical population of 1.006 billion 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 57.0%, and even higher for the wealthy.

The frighteningly efficient Patientien economy, worth 122 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 121,595 Viruses, and evenly distributed, with the richest citizens earning only 2.4 times as much as the poorest.

Hundreds of teenagers die every year at the Patientien Hungry Games, fewer people are bathing as citizens must show ration stamps before they can turn on their faucets, Queen Ava of Nightingale is the self-declared God of all HMS NHS, and children must be board certified to append "Jr" to their name. 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, and its national religion is Scientism.

HMS NHS is ranked 206,100th in the world and 293rd in Confederation of Corrupt Dictators for Healthiest Citizens, with 0.62 Bananas Ingested Per Day.

Most World Assembly Endorsements: 3,951stLargest Insurance Industry: 4,742ndMost Corrupt Governments: 8,036thMost Influential: 8,100thMost Advanced Law Enforcement: 9,286thMost Politically Apathetic Citizens: 10,872ndTop
Most Conservative: 11,108thLargest Arms Manufacturing Sector: 11,217thLargest Mining Sector: 11,379thLargest Manufacturing Sector: 12,640thMost Advanced Defense Forces: 13,371stLargest Retail Industry: 15,240thMost Developed: 17,960thLowest Crime Rates: 18,006thHighest Poor Incomes: 18,489thLargest Information Technology Sector: 19,458thMost Secular: 20,280th
Most World Assembly Endorsements: 10th in the region

National Happenings

Most Recent Government Activity:


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