His family is very poor.
You are so poor that you have no money for medical treatment; you have money for medical treatment but no money for hospitalization; you have money for hospitalization but no money for food.
He lived in the most dilapidated ward in the whole hospital. Dozens of patients were crowded together, suffering from all kinds of diseases. It was a smoky mess. Countless patients are pushed in and out every day. Some people walk in and lie down, and some people are pushed out and never come back. They don't know if they died or if they have money for treatment, and they don't know if it will be their turn next.