Iran is showing the world (especially Europe), that it's more vulnerable than it thinks. Europe has more skin in the game than just the price of oil and nitrogen. Also think about what would happen if Iran is able to recreate something like the Cuban missile crisis now that we've moved a bunch of our military assets to the middle east.

It's not an easy job, but I feel something I haven't felt in a long time as a software developer: fulfillment and contentment. Best of luck to anyone on a similar journey.

My experience has been: if you have an immediate health issue with an obvious solution, you can get pretty good care. Say if you have a broken arm, gun shot wound, heart attack, stroke, etc. Anything uncommon, or that requires ongoing care, is a life sucking nightmare.

I'll give some examples from my own life. I live outside a major metropolitan area. A relative was visiting me and had a stroke in my living room. I called 911, and an ambulance appeared 5 minutes later, in 25 minutes they were in a hospital with a telemedicine link to a stroke expert. The expert said they needed to be brought to a downtown hospital so they were sent there by helicopter. One of the two best neurosurgeons in the city performed an endoscopic removal of the clot and saved their life.

Contrast this with a different relation who struggles with chronic pain and spine problems and has spent the last 20 years bouncing around various doctors, battling insurance companies, pharmacies, waiting to be seen, waiting endlessly for specialists, tests, and having to keep track of all of their information themselves because the system is fragmented and every office wants a complete restatement to their medical history.

From my limited DMing experience, much of the challenges is handling when players do something you haven't anticipated. For most encounters (video games do this too) I think about

1. The stealth approach (why yes there is a secret entrance underneath the castle). 2. The direct approach. Like just kicking down the door and heading in. 3. Negotiation: Is there a way to strike a deal with the bad guy?

Beyond that I fall back on trying to provide a realistic response from the game world, but sometimes the players are creative enough that you have to redo the whole thing on the fly.

"Bad" design can be fine if it's kept simple.

This does assume the rocket can refuel on Mars.