HLSC220: Debate Script on Medicare and Elective Surgeries

This debate script explores the complex issue of whether non-essential surgeries should be removed from Medicare to ensure economic sustainability. The script presents arguments from both affirmative and negative perspectives. The affirmative side argues that removing these elective procedures is necessary to control economic situations during emergencies, while the negative side emphasizes the importance of these surgeries for patient care and overall well-being. The debate touches on the definition of non-essential surgeries, their impact on the economic environment, and the ethical considerations involved in potentially denying or delaying these procedures. The script references relevant literature, including studies on out-of-network bills, elective surgeries after myocardial infarction, and decision-making processes in Medicare patients. The debate also considers ethical theories, such as the ethics of care and moral relativism, highlighting the complex interplay of economic, ethical, and patient-centered concerns within healthcare.

Nursing Assignment
(Negative views on the non-essential surgeries should be
reduced from the Medicare for the economic sustainability)

Debate Script
General Sequence of Debate
1st affirmative speaker The debate topic is based on the removal of non-essential surgeries to
manage the economic sustainability. As the non-essential surgeries
affect the economic situation so some people think that these surgeries
are not so important so it can be removed from the Medicare at the
time of emergency.
The non-essential surgeries are pre-planned surgeries that is decided
before the creation of any emergency. But at the time of emergency,
the economic sustainability is essential so the people think that these
surgeries can be removed from the Medicare. According to the
speaker, the non-essential surgeries need to be removed from the
Medicare at the time of emergency so the economic situation controls
for some time.
1st negative speaker The debate is relating with the management of economic sustainability
by removal of non-essential surgeries from the Medicare. But it is not
good for the patients and environment as it makes the condition of the
patients bad.
It is not essential that the non-essential surgeries disturb the economic
situation but it helps in providing the proper care to the patients. So, it
is not good to remove the non-essential surgeries from the Medicare.
At the time of emergency, if non-essential surgeries are removed then
it creates many negative aspects in the situation and make the situation
critical. As the non-essential surgeries are also important so these
surgeries cannot be removed from the Medicare as it supports the

patients to get better treatment at proper time. As these surgeries also
improves the emergency situation also by making some patients better.
The economic sustainability is important at the time of emergency but
in this emergency, the non-essential surgeries also not avoided as this
is not good for the people facing the problem related to the non-
essential surgeries and it can be planned in advance for their treatment.
2nd affirmative speaker As the economic sustainability is greatly affected by doing thee
surgeries at the time of emergency so it needs to be removed from the
Medicare so the economic situation can be controlled in a proper
manner. As these surgeries are not too important at this critical time.
As the non-essential surgeries include the elective surgeries which is
already pre-planned. As per the rules, it cannot be delayed and avoided
in any situation. So, it is important to remove these surgeries from the
Medicare for achieving the proper economic sustainability. The
economic environment becomes better by removal of these non-
essential surgeries from the Medicare.
The economic situation gets difficult to control if the non-essential
surgeries cannot be removed and it create huge panic in the
environment at time of emergency. So, it is important for Medicare to
avoid these non-essential surgeries in emergency situation.
2nd negative speaker
THIS IS MY
As per my point of view, the elective surgeries are too important and it
cannot be removed from the Medicare at the time of emergency. As
the removal of these surgeries create critical situation of the patients
related with these surgeries. As the elective surgery does not mater in
the managing of economic sustainability. The major benefits of
elective surgery include that it provides better care and treatment to

the patients. The patients not need to face critical situation further if
the surgery cannot be avoided. The elective surgery is too effective for
the patients that need it and it is pre-planned also. Your point of view
that removal of elective surgery is totally wrong as it is not related to
the economic situation and it does not affect the economic
sustainability of the environment.
As I have determined that the elective surgeries also include severla
ethical theories so it cannot be removed from Medicare. The laws and
ethics are too strict in the surgeries as it is pre-planned. The surgery of
moral relativism is included in this process in which the Medicare
department cannot denied or removed this surgery from their process.
As per my point of view, these surgeries cannot affect any type of
economic crisis occurred in the country at the time of emergency so it
can be taken as important consideration.

References
Chhabra, K. R., Sheetz, K. H., Nuliyalu, U., Dekhne, M. S., Ryan, A. M., & Dimick, J. B.
(2020). Out-of-network bills for privately insured patients undergoing elective surgery
with in-network primary surgeons and facilities. Jama, 323(6), 538-547.
Ee, P. L., & Kempen, P. M. (2006). Elective surgery days after myocardial infarction: clinical
and ethical considerations. Journal of clinical anesthesia, 18(5), 363-366.
Fowler, F. J., Gallagher, P. M., Bynum, J. P., Barry, M. J., Lucas, F. L., & Skinner, J. S. (2012).
Decision-making process reported by Medicare patients who had coronary artery stenting
or surgery for prostate cancer. Journal of general internal medicine, 27(8), 911-916.
Gordon, A. C., & Davenport, M. (2019). General surgery of childhood in the UK: a general
Surgeon's perspective. Journal of pediatric surgery.
Marques, I., Captivo, M. E., & Pato, M. V. (2015). A bicriteria heuristic for an elective surgery
scheduling problem. Health care management science, 18(3), 251-266.
Mock, C. N., Donkor, P., Gawande, A., Jamison, D. T., Kruk, M. E., & Debas, H. T. (2015).
Essential surgery: key messages from Disease Control Priorities. The Lancet, 385(9983),
2209-2219.