What if changes to our healthcare facilities actually improved the way care is delivered, allowing providers to increase the quality of care and the predictability of outcomes while also significantly decreasing the costs to provide that care? What if the resulting facility were also less expensive and faster to produce? Could this building provide a safer environment and be itself a quality space? If the answers to these questions are yes, then the building is far more than a solution to providing greater capacity: it is the engine that can empower a whole new model of care in this country and beyond. This manifesto explores the ways we could literally leapfrog our current crisis in healthcare to provide quality care to everyone who needs it, achieve great outcomes for patients while effectively managing costs. It does so by bringing forward a tool we have overlooked: architecture.