As the most visible castles on the most prominent hills of what we call, rightly or wrongly, our "health care" system, hospitals are ineluctably caught up in our notions of what both health and care should mean, and do.
My career is devoted to the use of lifestyle practices -- and above all, diet and physical activity -- to the promotion of health and the prevention of disease. Feet and forks, along with fingers that do or don't hold cigarettes, are well established as the master levers of medical destiny.
There is an intrinsic problem with measuring the quality of a system by how well it conforms to what you already believe. Such a system gets bonus points for agreeing with you -- even when you are wrong.