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My interest is that the feudal lord was living off the backs of others. The state taxing land to build hospitals is not the same thing.

You might enjoy Stop, Thief!: The Commons, Enclosures, and Resistance https://www.goodreads.com/book/show/17802312-stop-thief

Lords often got their start in lording by building a bridge.

I would read the heck out of a book that purported this.