The Republic of Ischaemia is a gargantuan, cultured nation, ruled by Leader with a fair hand, and renowned for its multi-spousal wedding ceremonies, national health service, and complete lack of prisons. The compassionate, democratic, cheerful, devout population of 24.04 billion Ischaemians enjoy a sensible mix of personal and economic freedoms, while the political process is open and the people's right to vote held sacrosanct.

The tiny, outspoken government is effectively ruled by the Department of Education, with Social Policy also on the agenda, while Spirituality and Defense receive no funds. The average income tax rate is 4.2%, but much higher for the wealthy.

The frighteningly efficient Ischaemian economy, worth a remarkable 3,694 trillion pesos a year, is highly specialized and led by the Book Publishing industry, with significant contributions from Information Technology and Tourism. State-owned companies are common. Average income is an impressive 153,663 pesos, and evenly distributed, with the richest citizens earning only 2.3 times as much as the poorest.

Beating enemies to death with a baseball bat is legal if done within nine innings, people who have had childhood imaginary friends are told they can't ever be trusted with guns, ships no longer sail as no one wants to encounter Ischaemian pirates, and the reams of paperwork accompanying any electronic item are a recognised contributor to national deforestation. Crime is totally unknown. Ischaemia's national animal is the cat, which frolics freely in the nation's many lush forests.

Ischaemia is ranked 2,388^th in the world and 139^th in The North Pacific for Most Developed, scoring 97.22 on the Human Development Index.