I understand that fear of the unknown is often stronger than fear of the known, but even so I’m struck by how many people argue against a potential public health insurance option while ignoring huge problems with our current system.  

Former Alaska Governor Sarah Palin suggested on Friday that health care reform could kill her baby:

The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s “death panel” so his bureaucrats can decide, based on a subjective judgment of their “level of productivity in society,” whether they are worthy of health care. Such a system is downright evil.

Of course, none of the Democratic health care proposals would provide for anything like Palin’s fantasy “death panel.”

In contrast, health care is rationed according to people’s medical history and ability to pay every day under our current system.

It is “downright evil” that uninsured trauma patients are 50 percent more likely to die than trauma patients covered by insurance.

And that uninsured people are often denied organ transplants on the grounds that they will lack the capacity to pay for anti-rejection medications.

And that insured as well as uninsured Americans to delay medical treatment for chronic illnesses because they can’t pay.

And that uninsured people are much more likely than insured people to be diagnosed with “advanced cancers […] that could have been detected early through proper screening.”

And that paperwork from insurance companies, rather than a doctor’s recommendation, determines a patient’s timetable for cancer surgery.

And that cancer patients forgo radiation or chemotherapy if they lose their insurance.

And that insurance company bureaucrats can override a doctor’s recommendation on whether a suicidal mental patient needs to be hospitalized.

And that insured as well as uninsured people can face bankruptcy or crushing debts after completing cancer treatment or care for a medical emergency.

Feel free to add to this list in the comments.

UPDATE: Charles Lemos posted the full text of Palin’s Friday comments on health care reform.

SECOND UPDATE: Speaking of rationing, read this diary by the father of a 13-year-old girl with type 1 diabetes. Excerpt:

Managing diabetes is about preventing future complications and a greater expense. My daughter’s Doctor had prescribed six needles per day. Each needle represents a meal, a snack or a correction. In effect the insurance company was saying to her you may eat four times a day. Or, eat three and correct once. Well her Doctor believes in more and smaller meals. Tell me Mr. President who stands between her and her Doctor? Who has a concern for preventive care and maintenance? Why do I have to have this conversation month after month? Why does my policy increase nearly ten percent a year and some times more?

MONDAY UPDATE: Natasha Chart and I are on the same wavelength.