Charles Hoskinson, the founder of Cardano and an early Ethereum co-founder, is committing $200 million to build a patient-focused medical center in Gillette, Wyoming. The facility—now serving roughly one-third of the town—will blend artificial intelligence and blockchain tools to redesign care delivery and reduce costs.
Hoskinson framed the move as a response to what he called a system built around billing incentives rather than patient needs. Drawing on his family’s medical background, he argued that current payment structures reward quick, repeatable procedures over coordinated, long-term care. “If they can’t pay, don’t charge ’em,” he said, outlining a mission to prioritize access and outcomes.
The project plans practical uses of technology: AI will support clinicians by aggregating medical knowledge, offering specialty-specific care plans, flagging drug interactions and transcribing visits. Blockchain and cryptographic techniques such as selective disclosure and zero-knowledge proofs are expected to protect privacy while enabling verifiable facts—age, citizenship, credentials—without exposing full medical records. Hoskinson also intends to open-source the protocols and software so the model can be replicated.
The initiative faces resistance from established providers: Hoskinson says local hospitals have delayed credentialing and opposed the clinic’s expansion. Beyond organizational pushback, the approach raises questions about regulatory compliance, patient data governance and clinical validation. Success will depend on integrating care teams, meeting state licensing rules and proving improved outcomes at scale.
Why it matters: this is a high-profile attempt to apply Web3 and AI to a non-crypto sector—healthcare—testing whether decentralized tech can improve cost, privacy and coordination in real-world care delivery.
Source: CoinDesk. Read the original coverage for full details.
