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The Hill Burton act is now ancient history. Medicine changed a lot, but it was not technology that shifted the need and caused a building boom, it was Medicare and Medicaid. Hospital often is already at a preferred location and they will build out and around and up. They rebuild even as major full services continue without interruption. and they will often build new and more complex facilitiess and services in new locations as populations change and transportation patterns change.
But a new Hill Burton type program is not because the people running the industry and changing configurfations to meet technology and patient needs, it is the fact that hospitals would love to have a new federal program to pay for future changes. Who wouldn’t love that?
What changes are going to be needed? Hospitals are downsizing. Outpatient services and day surgeries and such are replacing inpatient hospitals. So it isn’t hospitals that are needed, it is patient care models and services that build services that DO NOT REqUIRE hospiitals!
The story isn’t the lack of hospital architects who would build fresh today with new models: everyone would do that. But how if at all can patient care move out of the hospital and then what to do with the old buildings and what new space if any is needed?
The field is changing but this isn’t the story.