In the Federated Kingdom, policies regarding the use of consolamentum were controversial on its introduction. It was given as an option to people diagnosed as terminally ill and is sometimes used on people without reliably ensuring they are in a persistent vegetative state after physical injury. It is also the only treatment available on the NHS to people who fall seriously ill on the Social Wage above the age of sixty. Moreover, although none of the nations of the Federated Kingdom allow capital punishment, the NHDO has a globally-enforced monopoly on its manufacturer and is the sole source of the drug, which it sells even to regimes such as Argentina, though it is not used in South Africa because its "borders" are closed (like several other African nations, there are no definite borders