I do not fully understand the economics of higher education—they're complex and often opaque—but a few things to keep in mind:
1. Tuition seems absurd, but very few students pay the sticker price. At my institution, average cost after aid is 39% of average cost before aid, and less than some of the private K-12 schools in this city. 2. "These institutions" are not a monolith. See above—especially when it comes to prestigious schools, many students aren't paying close to sticker price. 3. Families and students expect much more from colleges than they did a few decades ago, both in terms of facilities and staffing. I don't know if anyone's done a study of student wellness center staff sizes, but I wouldn't be surprised if they doubled over the past two years. 4. The sciences (and things like conservatories) are particularly expensive because of equipment/lab costs. Someone has to pay for all this. I think more should come from the corporate America (not sure how), which benefits greatly from these programs, but I'd venture to guess most comes from tuition and government grants.