Goodman Jacob, the Farmer, had lived in the rural regions of one of the Western provinces, surrounding one of the Academies of the Zaandi Order. He had almost single handedly transformed the small hamlet of Ashenbark into a small city. He was an extremely prosperous man, and was one of the wealthiest commoners in the entire Republic. He was even wealthier than many minor nobles, and even a handful who weren't so minor. He was one of the many success stories of the very blessed Republic of the West, just separated from the mainland of the other nations by a very mountainous region. Jacob had sons who had very large ranches across the province, who were also very wealthy, turning small villages into boom towns. He had innumerable pigs, cows, chickens, horses, massive harvests preserved by the salt flats of northern provinces capable of feeding whole provinces for at least three whole years. Goodman Jacob is the name that the locals, the province, and really the whole Republic called Jacob White. He funded orphanages and charities for those in poverty, he even had a comfortable dwelling built for the old people of the city who had no one to take care of them, with servants to keep them comfortable, fed, and just provided for in general. 

The time had finally come for him to join the Reaper in the Dance Macabre. Jacob, by now, was a ninety seven year old man, about to turn ninety eight in four months. He was extremely spry until he had turn ninety. Then, people began to notice he was losing strength in his legs. Eventually, the winter came, and he had trouble breathing. By the Spring time, he couldn't handle the coming fever that seized him. 
"Old God, I have given life times worth of wages to the poor, to those in need, to the unfortunate, to the widows, and to orphans. I have provided for my sons and passed down the blessing you have given me over to them, and they have in turn provided for the poor and needy in their own communities. I was faithful to my wife, and I was fervent in my honor for you."
"I have even discovered new medicines, and gave the knowledge for people to keep and share with mankind forevermore."
"All these things I have done." With that, Goodman Jacob had fallen into the afterlife. His caretakers weeped, and there was a moment of silence for a full hour all over the city. His sons and daughters visited him. Four sons, and Four daughters all weeped and comforted each other. The old woman who was his wife waited for him in death, or so he thought. 

He died, he felt himself suddenly. . . fall? Rise? He didn't know. He was suddenly in a bizarre room. He had no sense of fear, just extreme bewilderment. The room was filled with instruments of. . .he didn't know. They looked like torture devices, but for some reason he doubted they were going to harm him. A woman with a white cloth on her face stood over him, and he was restrained on a metal table. She smiled behind the cloth, and slowly helped him up. "Success". She took off the cloth covering her face. "I'm glad you made it". Jacob was confused as he looked around. "This is the hospital." He raised his eyebrow. "Hospital? What's that?" He asked. 
In the Republic of Keldarna they had clinics and similar places, but none that went by the name of "Hospital". She explained. "It's like a Clinic. We do surgery, and help people recover from pain and wounds here, help them deal with their diseases and give them rest". He nodded, explaining the word now. She slowly helped him over to a chair in the room. 
"Um, how did I end up here?" He asked. He had thought he was dead. She nodded her head. "Well, when we expect someone's arrival, we carve their likeness from clay. They enter into the clay, and they awaken as a person." He was even more confused. "If you're thinking why things are the way they are, it's because that yes, you died. You are in Akk'urad". His face went pale. 
She comforted him. "There is no need to worry. I can explain everything to you in time. For now, you just need to enjoy yourself and relax. Everything will be taken care of in time".