| > Sounds way too detached from the actual purpose of the institution. I literally don't understand what you mean. The purpose of the institution is to educate people (and other stuff.) They do that by investing money that they were given for this exact purpose. What on earth could the problem with that be? No only are they providing education to people, often for free, they're also lending people money to build and develop businesses along the way. I think you've got some idea they have their billions in a Duck McScrooge style vault? They don't - being invested means they lend it to people to build things. It's all being actively used. > Would it make sense for hospitals to do the same? Many hospitals and health organisations have endowments. For example the Wellcome Trust has an endowment of $37 billion. I think they funded my wife's PhD in cancer. > Why not theaters next? Many art institutions have endowments. For example the Getty uses a $7 billion endowment to fund the arts so they're preserved for and accessible to people like you. What is the issue you see here? If they kept it as cash in the bank it'd depreciate rapidly and they'd end up with none left. |
In 1992 in Italy hospitals became "hospital companies", meaning what was once a public service with the sole aim of providing the best possible treatments to citizens for no cost, became at all effects a business (although still state owned) with incomes, expenses and a budget. You may think this makes sense, but since then our healthcare quality has tanked.
One notable side effect is that all hospital companies cut on the intensive treatment beds to save on costs, which backfired heavily during covid since we didn't have enough beds and many patients died without proper treatment as a consequence.