Why do hospitals say they lose money year after year when so many people visit them every day?

Let's break down what hospitals make money on.

Registration fees account for a very small portion of a hospital's revenue. The average hospital registration fee is a few dollars, and some specialists may charge dozens of dollars. But most of them are less than ten dollars, our country's registration fee is on the low side, spend a few dollars to get a professional diagnosis from the doctor's mouth, which is unthinkable in some countries. In the future, this area will be the focus of health care reform, and the registration fee, which is linked to the income of doctors, will rise very quickly. Especially Chinese medicine, does not rely on medical equipment, if the hospital in not allowed to sell drugs, then the registration fee is bound to increase the proportion of the rising trend.

Checking fees account for a relatively large proportion of medical treatment, especially some rare disease instrumentation, the cost is particularly high. This is due to the very high cost of purchasing these instruments. Hospitals will certainly add the cost of the instruments to each examination, a tens of millions of dollars of equipment, if only 10,000 to 20,000 people to use, the cost of the equipment alone will be a few thousand dollars each, which does not include electricity, labor and other costs. Add to this the fact that instruments and equipment are updated relatively quickly, and a piece of equipment will generally become obsolete within ten years, and it will be necessary to purchase newer equipment. Equalized to each year, equalized to each person, the examination fee naturally will not be very cheap.

This is also a more profitable part of the hospital, but the cost is also very high. Surgery is very demanding, and requires the collaboration of many people, with a variety of instruments, so the overall cost of surgery is relatively high. Especially in some larger hospitals, in order to patient safety, the use of more equipment, more people involved in the operation, the operation cost is naturally more expensive than smaller hospitals.

Equipment is a very profitable place for hospitals, especially some fine consumables, usually several times dozens of times the profit. Endoscopic hemostatic clips produced by a company, for example, a listed company reports selling dozens of dollars in the hospital usually sell 199 and X99. there are many cardiovascular stent type of equipment, the profit is high, far beyond the imagination of the people. With the advancement of health insurance reform, this part of the profit will certainly be greatly cut.

Pharmaceuticals

This has always been a big part of the hospital's income, and even many doctors rely on medicines to support them. I went to a hospital to see a doctor, the doctor hated to hospital drugs are prescribed to me, each time to give me half a month's worth of drugs, but in fact I eat three days basically cured. So there are piles of medicines at home. All of the above adds up to the usually high cost of medicine. However, with the deepening of healthcare reform, centralized purchasing has basically stripped doctors and hospitals of their relevant rights, and the decline in medicines will definitely be a major trend in the future, with many medicines dropping by as much as 95%.

Some hospitals also have other income such as allocations from special state funds and donations from individual enterprises. The above is the hospital's revenue sources, said the sources of income, in fact, also put the hospital's costs. Costs are mainly in several areas: first, staff salaries; second, the purchase of medical equipment; third, the cost of medicine; fourth, infrastructure investment; fifth, other operating expenses and so on. Each of the costs here is relatively high, and some hospitals themselves have a lot of internal problems, and there are cases where there are a lot of patients but they are losing money.