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You have a lot more bargaining power at your hands in terms of military strength when playing as a larger nation, which is arguably a very crucial aspect of Europa Universalis, especially when youre going for the tougher difficulties

[28] Medical procedures, such as inserting a central venous catheter into one of the chest veins or taking biopsy samples from lung tissue, may also lead to pneumothorax

This forces the heart to work much harder to pump what little oxygenated blood is available to the rest of the body, including the lungs themselves, starving them of the vital oxygen they need to stay healthy and repair themselves

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Meaning that, despite the fact you probably feel pretty guilty, you're not being judged by your doc

The mint aroma is present, and powerful