Hill-Burton Act hospital construction boom (1946-1970)
Congress passed the Hospital Survey and Construction Act in 1946, allocating federal grants for hospital construction, especially in rural and underserved areas. By 1970, Hill-Burton had helped finance nearly one-third of all US hospitals.
Created the postwar American hospital system, adding capacity that matched a growing and aging population.
Left a system of small rural hospitals that later struggled to survive as care consolidated into urban centers.
Shows a prior mechanism for expanding healthcare capacity when demand rises, and the long-term risks of overbuilding.
