Skip to main content

Daily Inspiration Quote by Charles Krauthammer

"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

Krauthammer sets a trap and then springs it: he grants the moral premise of universal coverage and still manages to end at a conservative conclusion. The first clause is a conditional olive branch, a way of sounding reasonable to readers who’ve already decided health care should be guaranteed. He even calls single-payer the "next best alternative", language that flatters reformers by treating their preference as pragmatic, not utopian. Then comes the pivot word that does all the ideological work: "Unfortunately". It signals inevitability, as if the policy’s failure is a law of physics rather than a debate about budgets, prices, or political choices.

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

TopicHealth
SourceHelp 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.

More Quotes by Charles Add to List
Single Payer as Public Good is Fiscally Unsustainable Without Rationing
Click to enlarge Portrait | Landscape

About the Author

USA Flag

Charles Krauthammer (March 13, 1950 - June 21, 2018) was a Journalist from USA.

13 more quotes available

View Profile

Similar Quotes