Afaik it has to do with licensing regulations and litigations…
A doctor is licensed to practice by the state, and must carry insurance on a state-by-state basis to acquire a license to practice.
The problem is that if you get sued 3 times you get blackballed by the insurance industry in your state and the insurance companies won’t insure you.
You see a lot of doctors moving states often, its often because they became un-licensable in their former areas.
I have limited industry experience and have talked to quite a few doctors who were indeed a bit distant and hands-off in their practice for this reason alone.
I’m a big fan of this game. It’s tactically deep and can be fairly punishing while also being whimsical and silly. And I love the fact that encounters can be resolved with or without violence. The characters are all dripping with personality and it has a fun sort of globetrotting vibe.
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