“Adequate coverage for all could avert about 62,863 deaths annually.”

Nearly half of those averted deaths are people who already have insurance and cannot afford to use it. High deductibles are the mechanism, and they were sold as a way to make patients smarter shoppers. It is a preprint and has not been peer reviewed, so treat the $1.04 trillion figure as an argument rather than a fact. The underinsured finding is the one that should stick.