Water purification is a big need in many countries. You hear all the time about organizations asking for donations so they can buy 3rd world country water purification devices. Someone could make a game using the idea for the base of it.
Some countries hospitals are in need of better technology. Hospitals in 3rd world countries aren't equiped to handle some of the diseases and injuries that are common in the area they are located. You could make a game where an organization has to manage the shipment of technology to the areas based on need, costs, number of population, and how many needs shipped.
Areas hit with natural disasters are always in need of help immeadately following the disaster. Someone could a game managing different groups of different types of people to various areas. As you get further through the game more people, and groups can be added to your organization. An example of the game would be like starting with 3 medical teams, a group of people handing out food, and a group of people handing out supplies. You could send your group to the area most needed and rotate them depending on the needs of other areas.
The government has been setting standards on pollution and advocating green technology. A game could be made where government funds are used to equip different government buildings with alternate sources of energy, like solar.
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