The Anarchy of StarfleetMedical is a gargantuan, genial nation, ruled by Captain Kirk with an even hand, and remarkable for its soft-spoken computers, compulsory military service, and frequent executions. 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 56.0%, and even higher for the wealthy.

The all-consuming StarfleetMedicalian economy, worth a remarkable 1,908 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 Retail. 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 103,355 Latinums, and distributed extremely evenly, with little difference between the richest and poorest citizens.

The government's new "quiet competence" initiative has supporters and detractors alike reeling in confusion, the subway is dead quiet in early afternoons, neon signs promoting safe driving often distract drivers, and Loud Patriotic Music Day has been ranked the seventh best new holiday of the year. 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 55,471^st in the world and 42^nd in Philosophers for Lowest Crime Rates, with 72.86 law-abiding acts per hour.