It's going back to On-Prem computing, driven by large reductions in VC funding. This will drive tools and products that make the transition easier. It'll reach a hype pitch as everybody rediscovers how to run their own servers, until the maintenance bit comes 'round and The Cloud (aka, managed services) makes a comeback.
Honestly I hate leasing but it makes sense for this. Just have several tiers of "needs most performance" to "dentists office" and lease down, as the tier above outgrows the last best thing, the tier below considers it an upgrade. This hardware has way more life than people realize. The leasing company can even handle some on-prem maintenance.