Who's drowning in medical debt? The patients that'll die on their 4+ hour drive to the nearest doctor, because you took away their bigot of a doctor without having a replacement? How many deaths would be acceptable sacrifices to get rid of one bigot? Seriously what would the number be?

Or do you mean medical school debt? I hope you mean medical school debt.

Obviously the least damaging option, would be keeping the bigot in place until someone else can step into the role.