One can question whether there will by necessity be any rationing decisions that will need to come as a part of health care reform (and, in fact, we have) but pictures of government bureaucrats forcing euthanasia upon seniors — and, now, children with Down syndrome — because they’re not productive members of society are not part of any reasonable debate on the facts of the matter. (And frankly, I agreed with Palin previously, when she was asking members of the media to keep her children out of any public debate.)

Asked specifically what the former governor was referring to when painting a picture of an Obama “death panel” giving her parents or son Trig a thumbs up or down based on their productivity, Palin spokeswoman Meghan Stapleton responded in an email: “From HR3200 p. 425 see ‘Advance Care Planning Consultation’.”

That’s a curious reading of page 425 of the House Democrats’ bill, which refers to “advance care planning consultation,” defined as a senior and a medical practitioner discussing “advance care planning, if…the individual involved has not had such a consultation within the last 5 years.”…

Sowell’s are more reasonable arguments, though they don’t exactly emphasize that health care insurance company bureaucrats already are making such decisions. In any case, nowhere does he raise the specter of an Obama “death panel.”

The White House had no comment.