According to the answers on my earlier question I may have missed my opportunity to have a ship's doctor on board the Normandy.
What are the ramifications of not having a doctor on board? Could I potentially lose crew members?
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You'll miss out on a Medi-Gel upgrade (either capacity or amount healed per use), as well as the opportunity to heal Shepards facial scars if you're playing a Renegade.
Beyond that, there should be no other consequence, aside from a few missed conversations with minor opportunities to earn Reputation and/or Paragon/Renegade points (+2 max each time).