China s subways and hospitals are overcrowded but say they are not profitable ?What is the truth?

Mondo Health Updated on 2024-01-30

In today's busy city life,Metroand hospitals are an integral part of people's lives. However, surprisingly, thoughMetroAnd hospitals are always overcrowded, but they claim to be not profitable. It's like a restaurant that is full every day telling you that they are losing money, and people can't help but wonder, what is the truth behind it?

MetroAs a city publicTransportationAn important part of theFootfallHuge. However,MetroThe cost of doing business is also a huge number. Expenditures on maintaining lines, updating vehicles, electricity consumption, and personnel salaries are enormous. In addition,MetroFares are usually tightly controlled to guarantee the publicTransportationpopularity. This means:MetroThe main revenue often struggles to cover its high operating costs.

AlthoughMetroThere are a large number of passengers every day, but it does not mean that everyone is forMetroPaid. Some cities have implemented free ride policies or offered discounted fares to certain groups of people, such as students and seniors. This is further reducedMetroincome**. It's like a courier shuttling between high-rise buildings, although countless packages are delivered every day, but for various reasons, they do not make a profit from every transaction.

MetroThe construction and operation of the city requires a significant capital investment, especially in rapidly expanding cities. In order to guarantee the cityTransportationTransports run smoothly, often with a huge investment of money. Therefore,MetroIt is difficult for the operation to rely on fare revenues to cover all costs, which makes itMetroSometimes it is considered oneSocialA public good, not a for-profit business.

Hospitals are the guardians of the health of millions of peopleFootfallEqually massive. However, the operation of the hospital is more complex. First of all, the cost of equipment investment and maintenance in hospitals is extremely high, especially those that are advancedMedicalEquipment. These devices need to be regularly updated and repaired to ensure that the hospital can provide advanced diagnosis and treatment services.

Secondly, the cost of human resources in hospitals is not low, especially at a high levelMedicalExpert. The salaries and training costs of doctors, ** and other staff are huge expenses. In addition, hospitals also need to invest a lot of money in research and scientific experiments to promoteMedicalTechnological innovation.

In addition to this, Chinese hospitals tend to bear the burdenSocialResponsibilities, such as fee waivers for some poor patients. Although this is a manifestation of humanistic care, it also increases the burden on hospitals. It's like a highly skilled chef, and despite the fact that his restaurant is full every day, the high cost of ingredients and exquisite cooking skills make it not as easy for him to make a profit as it seems to outsiders.

In addition, foreign hospitals have different profit models from China. In some countries, hospitals operate even moreBusinessChange. For example, hospitals in the United States derive a large portion of their revenue from:MedicalInsurance companies。They are withInsurance companiesThe agreement can often bring relatively stable and high income to the hospital. In addition, some hospitals abroad also offer specialMedicalservice or the introduction of high-endMedicaltechnology, to attract patients with greater ability to pay, so as to obtain higherProfits。It's like a restaurant that specializes in ordering for high-end customers, thoughFootfallIt may not be as good as the mass restaurant, but every customer brings it to itProfitsBut it may be much higher than the average restaurant.

Now that the profit model of foreign hospitals has been mentioned, we might as well consider a question that is not related to the topic: why in some countries, private hospitals can operate so successfully, while in others, public hospitals have become mainstream

There is actually a hidden problem behind this problemMedicalsystem andSocialDeep-seated differences in structure. When it comes to this issue, we first need to recognize that different countriesMedicalArchitecture andSocialThere are fundamental differences in the safeguard systems.

In some countries, such as the United States, private hospitals are occupiedMedicalMarket dominance. This is due in large part to itsMedicalThe system emphasizes the role of market mechanisms. Private hospitals are for the purpose of making a profit by providing high-qualityMedicalservice to attract thereInsuranceor patients who are able to pay their own expenses. This model relies heavily on the powerfulMedicalInsurancesystem of support, because:MedicalThe cost is often ridiculously high and unaffordable for the average family.

And in other countries, such as many European countries, public hospitals are:MedicalThe backbone of the system. these countriesMedicalThe system is more focused on public welfare andSocialEqual. Ensure that every citizen has access to basic benefits through high taxes and efficient resource allocationMedicalServe. In these countries, public hospitals are not primarily aimed at making a profit, but are more focused on providing affordable access for allMedicalServe. This model embodies a different kind of thingSocialvalues, ieMedicalService is a fundamental right of citizens, not just a commodity.

Both models have their advantages and disadvantages. Under the private hospital modelMedicalThe quality and efficiency of services may be higher, but this often comes at the expense of universality and equality. Although the public hospital model emphasizes more universality and equity, it may face the problems of uneven resource distribution and low efficiency.

In summary,Metroand hospital claims"It doesn't make money"The reason for this is that they face high operating costs and are unable to cover all expenses through fare revenue. MetroThere are some common challenges in the economic model of hospitals, such as high equipment maintenance costs, high human resource costs, and moreSocialliability, etc. The profit model of foreign hospitals is even moreBusinessI rely on itMedicalInsurance companiessupport as well as the provision of specialMedicalThe service attracts high-paying patients. Different countriesMedicalsystem andSocialThe difference in structure has led to different profit models between private hospitals and public hospitals, with private hospitals focusing more on market mechanisms and profits, while public hospitals are more focused on public welfare andSocialEqual.

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