The Portland Veterans Affairs Medical Center campus sits on a 450-foot-tall basalt-rock hill south of downtown. Marquam Hill, also known as “Pill Hill” due to the amount of medical facilities clustered on its crest, is also crowded with homes, steep slopes and daily commuters (during non-pandemic times).
These steep and rocky slopes garnered ridicule for Dr. Kenneth Mackenzie when he initially proposed to build a medical school on Marquam in 1914. According to Oregon Health and Science University’s historical collections, “The land, unusable to the railroad company, came to be known as ‘Mackenzie’s Folly’ in reference to its location on an inaccessible hilltop.”