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Dmitry Orlov literally wrote an entire book about this. Well stocked middle class communities are toast. His basic unit is not barbarians but weasel / thieves with street fighting skills.
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The difference between camp followers and slaves is the ability to exit the warband and spend your gold in an urban environment.
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Why do you think that people are gonna generally accept their roles? Just saying Prostitution isn't a free pass to avoid sexual dynamics at all. Also, 3 doctors with limited supplies for 150 people? Fuck is the philosopher doing? What is the math guy doing?