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- Necessary or not, she was not asked for her consent by either party, even if we, as the player, know what she would have wanted (disregarding the issue of if a kid can even consent) the doctors didn't know, that's why they decided to keep her drugged up to avoid further complications
- Yes people die over virtually nothing in TLOU, that's the point! lest you forget Abby was literally the top wolf, you don't get that rank without killing and torturing a lot of people I'm not saying Joel and Ellie were the good guys, my point is there are no good/bad guys in this scenario The idea of the second game is the 'cycle of violence', it's very naive to solely blame Ellie for everything that happens in TLOU2