Not sure if this is the correct place for this, but I am stuck with the scenario "confined". The problem is that it takes time to earn enough money to expand the hospital. In the time it takes to do this I have to turn a lot of patients away, which means my reputation takes a huge hit.
If I have the numbers correct, it is +1 for a cure, -3 for turned away, and -4 for death. This means I need to cure 3 patients for each one I turn away, when I only have money to build a pharmacy and psych. I could guess that 1/3 of the illnesses in the game can be cured at the pharmacy + psych, which leaves 2/3's that I cannot cure.
What am I doing wrong?