The Anarchy of StarfleetMedical is a gargantuan, efficient nation, ruled by Captain Kirk with an even hand, and renowned for its museums and concert halls, ritual sacrifices, and complete lack of prisons. The compassionate population of 18.47 billion StarfleetMedicalians are fiercely patriotic and enjoy great social equality; they tend to view other, more capitalist countries as somewhat immoral and corrupt.

The medium-sized, corrupt government juggles the competing demands of Administration, Education, and Law & Order. It meets to discuss matters of state in the capital city of Starfleet HQ. The average income tax rate is 52.6%, and even higher for the wealthy.

The all-consuming StarfleetMedicalian economy, worth a remarkable 1,887 trillion Latinums a year, is driven entirely by a combination of government and state-owned industry, with private enterprise illegal. However, for those in the know, there is a large, well-organized, quite specialized black market in Information Technology, Tourism, Book Publishing, and Beef-Based Agriculture. The private sector mostly consists of enterprising ten-year-olds selling lemonade on the sidewalk, but the government is looking at stamping this out. Average income is an impressive 102,195 Latinums, and distributed extremely evenly, with little difference between the richest and poorest citizens.

Much of StarfleetMedical's computer network is controlled by a rampant artificial intelligence, the Coast Guard is pioneering a quixotic program to train fish, what's in your genes matters more than what's in your jeans, and humble workers tempt fate for a taste of airline caviar. Crime, especially youth-related, is totally unknown, thanks to a well-funded police force and progressive social policies in education and welfare. StarfleetMedical's national animal is the EMH, which frolics freely in the nation's many lush forests.

StarfleetMedical is ranked 56,488^th in the world and 42^nd in Philosophers for Lowest Crime Rates, with 72.54 law-abiding acts per hour.