As the administrator of a city you have access to the book of laws. It is a group of laws you can issue. Usually the laws are prepared in such way that you can choose between focusing on needs of citizens or forcing them to do more things. These are typical moral choices - to make the citizens happier or to focus on survival at all costs. The decisions impact the morale of citizens. If you focus only on survival, then the indicators will quickly reach extreme values. The best choice is to balance both choices. If a specific law is important to you and it will impact dissatisfaction, issue it and then issue a law that will compensate this. Of course, you can't do that immediately. After issuing each law you must wait a specific number of hours before you can issue another one. Additionally, you can't cancel issued laws. You must think carefully before deciding. The book is divided into chapters.
A set of laws related to the adaptation of the society in a new world. Here you will find issues related to medicine, food and children. These laws represent your attitude towards the citizens. They have great impact on what the citizens think about you.
Each decision unlocks new laws that can be issued. At the same time it blocks access to laws that aren't related to the option you had chosen. Some choices in this category at first seem to be focused on needs of citizens, but later have more practical application. Child shelter is a good example. Issuing this law enables the children to help in medical posts or engineers. This will increase the effectiveness of buildings. It is much better to send the kids to help doctors, as it will shorten the treatment time. Combined with the radical therapy and the care house this will enable you to create a well working health care system. If you choose a more radical law, you can issue the corpse disposal law instead of the cemetery law. This will reduce satisfaction of citizens, but it will unlock the possibility to perform organ transplantation. The negative repercussions can be reduced by issuing laws related to amusement.
How to create a well working health care:
1. Issue child shelters law.
2. Move all children to help in medical posts.
3. Issue radical therapy and care house laws.
4. Additionally you can issue the corpse disposal law instead of the cemetery law.
Under no circumstances should you issue a law that enables the people to perform lynches. This will greatly drop the hope indicator. Additionally, it will cause a wave of murders. You will lose up to 30% of citizens who would normally work for you.