I Rule Rome with a God-Tier AI-Chapter 176: The Price of Steel

The new hospital at Vulcania was a testament to the Emperor's will and the genius of Galen. It was a long, single-story building of clean timber and whitewashed walls, situated upwind from the smoke of the forges. Its windows were large, letting in natural light, and a dedicated aqueduct, a minor miracle of Celer's engineering, brought a constant supply of fresh, clean water for washing. It was, without a doubt, the most advanced medical facility in the Roman world. And it was a place of unending horror.

Galen, the great physician, walked through the long, crowded wards, his face a grim mask of professional focus. The air inside smelled of carbolic soap, boiled linen, and the ever-present, coppery tang of blood. The injuries he treated here were not the familiar wounds of the battlefield. He had seen a thousand sword cuts, spear thrusts, and arrow punctures in his time. The wounds of Vulcania were new, alien, and monstrous. They were the wounds of a collision between soft flesh and the unyielding, uncaring machinery of a new age.

He stopped at the bedside of a young Celt from the slave levy. The boy's hands were swathed in thick bandages, but a dark, weeping fluid had already begun to soak through. He had stumbled while carrying a crucible of molten steel. Galen knew that when he unwrapped the bandages, there would be nothing left of the boy's hands but melted, blackened claws of flesh and bone. In the next bed, a conscripted smith from Ravenna coughed, a deep, wet, rattling sound that shook his entire body. He spat into a clay bowl, and the phlegm was not white or yellow, but a thick, viscous black, the color of the coke dust that had ravaged his lungs.

This was his new reality. Men with skin flayed off by superheated steam from failing pipe joints. Laborers with limbs crushed into pulp by improperly secured mine supports. Smiths with eyes burned white and blind by the flash of the forges. The vast majority of his patients, the ones with the most horrific and often fatal injuries, were from the slave levy. They were the disposable bodies thrown into the most dangerous gears of the great machine, and they were brought to him in pieces.

Sabina arrived at Vulcania two weeks after Alex, a whirlwind of logistical authority. Her tour of the booming industrial city was one of triumphant satisfaction. She saw the rising production numbers, the growing stockpiles of weapons, the efficient, brutal engine of her war economy humming along. Her final stop was Galen's hospital, which she viewed as a necessary, if expensive, component of that engine—a repair shop for the human machinery.

She walked through the wards with a cool, detached air, her fine silk stola a stark, clean contrast to the suffering around her. Galen met her in his small, private study, the shelves of which were now filled with his own meticulous, hand-written patient records.

"An impressive facility, Doctor," Sabina began, her tone that of a patron acknowledging a well-executed commission. "The Emperor informs me your work has already reduced mortality rates among the workforce by a significant margin."

Galen did not accept the compliment. He looked at this powerful, elegant woman, the architect of this entire enterprise, and he saw not a savior of Rome, but the purveyor of a new and terrible kind of plague.

"Curator," he said, his voice cold and devoid of deference. "Your workers are dying. You have created a city that is more dangerous to a man's health than any battlefield I have ever seen. The human body is not a machine of iron and steel. It cannot withstand this level of punishment. We are seeing ailments here, sicknesses of the lungs and skin and bone, that have no precedent in any of my texts. The fumes from your coke ovens are a slow poison. The dust from your mines is a death sentence. You are not just building weapons; you are building new ways for men to die."

Sabina's expression did not soften. It remained one of unshakable, pragmatic resolve. "Every great enterprise has a cost, Doctor," she replied, her voice as cool and hard as her new silver coins. "The men who built the great pyramids did not die peacefully in their beds. We are in a war for the survival of the Empire. The cost of failure is not a few hundred lives in this city; it is the death of everyone. It is the end of Rome."

She looked at him, her gaze unflinching. "I am making a calculation. A terrible one, perhaps, but a necessary one. I have calculated that the loss of a few hundred slaves, the unfortunate illness of a few dozen conscripted citizens, is an acceptable price to pay for the ten thousand crossbows that will save a hundred thousand Roman lives on the Danube. That is the ledger I must balance."

Galen was taken aback by her brutal honesty. He had expected denial, or perhaps ignorance. He had not expected this cold, clear-eyed embrace of the horror. He realized, in that moment, that he could not win an argument with this woman on the grounds of morality. Her morality was calibrated to the scale of an empire, while his was calibrated to the suffering of the individual man on the cot in front of him. He could not change her. So he would have to learn to work within her brutal calculus.

He turned to his desk and picked up one of his own ledgers, filled with his neat, precise Greek script. He would fight her not with appeals to compassion, but with the one language she truly understood: efficiency.

"Then let us speak of ledgers, Curator," he said, his tone shifting from angry to analytical. He opened the book. "This is my accounting of the men in the mines. The slave levy. I lose three out of every ten men brought to me with the lung sickness. They die within a month. A complete loss of your investment."

Sabina's eyes narrowed, her interest piqued.

"However," Galen continued, "I have conducted autopsies. The lungs are destroyed by the sharp, fine dust. But my studies suggest that if the dust were dampened, its lethality would be greatly reduced. If I had a steady supply of clean water piped into the mines, to be sprayed on the rock walls, and if the men were issued simple, dampened cloth masks to wear over their faces... I project, based on my observations, that I could cut the mortality rate from this ailment in half. Perhaps more."

He looked up from his ledger and met her gaze. "Compassion is not my argument today, Sabina. Efficiency is. A healthy slave can work for ten years. A dead slave is a total loss on your financial records, not to mention the cost of shipping his replacement from Italy. For the price of a few lead pipes and a thousand strips of linen, you can preserve the long-term value of your assets."

Sabina stared at him, a slow, appreciative smile spreading across her face. This, she understood. This was not the whining of a soft-hearted moralist. This was a logical, data-driven argument for improving productivity and reducing capital losses. This strange, brilliant doctor was not just a healer; he was an efficiency expert.

"And the burns from the forges?" she prompted, genuinely curious now.

"Leather aprons and gauntlets, mandatory for all men working near the crucibles," Galen replied instantly. "And a series of mandatory, short rest periods. A tired man is a clumsy man. A clumsy man spills molten steel. The cost of the protective gear and the lost labor from the rest periods will be far less than the cost of losing a trained smith for six months while his burns heal."

Sabina gave a sharp, decisive nod. "It is approved," she said. "All of it. Draft a proposal with Master Celer for the pipes and ventilation systems. Issue a decree for the provision of masks and protective gear. I will authorize the funds myself."

She turned to leave, a newfound respect for the physician in her eyes. "You are a remarkable man, Doctor Galen. You understand the true nature of value."

Galen watched her go, a bitter taste in his mouth. He had won a small but significant victory. He had not changed the brutal nature of the system, but he had managed to blunt its sharpest edges by learning to speak the language of power. He had just introduced the very first concepts of occupational health and safety to the Roman world, not through an appeal to humanity, but through a cold, logical argument about the economic value of a worker's life. He was horrified by the industrial hell he was a part of, but he was learning, day by day, how to treat the sickness of the system itself, one small, practical, and deeply compromised cure at a time.