The Manta Carlos Healthcare System

Like every other modern civilized society, Manta Carlos has a hospital system. Manta Carlos provides everyone on the island with free medical care, including mental healthcare. However, free healthcare is limited to only including mundane medical techniques which could be found off-island in nonmagical communities. The island also has magical healing and other treatments available, but these are typically only available to those who can pay for them.


The General Hospital

The Manta Carlos General Hospital includes multiple facilities scattered throughout the city and the island, most of which are connected to each other by a portal system similar to that used by the public transportation system - this allows patients at any facility to be rapidly transported to any other facility when needed. These include two large buildings in the medical center near the suburbs of the city, which are often referred to together as “the Manta Carlos General Hospital.” The vast majority of the hospital system's long term patients stay in these two buildings, and most surgeries occur in these buildings.

Outside of the medical center, the general hospital system includes 8 satellite facilities scattered throughout the island. These facilities include clinics, emergency care, and extra beds for when the main hospital buildings don't have enough space. In the event that a quarantine is necessary, as many patients as possible will be diverted to the satellite facility near the forbidden forest, which is a relatively unpopulated area.

The Starlight Academy Infirmary also has a portal to the general hospital.

Other facilities

Aside from the general hospital system, there are multiple clinics and specialist facilities which are officially recognized as being part of the island's healthcare system, though they are not connected to the general hospital by portal. This includes pharmacies, dentists' offices, and clinics or private practices which rely heavily on magic.

Insurance and Paid Healthcare

Healthcare on Manta Carlos comes in two main varieties: free and paid. Each is briefly described below.

Free Healthcare

Most of the island's healthcare is paid for by the island's government. Anyone on the island will have access to some of the best medical care that could exist in the Narrow Reality outside of the island. Aside from treating diseases and injuries with conventional medical science, this health plan includes psychiatric care, dental care, reconstructive plastic surgery, basic prosthetics, all nonmagical gender transition related treatments, and electric wheelchairs. Vaccines are both free and highly encouraged, with advertising campaigns reminding people to get vaccinated for diseases such as the flu. Without special exemptions for health or supernatural-force-related reasons, all students at Starlight Academy are required to have a certain array of vaccines.

Free healthcare will generally not cover any magical treatments, except when they are necessary to cure supernatural infectious diseases. Free magical healthcare is also authorized for several other magical diseases on a case by case basis.

The hospital system has doctors who are experts on treating diseases in multiple species. Some of the doctors have a modified sort of veterinary training. Access to these doctors is also free.

Additionally, Starlight Academy's infirmary has several magical healers on call to deal with serious injuries. The school pays for these treatments for its student body, faculty and staff.

Manta Carlos is an island full of magic, and of course it has magical healthcare available. Most magical treatments are handled by private practices and special clinics, but the general hospital system also has a magical health insurance plan for emergency care. The cost for this health insurance plan is high, but it is worth every penny for those who can afford it; insured patients will be given access to anything from magical healing and disease removal to total limb or organ regeneration.

Paramedics have a device in every ambulance which allows them to magically identify insured patients, and this system cannot currently be “tricked” or “beaten” by any known means. If an insured patient arrives in the hospital before being legally dead for approximately 30 minutes, they will virtually always come out alive and completely intact in under a week. Beyond that point, the hospital would need to engage in necromancy, which is against its policies.

A small selection of private practices and magical clinics will accept the general hospital's paid insurance plan, but the vast majority require payment out of pocket. These can range from the prohibitively expensive, such as replacing limbs with mechanical parts or using necromancy to revive the dead, to the very affordable such as magical potions with a minor effect on health.

All non-prescription medication must also be paid for, but prescriptions are free.

Mental Healthcare

Due to the large proportion of citizens and students who have experienced some amount of trauma, mental health care is an extremely important field on the islands. For this purpose, the terms 'counselor', 'therapist', 'psychologist', and 'psychiatrist' are all closely controlled.

A 'counselor' may or my not have a college degree or higher, but is only required to have a high school degree or equivalent. Generally counselors focus on a specific field which they have experience in, which people commonly have issues with. For example, a career counselor, a religious counselor, a relationship counselor, etc.

A 'therapist' is required to have a bachelor's degree at a minimum. Generally they are more general then counselors, but focus instead on issues that might come up in someone's life. Someone with abandonment issues or who had experienced trauma might go to a therapist.

A 'psychologist' is required to have at least a masters degree. While psychologists also work as therapists, they have specific training in mental illnesses, and know what to look for. They are capable of diagnosing, but not medicating, mental illnesses, and often work hand in hand with a psychiatrist.

A 'psychiatrist' has gone through medical school, and is capable of diagnosing and prescribing medication for mental illnesses. They often work hand in hand with psychologists.

A single person might be just one of these, but often there is a certain amount of crossover, such as a therapist who also works as a psychologist, or a psychologist who also works as a psychiatrist.

Moon Clinics

(originally proposed/written by Nikki, posted and edited by SA staff with permission)

Started early in 2017, Moon Clinics provide a safe alternative to restraint or caging for those who enter regular periods of erratic, uncontrollable, and dangerous behavior. Such people are referred to as “moon-touched,” as a reference to werewolves and others whose behavior can become uncontrollable during a full moon.

It has been found that sedating a patient before they become moon-touched typically leaves them docile and manageable. Moon clinics have a broad array of sedatives available to them, ensuring that they can Previously, it was common for a restrained werewolf to end up with injuries during the full moon as a result of the attempts made to keep them in line. Often these injuries were either self-inflicted or a direct result of the method of restraint or confinement.

The clinics are designed to accommodate many moon-touched individuals and offer them a place of respite, most often (but not always) during the full moon. The patients here are free to move and wander around the clinic as they see fit, with sedatives keeping their condition in check. Many patients end up sleeping through the night in a private room, waking up refreshed and safe in the morning. In the event that a patient is unable to sleep, there are larger common rooms featuring televisions, books, and even board games for those alert enough to participate.

Typically, patients check in voluntarily on a first come first serve basis. In some instances, such as probation requirements, a patient may be legally obligated to attend a moon clinic. The services of moon clinics are provided free to the public; the clinics are seen as an investment in public health and safety. Severely moon-touched individuals or patients attending due to legal obligations may have reserved spots at these clinics.

Each clinic aims to operate at a 2 staff : 1 patient ratio, with additional staff and physicians on call in case of an incident. This ensures that each patient receives the proper care at all times, as well as continuous checkups on their current physical state. Nurses are also encouraged to interact with the patients that are awake, as positive interaction can be both soothing and reassuring. Security is hired by the City to ensure the safety of both the staff and the patients.

As of Fall 2017, there are two such clinics in existence and a third is currently being built.

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