I guess it’s like the previous two answers said. It depends on what you consider to be important to you. I worked at Starbucks, and can tell you that caramel is the sweetest syrup there, and contains a ton of sugar. This, combined with the other ingredients makes it pretty fattening, even in small sizes. But, unless you get sugar free caramel, it’s free of artificial sweeteners. I’ve read up on artificial sweeteners and there seems to be debate as to whether they pose a threat or not. Personally I get a headache when I ingest aspartame, and I trust my body and try to eliminate it. So again, I guess it depends on what you believe is healthy or unhealthy.