Trends in green hospital engineering

When health-care facilities do pursue green initiatives, it's often because there is some incentive available to them that buys down the cost. When hospitals make claims that green does not cost more, generally, these claims are based on strategies that simply cost less, and would therefore be pursued regardless of green goals, and/or strategies implemented because of a one-time opportunity to buy-down the cost through some kind of incentive programme. Engineers who design health-care facilities are often cast as being "nay-sayers"; we can't find ways to do better systems because we are too constrained. Behind the voluminous green smoke that surrounds healthcare building, there is some real green fire.