China’s population collapse is no longer a distant warning — it’s happening now, in plain sight. Hospitals are going bankrupt, marriages are turning into government campaigns, and love itself is being priced and measured. In this episode, I’ll take you through three true stories that capture the unraveling of a nation: empty hospitals closing one after another, marriage booths set up in nightclubs, and young couples breaking under the weight of tradition and money. Together, they reveal what it really means when a country begins to run out of people — and hope.
And that bring us to the core problem.
China's population collapse. We know
decades of the one child policy have
left China aging fast and then co
casualties dealt in another blow. Now
the number of adults of childbearing age
has plunged. Birth rates have crashed
and kindergartens and daycare centers
are closing nationwide. And this is
reported by state media. I covered this
as well. Right. The collapse is showing
up somewhere else. It's showing up
somewhere that no one expected. Guess
where in health care and according to
Sina Finance this is China's own media
Chinese hospitals once overcrowded are
closing down in large numbers the entire
sector is losing money most private
hospitals are unprofitable and nearly
half of public hospitals are also in the
red is according the Chinese press and
in 2024 China recorded 312 million
hospitalizations
a rate of 21.4%
much higher than in most developed
nations. Yet last year over 1,200
hospital bankruptcy filings were
recorded in 2024. It it's for total. We
don't know how much how how much of that
is for private hospitals and how much
for for public hospitals. But the next
statistics we have is the closure rate
for private hospitals rose from 7.2% 2%
in 2023 to 20% in 2024. And then in
2025, the pace doubled by mid year 1,247
private hospitals had already shut down.
That's about seven per day. It It's
unbelievable. And even the public
hospitals weren't spared. I mean,
they're just not giving us data on the
public hospital closures, but we know
that at least 10 across multiple
provinces have been forced to merge.
Some hospitals like this one. Oh yeah,
this is a picture of showing how empty
the hospitals, Chinese hospitals are. So
this one, this is a major hospital. It's
called Lu Shinan Hospital. It was built
with 2 billion yuan and it was built to
serve 50 million people across three
provinces. It went bankrupt this year,
uh, leaving 1.26 billion UN in debt and
600 unpaid employees. And across the
country, medical staff are protesting
unpaid wages. I'll just show you some of
the examples. This one is um called is
ini province,
the second hospital in uh Buang Lake
closed after eight months of salary
delays. People weren't paid for eight
months and then it folded.
And then uh January 16th of this year,
one of the top 100 hospitals in China,
it's the Wuhan Maternity Hospital
suspended operations. This is due to the
uh the declined fertility rate. And then
last October,
you see here uh staff held banners
reading we need to live after 9 months
without pay. Now these are public
hospitals. These are not private
hospitals. And the root cause,
population loss. Just like kindergartens
closed because there were fewer newborns
and fewer children, hospitals are not
closing because there are just fewer
people. Period. Um, if hospitals can't
find enough patients to stay open, it
means one thing and one thing only. The
population has fallen even faster than
anyone predicted. With this amount of
hospitals closing, it gave us a reality
check of China's population decline. So,
what is Beijing doing about it? They're
trying everything to encourage marriage.
The government has simplified
registration procedures. Couples can now
register and get married anywhere in
China without even needing their ID or
the household registration card. Um so
some cities have taken this to extremes
setting up marriage booth in parks,
shopping malls, subway stations and yes
even nightclubs. That's right,
nightclubs. And this is happening in
where? In the most westernized country
in China. Here we go. In Shanghai. In
Shanghai, officials literally believe
that after a few drinks, couples might
decide to get married at nightclubs and
the government will be there to make it
happen. So, on November 4th, Sina
Finance reported that Shanghai's Hu
district uh their civil affairs bureau
launched a limited time, it's it's a
pilot project called nighttime marriage
certificate experience. They're offering
that at a local nightclub. Couples could
legally marry there, complete with a
wedding concage desk that guides them
through every step from signing in to
all the way to receiving their
certificate. All to create a quote
unquote smooth and romantic experience.
And there was even a state of mind
confirmation. Yeah, there's a step in
the process uh called state of mind
confirmation to ensure what? to ensure
both parties were sober and fully
consenting to avoid what they called
impulsive regrets. As we say in Chinese,
the very act of denying something makes
it obvious. Well, who would believe
people at a nightclub could be sober and
not impulsive. All right, so that's what
the CCP is doing. And at the same time,
Beijing has begun tying marriage and
birth rates to local officials
performance reviews. In other words,
getting people married and having babies
is now a political KPI. All over the
country, cities are offering marriage
vouchers and cash rewards. Inbu for
example, newly wetss can receive 1,000
yen in vouchers for wedding related
expenses. Other cities offer between 800
and 1,000. I mean, compared with the
wedding costs, this is nothing, you
know. So, the reaction was very or is
very cynical. People wrote, "What we
lack isn't vouchers, it's confidence in
marriage." And another person wrote,
"1,000 yen coupon. Staying single saves
me 700,000."
Others wrote, "They're not helping you
getting married. They're just trying to
make you spend." So to slow the
population decline, the CCP has also
introduced fertility subsidies. So for
example, this July people uh the party's
central office and the state council
issued the child care subsidy
implementation plan offering 3,600 y per
child per year but only up to age three.
And then in August, Beijing also
announced free kindergarten tuition for
the final year. Well, finally, what
about the the other the earlier years?
So, and in some places like um in Kubay,
newlyweds can apply for a 59,000
y housing subsidy when they buy a new
home while families with second and
third children get 800 and 1,000 yen per
month, respectively. But again, the
public isn't buying it. When property
prices are so high and living expenses
soaring, these subsidies mean almost
nothing. So now uh across China even
teachers and public employees are being
pressured to have more kids. And one
teacher said that her principal and
union regularly remind her to consider a
second child and that the number of
children you have now affects
promotions. But despite all the
propaganda and incentives, people still
aren't marrying and still aren't having
children. Why? Because the problem isn't
just financial, it's societal and moral.
Let me give you one example. This story
um is about a man whose last name is Ju.
Okay, so he's from Shangi. So his name
he's known online as Shiao. He had been
dating his girlfriend for years. At age
35, that's in 2023. He finally saved
188,000 yen for the bride's price. You
know that the money that you that the
future the groom needs to give to his
future parents-in-law. So he finally
saved the 188,000 yen for that money
after years of hard work and sacrifice.
Then before just before the wedding, the
bride's family suddenly demanded an
extra 30,000 yen for the so-called three
golds, meaning a gold ring, a gold
necklace, and gold earrings. That broke
him. His monthly income was only 4,000
yen a month. He lived very frugally,
eating like steamed buns, renting a tiny
room to live in and even borrowed 20,000
yen from France to reach his goal.
That's how he had been living. And so
when he tried to reason with his
girlfriend, she said, "All my
girlfriends have the three goals." And
that was it. He canceled the wedding and
he walked away from the relationship
alto together and from the life he had
planned. And on social media he wrote,
"If this money isn't for my wedding,
what can I do with it?" And and he said
and then he he said, "I want to see the
world." And then so he used part part of
the money he he saved for the wedding or
for the for his future wife and started
traveling in China toward China. uh he
took a a time off and traveled in China.
He even changed his username to
traveling China with 188,000 yen. All
right, that story is heartbreaking, but
it's very real. It it speaks the reality
of China today. And another case came
from this young woman. Uh it's not her,
but she was telling the story of one of
her friends. She was talking about her
friend's failed wedding negotiations.
And she said, "The bride's side insist
insists on 188,000 yen. The groom's side
offered 88. The the young couple love
each other dearly, but their parents
refused to compromise.
Both families were described as
controlling and doineering. Neither
young person dared to marry without
approval. And so the marriage remains in
question not for lack of love but for a
lack of freedom. So that's the real
problem in China today. China has lost
the moral and cultural foundation that
once held families
um and loved ones together. Decades of
communist ideology and extreme
materialism have eroded trust, sincerity
and the meaning of relationship, love
and and marriage. So that's the China
the CCP built and the China it is now
desperately trying to