Is 'Disease Resistance' making difference?

[pcsantosf]

I've spent real fortunes in hospitals so far, my capital has a fully upgraded one, and all adjacent provinces have level 2 hospitals, but truth is: I don't see any difference, my capital is caught by diseases in the same rate as my neighbors. Sometimes it takes few months more, but it really doesn't worth the investment. And when it's about Black Plague: no difference at all.
What's your experience with hospitals so far?

 

[Kumicho]

My experience is that they don't do much. It seems like they get hit slightly later with the same disease as the other counties, and also that they seem slightly more resistant to depopulation / loss of prosperity.

But overall it doesn't seem to be anywhere NEAR worth the cost. I still build them because I'm overflowing with money due to the prosperity system, but they definitely don't really "work".

 

[hwoosh]

My experience is that they don't do much. It seems like they get hit slightly later with the same disease as the other counties, and also that they seem slightly more resistant to depopulation / loss of prosperity.

But overall it doesn't seem to be anywhere NEAR worth the cost. I still build them because I'm overflowing with money due to the prosperity system, but they definitely don't really "work".

The bonuses to tech spread from some of the advanced buildings are pretty nice for your capital, at least.

I wish the devs had made both disease and prosperity less opaque. There's no straightforward way of telling exactly how much the various little boost to prosperity you get from events and decisions actually contribute towards the next prosperity level, or how at risk your provinces are for disease spread, or how much your hospitals are actually helping.

Reminds me (and obviously not in a good way) of the original spread of Protestantism mechanic in EU4.

 

[thevmag]

They definitely do make a difference. Whenever consumption or smallpox makes its way towards my realm, there's always a perfect outline of my demesne. Thing is, of course, that there's always a risk of disease: at max hospitals, you're looking at 95% disease resistance - pretty good! But with a booming prosperity, that gets dropped down to 75% - still a 25% chance of it infecting.

Not sure how effectively we can prevent Black Plague, though. Only one I saw completely protected was Northern Italy, due to Historical Plague Exclusion zone.

 

[FrosT37]

Yes I've seen a big difference. Totally worth it.

 

[Balkri]

Max lv hospital in denmark (copenhagen) and lv3-2 around that area. Black death got into Holstein but never crossed to Scandinavia.
In my experience, yes, they stop the spread of diseases.

Sometimes i still got outbreacks of other diseases but that because of the combo of booming+costal province+trade post and hight tax base/income of the province, but thank to the hospital the population is almost unafected

 

[Tom013]

I'll chime in with the anecdotes as well. I had a number of times that my capital in India was the only province along the entire coast that didn't get hit by an epidemic. Not even fully upgraded. Not that it NEVER got hit, but it did escape many a time.

 

[McGrey]

I agree. A very good upgraded hospital makes a noticable difference. And even when the disease strike the province, the effects on the prosperity is noticable reduced. To give an excample, when the Black Death hit Italy, most provinces got the -3 Population los, while my capital with the hospital had "only" a -1,

 

[fishface60]

I've only been able to afford a fully upgraded hospital in my capital, but is has regularly been unaffected by plagues that claimed all adjacent territory.
This was way after the Black Plague hit though, so I can't say how well it would protect against that.

 

[The Klobbinator]

In my experience in India with a single Lv3 Hospital in my capital, I sometimes manage to dodge the outbreak; but to be honest I don't believe they're worth the cost.