Medicine and Health

The Victorian era was not particularly known to have great advancements in health. Or maybe they did, I'm not particularly sure. Maybe progress in anatomy as well as bunch of curealls and snake oils. Vaccines and the boom in germ theory. No miasma theory for us guys. Naturally, some areas will be more advanced than others - lots of medical research is being done in the West and slowly diffusing to the rest of the civilised world. The fact remains that if you want to get better, you go West.

Conversely, several tribalist nations rely on a mix of philosophy and traditional remedies/homeopathy, perhaps even still bloodletting in some parts. Antibiotic properties have been observed in Larareyan mosses so there. A few vaccines are available for major diseases like smallpox and that, but I'll have to develop diseases and all that. Curealls are a staple in steampunk fiction but they are frowned upon in philosophical circles.

Tribalist countries rely on a doublethink kind of system as they believe wholly in the healing power of traditional medicines and practices but also believe in the benefits of modern medicine and alchemy. A similar thing goes with the Dallanaist nations, who put a lot of dedication into the healing power of religious figures and kings and divinity and all that. The more hardcore nations like Stail, Gravenia and Phohebia are the most dedicated practitioners of this thing.