ࡱ> BDA 'bjbjVV .2<<WWWWWkkkkkvvv^``````$y~WvvWW:WW^^E1ÓkJ0W\v^XLvvvfvvvvvvvvvvvv : Debate Script Format Following the Toulmin Method, here is an example of what your script might look like. Each member of a pro/con team will develop the same claim, but will provide different reasons and evidence to support that claim. Below you will find 4 reasons; 2 of them would be developed by one member of the pro side, 2 by the other. I have not provided an example of more than one rebuttal or one questionI would have a better idea, as you should with your team and issue, of how to rebut the Cons argument after Id heard/seen it. Anne Student Dr. Ellen Gardiner AP Language and Composition 10 December 2010 Issue: Health Care Reform Position: Pro Warrants for the Pro Side #1: (Logos) The current health care system does not work. Insurance premiums are too high; the companies decisions regarding what to cover and what not to cover are often arbitrary. Doctors fees are tied to insurance company rules. Warrants for the Pro Side # 2: (Pathos) As a culture, we need to guarantee everyone the right to pursue life, liberty and happiness; that pursuit requires health care. Our government should protect the rights of all citizens, not simply the wealthy or the interests of large corporations. MAIN CLAIM: The United States needs a more humane and equitable system which guarantees universal access to health care (defendhealthcare.org) Reason 1: The current system encourages physicians to avoid the sick, and in many cases, to actually shun them. Evidence: Physicians pay is increasingly tied to denial of treatment and care. Many offered bonuses based on how little they offer patients. Under a system called capitation, in which the doctor receives a fixed monthly payment for each patient, the doctor's economic interest is directly pitted against his or her patients. According to a report in the New England Journal of Medicine, in some high-risk capitation arrangements a physician's income can vary between nothing and $150,000 per year depending on how many services that doctor provides, or more precisely, how many are denied. (defendhealthcare.org) Reason 2: Without health care reform, American workers and families will continue to receive fewer health care benefits. Any raises they do receive in this poor economy will be eaten up by the rising health insurance premiums. Evidence: Current Health care expenditures 18 % of GDP; projected to reach 34% by 2040, if no reform (The Economic Case for Health Care Reform) Slowing growth in health care costs will therefore prevent disastrous increases in Federal deficit. Evidence: "Lack of health insurance and financial concerns about accessing care among those with health insurance were each associated with delays in seeking emergency care for AMI." That's the conclusion of a study, published in an April 2010 issue Journal of the American Medical Association (JAMA) and the implications of this study for hospitals, insurance providers, government and interventional cardiologists are profound, because angioplasty and stents are considered the first line treatment for a serious heart attack, yet many patients are not benefiting from this treatment. (Heart News) Reason 3: Its not fair that some of us are paying more than others. One of the causes of high insurance premiums is in fact the high number of uninsured people. Providing universal health care would help lessen the burden on those who currently absorb the expense of providing for the uninsured in their own premiums. Evidence: Almost four in ten (39 percent) uninsured adults age 55-64 did not see a doctor in the past year, compared to less than one in ten (9%) of those with private insurance. Forgoing routine health care could delay diagnoses of health problems or lead to worsening health. (National Coalition on Health Care). Those uninsured patients who wait to see a doctor until they are very sick already contribute to the rise in premiums for the insured patients. An article about the high number of uninsured Texans concluded, Much of the cost of providing health care for the uninsured ultimately is transferred to those who have health insurance through higher health insurance premium costsand to Texas taxpayers who pay for uncompensated care in public hospitals and other programs. (The Uninsured: A Hidden Burden on Texas Employers and Communities) College students who are young and healthy often complain about paying for something they don't need, for example. But when they do get sick or have an accident and end up in the ER, they usually expect to be taken care of by societyespecially if their student health care plan doesnt cover it and theyre too old to be on their parents policy. Reason 4: We have an obligation to provide for those who cannot provide for themselves: children, the disabled, and the elderly. National health reform should strengthen and expand Medicaid to provide comprehensive coverage and high quality care to children, people who are low-income and people with disabilities. Evidence: Medicaid, a government-run program, currently covers many of these individuals, but many states are trying to opt out. A problem for two reasons: Some of tax withholdings from salaries go to the support of this program. Second, the states opting out do not have a back-up system in place, so millions of children, elderly and disabled will not have access to treatment. When their situation becomes dire, they will end up in the emergency rooms, and as my partner pointed out, well still end up paying for them. (Conservative Legislators in Texas Seek to Opt out of Medicaid; Focus on Health Reform) Question for the Con Side: Since you dont believe in government-sponsored health care, should we get rid of Medicare altogether? If not, how is this not a contradictory position? Rebuttal: Those who argue against health care reform often argue that such reform is a form of government takeover. Nonetheless, the United Statess health system currently is ranked 37 in the world. Were ranked behind such third world countries as Costa Rica and Saudi Arabia. Were ranked 24th in life expectancy; were ranked an extremely low 19th out of industrialized countries for infant mortality. (World Health Organization) The primary reason for our abysmal performance is because so many of our citizens cannot afford the preventive or prenatal care that would decrease the number of deaths from catastrophic illness or the complications of pregnancy, such as vitamin deficiencies, hypertension, or preclampsia. When they finally become so ill that they are transported to an emergency room, the costs associated with their treatments are passed on to those of us who are already hemorrhaging money from our pay checks to doctors, pharmacies (co-pay costs) and to the health insurance premiums. Theres a reason France is ranked number one: it has a universal health care system that provides for its citizensand oh yeah, its not a socialist country, its a democratic republicnot unlike our own country. As Dr Timothy Johnson argues, A recent Harvard study suggests that as many as 45,000 people in this country die prematurely every year because they lack health insurance. How can people who call themselves "pro-life" live with that? I find it absolutely unacceptable as well as embarrassing that a country as rich as ours is the only developed country in the world without universal coverage (The Truth about Getting Sick) N.B.: Works Cited Page: Be sure to follow OWL at Purdue Guidelines for internal and external citations of your research sources. Im not going to provide you Works Cited page for this documentyou need to learn to find your own informationbut note that I have attributed info to nine sources, internally, above: That means 3-5 sources per individual team member. Make sure at least one of your sources is a PRINT source. Note, too, that this document is 3 pages, single spaced. I spent approximately an hour researching and an hour typing. I expect as much or better from you, given that we have already spent 2-3 class periods researching your topics. 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