...this isn't actually a sim.  Merrin has Full Support at this point.

Dath ilani hospitals don't run in a constant state of being understaffed because, like, why, it's a hospital for the love of cute teddy bears.  They have enough slack capacity to have a shot at handling an area-wide emergency, with remote support from the rest of Civilization to teleoperate those machines that can be teleoperated at a reasonable efficiency loss; or, not during emergencies, that there are enough people around to do all the tasks that need doing without strain, insofar as those tasks can be performed by people with a myopic view of their own task.

Sims require you to handle emergencies all on your own, or with scripted help calls that you're supposed to make with scripted results, because they can't afford real support personnel for you during sims.  Actual emergencies like this one -

At current QALY prices on this patient, Merrin can name any skill this hospital has,  and a person with that skill can be in the room within one minute if they're on-duty.

If they're off-duty, she could have them brought in by helicopter.

If she needs coffee from a particular nearby coffeeshop for maximum efficiency, that could be brought in by helicopter.

If the hospital runs of out helicopters to meet her demands they can start renting police helicopters.

...If the treatment protocol being developed says the patient needs an organ transplant that isn't in stock, it's possible that Exception Handling will start posting bids in Quiet Cities; there's a standard thing that sad people do, when they're otherwise thinking of giving up and going into cryo, which is to enter into a pact with another person where they both get put under, one of them goes into cryo and has their organs harvested, and the other one gets a lot of money with which to take a second shot at enjoying life.  (This being among the reasons why dath ilani in need of liver transplants, and with sufficiently expensive insurance, have good-enough survival prospects to motivate the existence of complicated liver-replacement machines.)

The point being, Merrin has nearly infinite money-power that can cause things to happen, if there's any particular chains of causality she'd like to initiate.

...this isn't actually a sim.  Merrin has Full Support at this point.

Dath ilani hospitals are organizationally designed with enough slack capacity to have a shot at handling an area-wide emergency, with remote support from the rest of Civilization to teleoperate those machines that can be teleoperated at a reasonable efficiency loss; or, not during emergencies, such that there are enough people around to do all the tasks that need doing without strain, insofar as those tasks can be performed by people with a myopic view of their own task.

Sims require you to handle emergencies all on your own, or with scripted help calls that you're supposed to make with scripted results, because they can't afford real support personnel for you during sims.  Actual emergencies like this one -

At current QALY prices on this patient, Merrin can name any skill this hospital has,  and a person with that skill can be in the room within one minute if they're on-duty.

If they're off-duty, she could have them brought in by helicopter.

If she needs coffee from a particular nearby coffeeshop for maximum efficiency, that could be brought in by helicopter.

If the hospital runs of out helicopters to meet her demands they can start renting police helicopters.

...If the treatment protocol being developed says the patient needs an organ transplant that isn't in stock, it's possible that Exception Handling will start posting bids in Quiet Cities; there's a standard thing that sad people do, when they're otherwise thinking of giving up and going into cryo, which is to enter into a pact with another person where they both get put under, one of them goes into cryo and has their organs harvested, and the other one gets a lot of money with which to take a second shot at enjoying life.  (This being among the reasons why dath ilani in need of liver transplants, and with sufficiently expensive insurance, have good-enough survival prospects to motivate the existence of complicated liver-replacement machines.)

The point being, Merrin has nearly infinite money-power that can cause things to happen, if there's any particular chains of causality she'd like to initiate.

...this isn't actually a sim.  Merrin has Full Support at this point.

Dath ilani hospitals are organizationally designed with enough slack capacity to have a shot at handling an area-wide emergency, with remote support from the rest of Civilization to teleoperate those machines that can be teleoperated at a reasonable efficiency loss; or, not during emergencies, such that there are enough people around to do all the tasks that need doing without strain, insofar as those tasks can be performed by people with a myopic view of their own task.

Sims require you to handle emergencies all on your own, or with scripted help calls that you're supposed to make with scripted results, because they can't afford real support personnel for you during sims.  Actual emergencies like this one -

At current QALY prices on this patient, Merrin can name any skill this hospital has,  and a person with that skill can be in the room within one minute if they're on-duty.

If they're off-duty, she could have them brought in by helicopter.

If she needs coffee from a particular nearby coffeeshop for maximum efficiency, that could be brought in by helicopter.

If the hospital runs of out helicopters to meet her demands they can start renting police helicopters.

...If the treatment protocol being developed says the patient needs an organ transplant that isn't in stock, it's possible that Exception Handling will start posting bids in Quiet Cities; there's a standard thing that sad people do, when they're otherwise thinking of giving up and going into cryo, which is to enter into a pact with another person where they both get put under, one of them quantum-randomly goes into cryo and has their organs harvested, and the other one wakes up with a lot of money with which to take a second shot at enjoying life.  (This being among the reasons why dath ilani in need of liver transplants, and with sufficiently expensive insurance, have good-enough survival prospects to motivate the existence of complicated liver-replacement machines in the first place.)

The point being, Merrin has nearly infinite money-power that can cause things to happen, if there's any particular chains of causality she'd like to initiate.

...this isn't actually a sim.  Merrin has Full Support at this point.

Dath ilani hospitals are organizationally designed with enough slack capacity to have a shot at handling an area-wide emergency, with remote support from the rest of Civilization to teleoperate those machines that can be teleoperated at a reasonable efficiency loss; or, not during emergencies, such that there are enough people around to do all the tasks that need doing without strain, insofar as those tasks can be performed by people with a myopic view of their own task.

Sims require you to handle emergencies all on your own, or with scripted help calls that you're supposed to make with scripted results, because they can't afford real support personnel for you during sims.  Actual emergencies like this one -

At current QALY prices on this patient, Merrin can name any skill this hospital has, and a person with that skill can be in the room within one minute if they're on-duty.

If they're off-duty, she could have them brought in by helicopter.

If she needs coffee from a particular nearby coffeeshop for maximum efficiency, that could be brought in by helicopter.

If the hospital runs of out helicopters to meet her demands they can start renting police helicopters.

...If the treatment protocol being developed says the patient needs an organ transplant that isn't in stock, it's possible that Exception Handling will start posting bids in Quiet Cities; there's a standard thing that sad people do, when they're otherwise thinking of giving up and going into cryo, which is to enter into a pact with another person where they both get put under, one of them quantum-randomly goes into cryo and has their organs harvested, and the other one wakes up with a lot of money with which to take a second shot at enjoying life.  (This being among the reasons why dath ilani in need of liver transplants, and with sufficiently expensive insurance, have good-enough survival prospects to motivate the existence of complicated liver-replacement machines in the first place.)

The point being, Merrin has nearly infinite money-power that can cause things to happen, if there's any particular chains of causality she'd like to initiate.

...this isn't actually a sim.  Merrin has Full Support at this point.

Dath ilani hospitals are organizationally designed with enough slack capacity to have a shot at handling an area-wide emergency, with remote support from the rest of Civilization to teleoperate those machines that can be teleoperated at a reasonable efficiency loss; or, not during emergencies, such that there are enough people around to do all the tasks that need doing without strain, insofar as those tasks can be performed by people with a myopic view of their own task.

Sims require you to handle emergencies all on your own, or with scripted help calls that you're supposed to make with scripted results, because they can't afford real support personnel for you during sims.  Actual emergencies like this one -

At current QALY prices on this patient, Merrin can name any skill this hospital has, and a person with that skill can be in the room within one minute if they're on-duty.

If they're off-duty, she could have them brought in by helicopter.

If she needs coffee from a particular nearby coffeeshop for maximum efficiency, that could be brought in by helicopter.

If the hospital runs out of helicopters to meet her demands they can start renting police helicopters.

...If the treatment protocol being developed says the patient needs an organ transplant that isn't in stock, it's possible that Exception Handling will start posting bids in Quiet Cities; there's a standard thing that sad people do, when they're otherwise thinking of giving up and going into cryo, which is to enter into a pact with another person where they both get put under, one of them quantum-randomly goes into cryo and has their organs harvested, and the other one wakes up with a lot of money with which to take a second shot at enjoying life.  (This being among the reasons why dath ilani in need of liver transplants, and with sufficiently expensive insurance, have good-enough survival prospects to motivate the existence of complicated liver-replacement machines in the first place.)

The point being, Merrin has nearly infinite money-power that can cause things to happen, if there's any particular chains of causality she'd like to initiate.