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> For example, if localities are purely self-interested, an unaffected region may attempt to quarantine and keep all of its medical infrastructure ready for itself rather than lend it to nearby affected regions. In such cases a coordinating mechanism can be extremely helpful.

Reality is already ahead of you. [1] Switzerland is currently having trouble receiving masks and other medical supplies that were commissioned out of state:

Being landlocked, goods bound for Switzerland necessarily have to pass through a different country first, in this case Germany. Germany has a decree by which Corona-related medical supplies must not leave the country - and right now, this even applies to goods destined to Switzerland that are just arriving at a german port.

A fully "decentralised" world full of self-interested microstates would see a lot more of this stuff.

[1] https://www.thelocal.de/20200312/mask-hysteria



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