Indiana University Health is currently constructing a massive $4 billion flagship hospital in downtown Indianapolis. The development forces the consolidation of the existing Methodist and University hospitals. The footprint extends across forty-four acres, from 16th Street south to 12th Street, Capitol Avenue west to Interstate 65.

The hospital system filed requests for special development classifications to bypass standard zoning rules. Construction requires the complete closure of Senate Avenue and Capitol Avenue. The hospital CEO bragged that the new facility will save the corporation $50 million a year in heating and lighting costs.

While the hospital promises world-class care, the campus expansion gobbles up prime real estate. These blocks will never generate property taxes for city infrastructure.

Eli Lilly has committed over $50 billion to expand manufacturing since 2020. On March 5, 2026, the company announced a new direct-to-employer platform to sell Zepbound at $449 per KwikPen, bypassing traditional health insurance entirely.

A pharmaceutical company headquartered in Indianapolis generates billions building alternate supply chains for luxury weight-loss drugs while residents in the shadows of the corporate headquarters suffer from diabetes, heart disease, and critically low life expectancy.

Displacement and housing instability are massive drivers of poor physical health. Evicting a family guarantees a drop in their long-term medical outcomes. The healthcare monopolies thrive financially while the actual health of the surrounding neighborhoods collapses.

The corporate medicine machine treats the symptoms while ignoring the poverty it helps create.