The Confederacy of Atherosclerosis is a titanic, efficient nation, ruled by Lord Heart Attack with a fair hand, and notable for its keen interest in outer space, suspicion of poets, and spontaneously combusting cars. The hard-nosed, hard-working, democratic population of 23.934 billion Atherosclerosians are effectively ruled by a group of massive corporations, who run for political office and provide their well-off citizens with world-class goods and services. Their poorer citizens, however, are mostly starving to death while being urged to go out and get real jobs. The populace has reasonably extensive civil rights, although these are mostly aimed at allowing them to buy whatever they like.

The relatively small, outspoken government juggles the competing demands of Education, Healthcare, and Law & Order. It meets to discuss matters of state in the capital city of Atherosclerosis City. The average income tax rate is 17.9%.

The thriving Atherosclerosian economy, worth a remarkable 1,797 trillion mmHgs a year, is broadly diversified and led by the Soda Sales industry, with major contributions from Retail, Automobile Manufacturing, and Book Publishing. Average income is 75,094 mmHgs, and evenly distributed, with the richest citizens earning only 3.1 times as much as the poorest.

A typical fast food menu item could serve a small army, Lord Heart Attack has just been declared ruler of Atherosclerosis in an international press conference, Protestant Christianity has been named as Atherosclerosis's national religion, and matryoshka dolls resembling nested Death Stars are commonly sold. Crime is almost non-existent, thanks to a capable police force and progressive social policies in education and welfare. Atherosclerosis's national animal is the Dog, which teeters on the brink of extinction due to widespread deforestation, and its national religion is Protestant Christianity.

Atherosclerosis is ranked 70,358^th in the world and 1^st in New Hypertension for Largest Insurance Industry, scoring 3,199.69 on the Risk Expulsion Effectiveness Rating.