■国立大学病院“過去最大”赤字で医療崩壊の危機

 

400億円の赤字見込み

　2025年10月3日、『国立大学病院会議』は会見で、国立大学病院の赤字額が『2023年度＝60億円、2024年度＝286億円、2025年度(見込み)＝400億円超』と発表し、大鳥精司会長は「過去最大の危機を迎えると言っても過言ではない」としています。

 

施設・設備費を減らすしかなく…

　赤字の要因は支出増加で、『医療費＝258億円増、光熱・水道費＝9億円増、人件費＝325億円増、業務委託費など＝89億円増』(前年度比)となっています。そんな中、76億円減っているのが『施設・設備費』で、大鳥会長によると「新たな医療機器が買えない。98％の医療機器等が更新できない状況」ということです。

 

検査できない状況が起こる恐れ

　患者への影響について問われた東京科学大学病院・藤井靖久病院長は、「人工呼吸器やECMO(エクモ/人工心肺装置)は更新している。ただ、画像診断装置・CTなどは直接患者に影響がないので、長く使う。患者の検査ができないという状況がいつ起こってもおかしくない」と答えました。

 

日本医師会・松本吉郎会長

Q.都心部もですが、地方ではすでに医療崩壊が起こっていますよね？ (日本医師会・松本吉郎会長) 「完全に医療崩壊が起こっています。経営努力はしていますが、物価高騰や人件費の上昇で経営が立ち行かなくなり、支出・経費が膨らんで、どこも大幅な減益になっています」

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■National University Hospitals Facing Crisis of Medical Collapse Due to "Largest Ever" Deficit

Expected deficit of 40 billion yen

On October 3, 2025, the National University Hospital Conference announced at a press conference that the deficit of national university hospitals is projected to be "6 billion yen in fiscal year 2023, 28.6 billion yen in fiscal year 2024, and over 40 billion yen in fiscal year 2025 (estimated)." Chairman Seiji Otori stated, "It is no exaggeration to say that we are facing the greatest crisis in history."

Only option is to reduce facility and equipment costs…

The cause of the deficit is increased expenditures: "Medical expenses = 25.8 billion yen increase, utility costs = 900 million yen increase, personnel costs = 32.5 billion yen increase, outsourcing costs, etc. = 8.9 billion yen increase" (compared to the previous year). Meanwhile, "facility and equipment costs" have decreased by 7.6 billion yen. According to Chairman Otori, "We cannot purchase new medical equipment. 98% of medical equipment cannot be updated."

Risk of inability to perform examinations

When asked about the impact on patients, Yasuhisa Fujii, Director of Tokyo University of Science Hospital, replied, "We are updating ventilators and ECMO (extracorporeal membrane oxygenation/artificial heart-lung machines). However, imaging diagnostic equipment such as CT scanners do not directly affect patients, so we use them for a long time. It wouldn't be surprising if a situation arises where we cannot perform patient examinations."

Japan Medical Association Chairman Yoshiro Matsumoto

Q.  Medical collapse is already occurring in rural areas, as well as in urban areas, isn't it? (Japan Medical Association Chairman Yoshiro Matsumoto) "Complete medical collapse is occurring. We are making management efforts, but due to soaring prices and rising personnel costs, management has become unsustainable, expenditures and expenses have ballooned, and all hospitals are experiencing significant losses."