Yes, he's always been vital when not injured. Fortunately for us (and him) he has recovered and looked good playing with Lazio so he will most likely be a starter if he keeps his current fitness level.
If more offensive power is needed then De Arrascaeta can play as an 'enganche'. If a more traditional 5 with more marking is wanted, Torreira is the first obvious choice. Uruguay's new and young midfield is different than previous generations. I'm also pretty sure Ramírez will not make the 23.
Yeah, just shows you that South American qualifiers is the toughest in the world without any doubt. However, I would advice you to look at Peru. They have a solid team with grit, just a shame that their main main Guerrero won't be available...
Yes, he's always been vital when not injured. Fortunately for us (and him) he has recovered and looked good playing with Lazio so he will most likely be a starter if he keeps his current fitness level.