Public financing with mixed ownership
Universal tax-funded healthcare with public, nonprofit and private hospitals providing contracted services.
Quantish Global Health Group / U.S. health policy
From public finance with mixed delivery to large-scale acquisition, Quantish will assess the trade-offs.
Policy research · Formal report forthcomingA publicly financed health system can purchase services from existing hospitals, or governments can own and operate facilities. Quantish is investigating large-scale public hospital acquisition as a possible route to an American national health service, while also examining less ownership-intensive options.
AHA's 2026 Fast Facts list 5,121 U.S. community hospitals in FY 2024: 2,984 nonprofit nongovernment hospitals, 1,224 investor-owned hospitals and 913 state/local government facilities. Their financial and legal arrangements are different.
Universal tax-funded healthcare with public, nonprofit and private hospitals providing contracted services.
Purchase or convert selected hospitals using fair valuation, appropriate legal authority and service continuity safeguards.
Voluntary transfers, regional agreements and gradual public stewardship.
A full acquisition scenario including assets, debt, pensions, capital requirements, clinical operations and personnel.
This research is in development; no final hospital valuation, savings forecast, national rollout projection, legislative text, or government authorization has been published.
Read the financing questions