Kristen Bostedo-Conway Proof Line for Argument Project 2/21/2011 Main Reason: y Major: Blue Cross & Blue

Shield does not want toshould cover deep sedation during colonoscopies despite evidence that deep sedation improves the tests reliability and the patients experience. y Minor: Deep sedation improves the tests reliability and patients experience. It speeds up recovery time, decreases pain and increases the gastroenterologist s ability to find polyps. y Minor: Using deep sedation during cancer screening colonoscopies will increase the number of patients willing to undergo them more regularly.
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Claim: Blue Cross & Blue Shield should cover deep sedation during colonoscopies . [Recommendation: Insurance companies should offer a covered benefit for deep sedation and colonoscopies. your recommendation is your conclusion or your claim.] Insurance companies should not make healthcare decision; doctors should. Assumption: Your audience understands or has had aEveryone will have to have a colonoscopy after their 50th birthday or before. No one likes the idea. Backing: y Studies on deep sedation and colonoscopies y Patient satisfaction surveys y Patient testimonials y Support from medical societies, gastroenterologists, and cancer/colon cancer associations y Insurance companies should not make healthcare decision; doctors should. Recommendation: Insurance companies should offer a covered benefit for deep sedation and colonoscopies. Rebuttal: y Deep sedation is not medically necessary for this procedure y Using deep sedation will unnecessarily increase overall medical costs compared to conscious sedation y There are conflictingResults of studies regarding the success [? effectiveness? Use a precise word] use of conscious sedation versus deep sedation conflict.

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The costs of deep sedation can be reduced if a nurse administers it versus a physicians yDeep sedation is not medically necessary for this procedure y

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