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I have been thinking about this comment all day and it actually bothers me more as the day has gone on.
It shows such a lack of judgment on his part. He knew that he was on national television so it can't be dismissed as an offhand comment, since I am sure that a lot of the interview was rehearsed ahead of the taping.
It was a big interview for him. His fans thought that it was groundbreaking. It was a big deal for him and his entourage, so it seems his choice of words would have been careful, and he says something this insensitive.
It either means that he is totally insensitive to disabled, which could be true or he has no ability to discern what is appropriate public discourse, which seems unlikely since he had been campaigning and in the public eye for eighteen months before the election.

Combine his proclivity for spurting out words without thinking with not being able to make a joke that doesn’t insult someone else (of course never taking any ribbing himself) and you’ve got trouble, the typical arrogant narcissitic kind of Class A frat boy jerk.

I share your deep concern. I am sickened by his off-hand “joke” about our special needs children and adults. Larry King had Tim Shriver on this evening and he pointed out the disconnect “normal” people have demonstrated with their emails to the Special Olympics Committee telling him to “get over it”. He, too, was disheartned. Zero speaks for those who maligned Sara Palin and her son. He shares their unkindness and ignorance.