Akuyaku Reijou tte no wa Kou Yaru no yo - Ch. 6.1

[MangaDex]

 

[GipoScribantino]

The only way this would've been more realistic is to have people cut in line despite the tickets and guards actually escorting someone out.

 

[Randomconspi]

lol love how the last chapter ended with the heroine playing chest and now her plan is already blowing up in her face.

 

[outinthegardener]

Wait, are they talking about providing all healthcare? Or just for the plague? That's a pretty big difference in scale.

Anyways I'm glad to see they are discussing the practical aspects of providing public healthcare. Last chapter made it seem like they wanted it to seem like a bad idea. Nope, just a difficult one, with difficult solutions.

 

[OWMWO]

Nice argument, HOWEVER...

 

[ARealCoolGuy]

It'd be pretty easy to convince the nobels, if he/she actually put any thought into it.
Assuming this is a feudal system, and that the lord's citizens are akin to their property; ensuring their health is like ensuring the health of their economy, and therefore ensuring the health of their own wallets. Sick citizens mean citizens who can't earn to their full potential, and that means they can't be taxed to their full potential.
Investing in their health is an investment in your own economy.
Similar arguments can be made for schooling too.

It'd probably be smart of the MC to do implement such a system in her own territory, to show off the benefits to other lords, before proposing to make it a nationwide policy.

 

[AnonymousWeeaboo]

It'd be pretty easy to convince the nobels, if he/she actually put any thought into it.
Assuming this is a feudal system, and that the lord's citizens are akin to their property; ensuring their health is like ensuring the health of their economy, and therefore ensuring the health of their own wallets. Sick citizens mean citizens who can't earn to their full potential, and that means they can't be taxed to their full potential.
Investing in their health is an investment in your own economy.
Similar arguments can be made for schooling too.

It'd probably be smart of the MC to do implement such a system in her own territory, to show off the benefits to other lords, before proposing to make it a nationwide policy.

You’re severely underestimating the cost of nobles paying for the health care of every one of their serfs, and overestimating the effectiveness of pre-modern healthcare. Even assuming effectiveness is relatively high due to magic or something, it’s still not cheap and the infrastructure, transportation, labor, and materials (if there are any) are astronomical when everything is all added together, often far more per person than the productivity of a single peasant’s entire life of working. After all, without industrial machinery, just having a large enough abundance of food to feed the soldiers and transporters is a huge problem, especially since transportation requires horses which also have to eat (and incredible amounts to boot, every wagon carried by a horse requires another wagon of just feed for the horses pulling the cargo wagon and the feed wagon, and more feed wagons depending on distance).

The actual practical reality of this period in history is one of scarcity, nobles do not have infinite money, they are extremely wealthy compared to the peasantry but they are wealthy because they are taking the productivity of the peasants to sell in open markets, reinvesting in local development, paying taxes to the crown, and training and maintaining some regiments for warfare, on top of just governing in general and engaging in national and international politics. They already have expenses they have to account for, and even a lavish lifestyle is still a business expense, the luxury and abundance is part of power projection and diplomacy, and their spending re-allocates capital from their treasury to the coffers of skilled tradesmen and international merchant networks that also use relations to determine prices for other international trades, say furniture from the lord’s territory to another market. Spending on a hospital network like this would bankrupt many lords and cause cascading economic declines regardless of any potential improvement in the productivity of the lowest classes that couldn’t otherwise afford to pay for health care anyway.

 

[Psychronia]

What do you mean diseases spread if left alone for months?!

The cherry on top here would be if Cassandra implemented a smaller scale version of a health insurance tax and coverage limited to just her territory as a proof of concept plus demonstrating the miraculous benefits of taking care of your citizens called "healthy people can work".

Something has just occurred to me. This is a world based on a novel that Cassandra read in her previous life and got thrown into to teach her a lesson about being a decent person.
So like...why is the heroine deviating from the plot?

You’re severely underestimating the cost of nobles paying for the health care of every one of their serfs, and overestimating the effectiveness of pre-modern healthcare. Even assuming effectiveness is relatively high due to magic or something, it’s still not cheap and the infrastructure, transportation, labor, and materials (if there are any) are astronomical when everything is all added together, often far more per person than the productivity of a single peasant’s entire life of working. After all, without industrial machinery, just having a large enough abundance of food to feed the soldiers and transporters is a huge problem, especially since transportation requires horses which also have to eat (and incredible amounts to boot, every wagon carried by a horse requires another wagon of just feed for the horses pulling the cargo wagon and the feed wagon, and more feed wagons depending on distance).

I think I'm missing something.

What part of locally provided free at delivery healthcare requires such large amounts of transportation and soldiers?

 

[Cross-21-]

The cherry on top here would be if Cassandra implemented a smaller scale version of a health insurance tax and coverage limited to just her territory as a proof of concept plus demonstrating the miraculous benefits of taking care of your citizens called "healthy people can work".

She did actually take care of her domain already. She proposed to her father how to counter the spread, basic health care, regular hand washing, and stuff like that. He accepted and it stopped the plague from even being a minimal threat to them.

Btw this part now is the beginning of the end for the Saint and all her idiots... We are half way trough the WN actually, it's very short.

 

[AnonymousWeeaboo]

I think I'm missing something.

What part of locally provided free at delivery healthcare requires such large amounts of transportation and soldiers?

Soldiers are required for guarding the hospital and medical staff, and transportation is required for moving around medical staff, medicines, and even people that need treatment. Most peasants do not live in cities or even towns, after all. You could maintain a hospital in a prosperous city with a functioning economy, and it would reduce transport costs because cities are already logistics hubs, but after that you’re running into severe logistical constraints.

 

[FloorRoof]

Assuming this is a feudal system, and that the lord's citizens are akin to their property; ensuring their health is like ensuring the health of their economy, and therefore ensuring the health of their own wallets.

I don't think this is of real concern to nobles, who can just let their subjects fend for themselves. When life expectancy is low, people rely on a simple strategy - having many children. That is good for productivity in its own way.

 

[bidaum]

Something has just occurred to me. This is a world based on a novel that Cassandra read in her previous life and got thrown into to teach her a lesson about being a decent person.
So like...why is the heroine deviating from the plot?

The heroine is also a reincarnated person.

 

[d_a_renoir]

Something has just occurred to me. This is a world based on a novel that Cassandra read in her previous life and got thrown into to teach her a lesson about being a decent person.
So like...why is the heroine deviating from the plot?

Obviously the heroine is also another reincarnator who has read the novel or vaguely know the tropes. A real heroine wouldn't call herself a heroine LOL.

think I'm missing something.

What part of locally provided free at delivery healthcare requires such large amounts of transportation and soldiers?

It's already been answered but to add in more detail: Even if you build hospitals everywhere, there's likely not going to be enough doctors to cover the whole kingdom. So you would need to have the doctors going around in shifts.

You might compensate for lack of doctors with shops for people to buy medicine or potions, but there's not going to be enough alchemists/herbalists to be stationed all over the place either. Which means those medicines would have to be transported from somewhere else (bigger cities, the capital).

Making the medicine itself also would be much more difficult because in a medieval-style society, the ingredients would need to be regularly harvested from nature and not compounded from chemicals in labs. You'd have to pay people and the transport to get those ingredients.

 

[Psychronia]

Obviously the heroine is also another reincarnator who has read the novel or vaguely know the tropes. A real heroine wouldn't call herself a heroine LOL.

That sorta begs the question of why that reincarnator slipped through the cracks when Reiko was very deliberately put here as a Cassandra. Like...the reincarnator being a bad person really mucks up this attempt to teach a lesson.

It's already been answered but to add in more detail: Even if you build hospitals everywhere, there's likely not going to be enough doctors to cover the whole kingdom. So you would need to have the doctors going around in shifts.

You might compensate for lack of doctors with shops for people to buy medicine or potions, but there's not going to be enough alchemists/herbalists to be stationed all over the place either. Which means those medicines would have to be transported from somewhere else (bigger cities, the capital).

Making the medicine itself also would be much more difficult because in a medieval-style society, the ingredients would need to be regularly harvested from nature and not compounded from chemicals in labs. You'd have to pay people and the transport to get those ingredients.

Alright, that's fair enough. A robust infrastructure is critical to any healthy kingdom.

Though I'm not 100% sold on some of the practical limitations like manpower and medicine preservation. We don't know how many or few doctors, alchemists, or herbalists there are in this country yet. And we also don't know how badly medicines keep once made.

Cassandra was able to reform her own chunk of territory and it didn't seem to cause major financial losses, so I'm inclined to think that, while it's a logistical challenge, it's not an insurmountable problem.
Also, if we're taking this policy from its universal healthcare reference point, it's not like doctors are obligated to make house calls to everyone in every town.
As long as a service for treating the sick or injured was available and free at delivery, I think it would satisfy the proposal. For remote villages, they're going to have a bad time due to isolation, but it's still technically free healthcare if the patient or messenger heads to a town that does have a hospital in order to get treatment.

 

[Supperdude9]

MC already took care of the worst sick areas. So right now the Heal girl is gonna just cause a ruckus and look useless.

 

[d_a_renoir]

That sorta begs the question of why that reincarnator slipped through the cracks when Reiko was very deliberately put here as a Cassandra. Like...the reincarnator being a bad person really mucks up this attempt to teach a lesson.

Yeah, this one we'll just have to wait and see for the plot to explain.

Though I'm not 100% sold on some of the practical limitations like manpower and medicine preservation. We don't know how many or few doctors, alchemists, or herbalists there are in this country yet. And we also don't know how badly medicines keep once made.

Cassandra was able to reform her own chunk of territory and it didn't seem to cause major financial losses, so I'm inclined to think that, while it's a logistical challenge, it's not an insurmountable problem.
Also, if we're taking this policy from its universal healthcare reference point, it's not like doctors are obligated to make house calls to everyone in every town.
As long as a service for treating the sick or injured was available and free at delivery, I think it would satisfy the proposal. For remote villages, they're going to have a bad time due to isolation, but it's still technically free healthcare if the patient or messenger heads to a town that does have a hospital in order to get treatment.

They mentioned that doctors are expensive, so that kind of implies that there's not that many of them. While there's the "high school"-like academy in this world, there doesn't seem to be any universities where you can train a lot of doctors all at once. Apprenticeships are limited in pre-industry days, and there being not that many of them is what makes doctors or tailors and other specialised work really expensive.

Like, Cassandra managed because it's just a temporary disaster relief. What the heroine wants sounds more like a long-term/permanent free healthcare for everyone. It's not easy to get around places without modern vehicles. Paying for that transport for the remote villages would cost resources. You'd need at least a hospital/doctor's residence in multiple major cities.

Cassandra didn't say the plan is impossible altogether. Her point was just that immediately jumping the gun to "free healthcare for everyone and make the king/nobles pay!!" is just silly. There's the infrastructure/manpower/logistic issues that needs to be dealt with. You'd have to start by making medical schools, so that more people can be trained to be doctors or make medicine, and figuring out how to make hospitals work with the number of doctors and/or medicine makers that already exist.

 

[TheCasualEnjoyer]

With all those people cluttered in one area, girl is single handily spreading the pandemic like Nurgle's gifts.

 

[Dust_pile]

Thanks for the chapter!

 

[Miserys_End]

That sorta begs the question of why that reincarnator slipped through the cracks when Reiko was very deliberately put here as a Cassandra. Like...the reincarnator being a bad person really mucks up this attempt to teach a lesson.

Alright, that's fair enough. A robust infrastructure is critical to any healthy kingdom.

Though I'm not 100% sold on some of the practical limitations like manpower and medicine preservation. We don't know how many or few doctors, alchemists, or herbalists there are in this country yet. And we also don't know how badly medicines keep once made.

Cassandra was able to reform her own chunk of territory and it didn't seem to cause major financial losses, so I'm inclined to think that, while it's a logistical challenge, it's not an insurmountable problem.
Also, if we're taking this policy from its universal healthcare reference point, it's not like doctors are obligated to make house calls to everyone in every town.
As long as a service for treating the sick or injured was available and free at delivery, I think it would satisfy the proposal. For remote villages, they're going to have a bad time due to isolation, but it's still technically free healthcare if the patient or messenger heads to a town that does have a hospital in order to get treatment.

You also seem to be missing a major plot point. The Saintess is only a single person and she just offered to heal tens of thousands of people. The promptly forgot that someone would need to organize the venue, gather staff and security, and plan out her schedule.

And as there are nobles in attendance, it becomes doubly complicated because it would be an insult for the saint not to spend a time talking with each and every one.

So what she ended up with is a mob of thousands of peasants standing around in a random city square with light security and no organized plan on how people are going to be healed.

As an aside, something else I don't see people taking in to consideration is the loss of productivity. People that are traveling are not working, nor are people that are standing around for hours or days in lines.

What kind of treatments are being offered? Are we curing the common cold, contagious disease, minors cuts and bruises, broken bones, and how were those illnesses and injuries diagnosed?

In closing this is a massive cluster fuck of a dumpsterfire. Not only is it guaranteed to cause an angry mob or two, but also become a major vector for any contagious diseases that happen to be present in the thousands strong mass of bodies. Because there is no way she can physically heal that many people in any reasonable ammount of time.

 

[Psychronia]

You also seem to be missing a major plot point. The Saintess is only a single person and she just offered to heal tens of thousands of people. The promptly forgot that someone would need to organize the venue, gather staff and security, and plan out her schedule.

I was treating the statement about her healing at the temple as a separate matter from the general healthcare coverage.

If she is the single medical treatment for all ailments, then issues become both simpler and worse to navigate. I guess the funding in this case would be to either transport her or all the sick citizens so she can heal them. I have to assume doing a national tour would be cheaper, but it's also unfeasible considering she'd be committing to doing laps around the country forever.