"It occurred to me that there was no difference between men, in intelligence or race, so profound as the difference between the sick and the well"
About this Quote
The intent is less philosophical than diagnostic. Fitzgerald is pointing to the way illness rewrites the social contract. Wellness lets you imagine continuity: plans, self-control, a future that behaves. Sickness collapses that story. It narrows time to the next hour, the next symptom, the next small negotiation with pain or fatigue. A well person can treat life as an arena for ambition; a sick person is forced into triage. That is the “profound” difference: not intellect, but access to normalcy.
The subtext carries Fitzgerald’s own biography: chronic frailty, alcoholism, breakdown, the long burn of Zelda Fitzgerald’s institutionalization. He isn’t romanticizing suffering; he’s indicting the well for how quickly they translate illness into character flaw, laziness, melodrama. By pairing “intelligence or race” with “sick and well,” he also exposes a nasty truth: societies love categories that feel earned. Health feels earned until it isn’t.
What makes the line work is its ruthless reversal. It doesn’t ask for sympathy; it forces recognition that the biggest privilege is often invisible until it’s gone.
Quote Details
| Topic | Health |
|---|---|
| Source | Verified source: The Great Gatsby (F. Scott Fitzgerald, 1925)
Evidence: I stared at him and then at Tom, who had made a parallel discovery less than an hour before, and it occurred to me that there was no difference between men, in intelligence or race, so profound as the difference between the sick and the well. (Chapter 7 (page number varies by edition)). This sentence appears in F. Scott Fitzgerald’s novel The Great Gatsby during the stop at George Wilson’s garage (the ‘valley of ashes’), in Chapter 7. This is a primary-source occurrence (Fitzgerald’s own text). The novel’s first publication was in 1925 by Charles Scribner’s Sons. Page numbers differ across printings/editions; many modern references place it in Chapter 7, but reported page numbers (e.g., ~111, ~118, ~124, ~148) vary with typesetting. Some secondary sites misattribute it to The Great Gatsby while still being correct about the work; others provide inconsistent page citations, so chapter identification is the most stable locator. Other candidates (1) F. Scott Fitzgerald: Trimalchio (F. Scott Fitzgerald, 2002) compilation97.1% An Early Version of 'The Great Gatsby' F. Scott Fitzgerald James L. W. West, III ... it occurred to me that there was... |
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Citation Formats
APA Style (7th ed.)
Fitzgerald, F. Scott. (2026, February 16). It occurred to me that there was no difference between men, in intelligence or race, so profound as the difference between the sick and the well. FixQuotes. https://fixquotes.com/quotes/it-occurred-to-me-that-there-was-no-difference-19441/
Chicago Style
Fitzgerald, F. Scott. "It occurred to me that there was no difference between men, in intelligence or race, so profound as the difference between the sick and the well." FixQuotes. February 16, 2026. https://fixquotes.com/quotes/it-occurred-to-me-that-there-was-no-difference-19441/.
MLA Style (9th ed.)
"It occurred to me that there was no difference between men, in intelligence or race, so profound as the difference between the sick and the well." FixQuotes, 16 Feb. 2026, https://fixquotes.com/quotes/it-occurred-to-me-that-there-was-no-difference-19441/. Accessed 18 Feb. 2026.








