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That suggests some wrong doing on your part.
The population has a life cycle. Look at your demographic overlay. You should see your city has around 24% seniors. Therefore you can expect 24% of your population to die of old age.
They will be replaced over time by your own family birth rate and new immigrants to the city, but that isn't instant and so you will see a rise and fall in your total population numbers.
Aside from the natural life cycle, the most common reason for a large proportion of your population dying is usually due to you poisoning your Cims.
Water pollution is the only fatal form of pollution there is since no amount of healthcare can treat it as long as the water supply is contaminated.
So, the very first thing you should check is your pollution overlay and look at water pollution. It must be 0% at all times! Even 1% is enough to cause citywide sickness and death.
If this is the case, locate the contaminated water source and eliminate it. Your city will recover remarkably quickly.
Maybe it works like this; you built a lot of residential areas at once, so when all those people died, it was a big death wave. Maybe try to spread your residential building out a bit.
Remember that all services provide a citywide coverage so any ambulance it may have to dispatch if there is a sick Cim that cannot make their own way to a healthcare facility can reach any part of the city from one hospital.
So, having 20 poses the question, do you have a healthy city?
Or are you spending a fortune on so many hospitals because you have a lot of sick Cims (more than any one hospital can cater for)?
No. As I said, a hospital provides two things:
a positive influence factor
healthcare service
It does not affect your population life cycle, which as I explained in my first reply above, will fluctuate naturally as your seniors die of old age and are replaced over time.
Therefore the amount of hospitals does not maintain population numbers and so many are an unnecessary expense if your city is healthy.
Yes, this is normal, your cycle will soon show you have double the death than births. It's just a cycle of life and death wave from the game. It's unavoidable. I'm surprised you're just now noticing it.
But if you're not getting any bad avatars above your buidings, then your city is fine.
20 hospitals are costing you 48,000 per week.
If you have 0 sickness or no more than a handful of sick Cims at most, then tell me again how you justify the need to spend 48,000 per week for 20 unnecessary hospitals when only one is required to handle your sick.
The size of your city in terms of population is irrelevant. It is the amount of sick cims that determines how much health service is required to treat them.
Even then, the simplest solution is to prevent them getting sick in the first place rather than try to treat the symptoms you cause.
I uhh.. don't get what you are saying
What grapple is trying to say is that you do not need that many hospitals if your citizens are not sick. Building that many hospitals simply pile up expenses. If you take some care placing your water sources and prevent pollution from seeping into your city's drinking water, then you will have a healthy city with no sick people.
Remember, cims only get sick through water pollution. building clinics (not hospitals) would make the area value go up. Hospitals are expensive. Clean water makes healthy cims.
But I have a no pollution mod so they are just dying of old age and I will try to make the water cleaner, and I have a 0% budget expense mod