"The essence of a government health care system - for people who have never lived under it and don't know - is waiting, waiting, waiting. You wait for everything. You wait for years for operations that are routine in America"
About this Quote
The intent is plainly argumentative, but the subtext is cultural. Steyn isn’t only criticizing rationing or queue management; he’s framing public health systems as a lesson in political psychology: when government runs care, the citizen becomes a supplicant. The jab at “people who have never lived under it and don’t know” draws an us-versus-them line. It casts proponents of single-payer as naive tourists and elevates the speaker as the hard-eyed guide who’s seen the ruins. It also smuggles in a particular idea of “freedom”: not just rights on paper, but the ability to convert money and urgency into immediate action.
“Routine in America” is the comparative dagger. It flatters the American system as efficient and modern while implying that other countries’ models are inevitably stagnant. That move is rhetorically neat and empirically vulnerable: it generalizes from the most politically potent failures (surgery waitlists) while skipping the American system’s own queues (network denials, prior authorization, unaffordable care). In the broader context of U.S. health-care debates, this is a classic anti-single-payer frame: translate complexity into a single nightmare image - the endless waiting room - and let fear do the persuading.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
| Cite | Cite this Quote |
Citation Formats
APA Style (7th ed.)
Steyn, Mark. (n.d.). The essence of a government health care system - for people who have never lived under it and don't know - is waiting, waiting, waiting. You wait for everything. You wait for years for operations that are routine in America. FixQuotes. https://fixquotes.com/quotes/the-essence-of-a-government-health-care-system--103386/
Chicago Style
Steyn, Mark. "The essence of a government health care system - for people who have never lived under it and don't know - is waiting, waiting, waiting. You wait for everything. You wait for years for operations that are routine in America." FixQuotes. Accessed February 3, 2026. https://fixquotes.com/quotes/the-essence-of-a-government-health-care-system--103386/.
MLA Style (9th ed.)
"The essence of a government health care system - for people who have never lived under it and don't know - is waiting, waiting, waiting. You wait for everything. You wait for years for operations that are routine in America." FixQuotes, https://fixquotes.com/quotes/the-essence-of-a-government-health-care-system--103386/. Accessed 3 Feb. 2026.


