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Maybe they take it off therefore?
But quite frankly, and to be honest with you, I never tried pharmacy on that level.
They could have removed the ability to build the room too but I guess this would have been more confusing not to see pharmacy in the list anymore.
Because such Nurse could work in all treatment rooms - Injection, Surgery, Dehumorizators, etc.
10% difference doesn't matter than much. You already have +100% treatment from machine upgrades and +50% just from levelups.
So it's 210% treatment vs 220% treatment. Not a big deal.
The point though is specialisation not neccessarily the percentage.
If you still only have general nurses running around in a profitable hospital, you must have a low cure rate.
I have to kindly disagree with this but I respect that playstyle. I like to have 2 specialized nurses per pharmacy. Also it's better to maximize the patient's meters (staff skill, upgraded machines and whatever the third one was again, I forgot). As long as not everything is upgraded, I found that more patients die like this versus everything maximized.
But that's just me. :)
If a room has a specialty then I will usually train staff for that room and only let them work there.