Urban health rules, qualified doctors, healthy eating and a healthy life usually have that. Throughout the history of Elysium, those details have been imposed that, except for the extremely poor, you can afford. And slaves don't count towards Life Expentacy. Mostly hard work is do by Slaves.
So you are telling me that Elysium win out over all nations OTL while it hasn't even develop X-ray and penicillin.
 
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Map 2463 AUC / 1710 AD
dettnlq-f8c4ea8e-b742-42ae-8294-5b48766fb663.png

Sorry for the low quality but tried to do my best.
 
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