Health care buildings and the people that work in them are the biggest cost items in health care. That is, if one ignores those pesky patients, without whom this discussion wouldn't even be happening. Fact is, healthy people cost very little. And dead people cost virtually nothing2. By the way, prevention doesn't save any money.
People just live longer to get sick and die of something else that's usually more expensive.
Except for those odd folks with Factitious Disorders, most people want good health, not good health care. Blessed with the former, they will gladly forgo the latter. Our Vision of health care follows from these principles. For the health care provider, we're giving you less money. Figure out how to make it stretch.