I would but I don't have a CO2 setup at the moment. I used to, but then I decided I'd rather not set the rental place on fire.
I'm developing the opinion that your PSU is at fault here. It should be primarily responsible for a stable current flow/plasma discharge. If you have one of the IR thermometer guns, you could open up the PSU and starting running the tube while safely "probing" the temperature of the internal components from a distance away.
But if doing that makes you feel silly, I will tell you that if I were in your shoes, I would buy a new PSU. Sucks to have to do so, but its one of the two components in the setup that can fail on you, and since the PSU have more parts that make it up, I would argue that the odds of it failing first are better than for those of the tube - if a bent tube and dirty optics can truly be ruled out.
That's what I would do. I'm not a CO2 laser professional - just a hobbiest who's read many books and who's experimented with these in the past.
Is that any consolation? Any help? I hope so!