Hospitals - how do they work?

[aono]

Just headline question.
I get all that neat sub-buildings (and it's nice to have some kind of research center for province!), but what about titular mechanics? I didn't get how Disease Resistance, Diseases and Depopulation actually works.
As I found by event digging, having hospital in province speed up restoration from depopulation. Also I found that having hospital adds chance that disease in province don't drop prosperity.
<whine>(also I should notice it's not neat from developers to make me datamine events folder just to find basic info)whine<whine>
Can somebody add something?

 

[MalfunctionM1Ke]

More info on the hospitals would be very interesting. I am curious if it actually makes sense because the sub-holdings of the hospitals are REALLY expensive and to fit out your demesne would cost an assload of money (It's not swearing when you are talking about donkeys)

Would de-population actually cost you more?

Sorry for the unromantic min-maxing approach

 

[aono]

As I believe it, supposed strategy should be placing high-level hospitals in costly provinces, especially that ones where you're trying to take 6 settelment slots, and leave low-level ones in other provinces; after all it gives you not just depop protection, but allows you to save "Booming" modifier, with 30% tax bonus and 60% levy reinforcement. You definitly want to have hospital as leveled as possible in your capital at least, because it's capital depopulation triggering "civil unrest" event, with -75% tax in every province you have.
Also I'm going to try having two big hospitals and some 3rds for bonus buildings - bonus techs are useful.

 

[frolix42]

Seems like info should be added to the CKII wiki

 

[TL_]

Here's my anecdotal findings:

• "Disease Resistance" seems to slow / lessen the chance that an epidemic will spread to your province, but if you're coastal/on the silk road/a republic you are going to get the epidemic no matter what even with maxed resistance probably due to hidden modifiers.
• "Hospital Level" seems to only relate to preventing drops in prosperity / increases in depopulation. With a highly upgraded hospital, after a couple hundred years with many minor epidemics (I'm playing with "more" minor epidemics), my county has never fallen from flourishing (and somewhat annoyingly has never gone up to booming)
• Opinion bonuses are global (soup kitchen is +2 to all temple vassals in any province)
• Medical academy is one of the most cost-efficient tech structures if you already have sick house II. But getting to sick house II means dropping 1100 gold, which is more than the cost of just buying a new university (city holding) outright.
• None of the upgrades except Sick House have levels. It has four (Sick House, Expanded Sickhouse II, Separated Wards III, Expanded Wards IV). The last one costs 2700 to upgrade and it does not appear that hospitals or upgrades are made less expensive at all by Construction tech.
• Some of the upgrades may have related events. The Soup Kitchen definitely has one in which you can pay to have it repaired for a chance at Kind, or if you have Charitable you can pay extra for a big prestige bonus.

And just a general thought: due to the extreme cost of upgrading hospitals and the fact that disease resistance seems to hinder the spread of epidemics very little, you seem best off just building a lot of basic hospitals and never upgrading them. You can get four hospitals or one hospital rank 2, eleven hospitals or one hospital rank 3, et cetera. You do the math: it's better to protect prosperity across many provinces instead of slightly more protection in one.

 

[aono]

None of the upgrades except Sick House have levels. It has four (Sick House, Expanded Sickhouse II, Separated Wards III, Expanded Wards IV).

Well, that's intresting.
By file, there should be 5 levels of Sick Ward (to get 6th level protection), and last one have "gold_cost = 4000".

 

[Balkri]

Depopulation:
The effects of depopulation can be very punishing... especially the levy size penalty, the one in the picture is just "significant", lv 2 depopulation, the provinces can drop to "mayor" and that is near 50 or 60% levy size... that alone can be a game over in certain circuntances

Booming:
On the other hand a bomming province can have some nice benefits, the 30% extra tax and the 60% reinforce rate mostly (imagine when that province form the picture is full with more castles)

And probably the best par is that booming provinces can get very positive events... for example there is and event that can add space for more holdings in a booming province.

Maybe the benefits are not so big compared to the penalties... but are benefits in the end. Now is worth the money? maybe... as a viking you can easily get all of that

 

[aono]

Also one more benefit - high level hospitals makes event MTTH to your court physican lesser, and it IS useful.

 

[kyeaxford]

I have some fully upgraded provinces in paris and 2 neighbours and the plague is spreading throughout Europe and as I am typing this every province of France is infected with the Plague except the 3 I have max hospitals in. So yeah so for the hospitals are saving me and my rather huge dynasty from almost certain death.