"If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing"
About this Quote
The subtext is blunt: if you want universality, you must accept scarcity enforced by the government. "Fiscally unsustainable" is a rhetorical cudgel, less a specific claim than a mood of impending collapse. The sentence offers no numbers because it’s aimed at intuition: big programs balloon; taxpayers revolt; the system buckles. "Rationing" is the emotional payload. It’s a term chosen to evoke waiting lines and faceless bureaucrats, collapsing a wide spectrum of cost controls into a single, ominous image. Private insurance already rations - by price, by networks, by denials - but that kind of rationing is normalized and largely invisible. Krauthammer’s word choice makes state rationing feel uniquely coercive and morally suspect.
Context matters: Krauthammer wrote from the late-Cold War through the Obamacare era, when "single-payer" became a proxy battle over the size and legitimacy of government. The quote functions less as policy analysis than as a permission structure for skepticism: you can concede the compassionate aim and still reject the mechanism by treating the tradeoff as unavoidable.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Krauthammer, Charles. (2026, January 15). If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing. FixQuotes. https://fixquotes.com/quotes/if-you-believe-that-health-care-is-a-public-good-44371/
Chicago Style
Krauthammer, Charles. "If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing." FixQuotes. January 15, 2026. https://fixquotes.com/quotes/if-you-believe-that-health-care-is-a-public-good-44371/.
MLA Style (9th ed.)
"If you believe that health care is a public good to be guaranteed by the state, then a single-payer system is the next best alternative. Unfortunately, it is fiscally unsustainable without rationing." FixQuotes, 15 Jan. 2026, https://fixquotes.com/quotes/if-you-believe-that-health-care-is-a-public-good-44371/. Accessed 12 Feb. 2026.



