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A second issue is pragmatism. You can either have universal health care, or you can have top-notch health care, but you can't have both. Why not? Because universal top-notch health care is unaffordable. Other countries handle the cost issue by rationing, e.g., the UK. Given the choice between a government bureaucracy deciding who can get treatment, or being able to decide based on ability to pay (the market), I'll go with the market.
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Honest question. Since I'm Canadian, I've been following the US healthcare thing fairly closely (because you really can't get away from the american media here) and for the life of me, I can't figure out the whole "rationing" concept. Using the textbook definition of "rationing," Canada doesn't ration, and has a "top-notch" system depending on how you view it.
So, in short, what do you (Americans using the word in this debate) mean by rationing? I honestly cannot figure it out.